• 제목/요약/키워드: social care

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중환자실 간호사의 의도적 반추, 자기 노출, 사회적 지지가 외상 후 성장에 미치는 영향 (Post-traumatic Growth and it's associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses)

  • 민새미;김희준;김춘자;안정아
    • 중환자간호학회지
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    • 제15권2호
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    • pp.50-63
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    • 2022
  • Purpose : This study aimed to identify intensive care units (ICU) nurses' experience of traumatic events, deliberate rumination, self-disclosure, social support, and post-traumatic growth (PTG), and to explore relationships among the variables. Methods : Participants were 157 nurses who have provided direct patient care for six months or more in ICUs at a university hospital. Collected data were analyzed using descriptive statistics, independent t-tests, one-way ANOVAs, Pearson correlations, and multiple linear regressions using the SPSS/WIN version 23.0. Results : The PTG was found to be significantly associated with deliberate rumination (r=0.36, p<.001), self-disclosure (r=0.39, p<.001), and social support (r=0.54, p<.001). Factors that affect PTG significantly were found in the order of social support (𝛽=0.40, p<.001), self-disclosure (𝛽=0.25, p<.001), and deliberate rumination (𝛽=0.24, p<.001). The final regression model explained 40.1% of the variance of PTG (F=26.33, p<.001). Conclusion : The influencing factors identified in this study on PTG, including social support, self-disclosure, and deliberate rumination should be included in programs to promote PTG for ICU nurses who may experience traumatic events repeatedly.

말기환자의 전인적 돌봄에 있어서 포괄적 평가개념의 중요성

  • 윤욱희;이귀한;유선희;곽원영;진선경
    • 호스피스학술지
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    • 제3권1호
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    • pp.12-30
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    • 2003
  • We all human beings, should be reached the terminal of life in the world. There is the only difference between that comes suddenly or slowly. Persons who should be come the terminal stage suddenly due to disease, especially, malignancy, are Hospice patients. Hospice work is the work of all of us because anyone, anywhere, whenever can be suffered in terminal stage. The characters of Hospice-care are total care of wholistic human beings, comprehensive total assessment of the life and the team work composed of diverse team-members, for example, doctors, nurses, social workers, physical therapists, psychologists, ministers & volunteers. The care manager of the total care(the coordinator of Hospice care), should be worked systemically and, rationally. The comprehensive assessment concept should be entered to the infra-consultant of terminal care-program. The care manager should be have the ability of comprehensive assessment for terminal patients. It will also help standardization of Hospice, and application of medical insurance and social security.

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간호학생들의 에이즈 환자 간호의도에 영향을 미치는 요인 (A Study for Investigating Predictors of AIDS and Patients Care Intention Among Nursing Students)

  • 이종경
    • 대한간호학회지
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    • 제31권2호
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    • pp.292-303
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    • 2001
  • The purpose of the study was to find out the level of knowledge, attitude, subjective norm, social interaction, and behavioral intention of nursing students regarding AIDS. It also identified factors that predict behavioral intentions and to provide care for patients with AIDS using Theory of Reasoned Action. The subjects consisted of 117 nursing students at three universities. Data was collected with self reporting in a questionnaire of with 67 items. Data was analyzed by an SPSS pc+ program. The results were as follows; 1. The mean age of the subjects was 20.98 years. The mean score for HIV/AIDS knowledge was 24.444 out of 32. Mostly Korean students were quite knowledgeable about the basic facts and symptoms of AIDS but confused about the made of transmission such as public toilets, prevention methods, and especially infection control. 2. This study found that social interaction, attitudes and subjective norms of Korean nursing students explained the intention to care for AIDS patients. The students who had a more positive attitude toward caring for AIDS patients and those who perceived more support from their significant others for caring the AIDS patients reported a more positive intention to care for AIDS patients. 3. In stepwise multiple regression analysis, 47.58% of the variance in AIDS patient care intention was accounted for by social interaction (33.41%), attitude (9.1%), and subjective norm (5.0 %). According to the finding of this study, and social interaction are the most significant predictors of intentions. Therefore it can be suggested that a HIV/AIDS prevention program should focus on transmission modes and prevention methods, especially in infection control. AIDS education efforts aimed at nursing students should place greater emphasis on correcting these kinds of misconceptions. Nursing intenvention for reducing fear of contagion, improving perception of social interaction, fostering positive attitudes and increasing intention to care for AIDS patients should be provided for nursing students. They also recommended that nursing students be adequately prepared to care for AIDS patients because of the increasing probability that they will encounter AIDS patients. Therefore it is important that education about HIV/AIDS should be incorporated within current undergraduate curriculum.

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완화의료 전문인들의 일터영성(workplace spirituality)이 말기환자 돌봄수행에 미치는 영향 (The Impact of Palliative Care Practitioners' Workplace Spirituality on Caring for Terminally Ill People)

  • 홍영준;임성희
    • 한국가족복지학
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    • 제57호
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    • pp.69-98
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    • 2017
  • 본 연구의 목적은 일터영성(공동체 의식, 일의 의미)과 돌봄수행(정서적, 사회적, 영적) 그리고소진 간의 관계를 규명하고, 일터영성이 돌봄수행에 영향을 미치는 과정에서 소진의 조절효과를 파악하는 것이다. 설문조사는 전국 68개 완화의료 전문기관의 의사, 간호사, 사회복지사, 성직자를 대상으로 하였으며, 총 114부를 SPSS Statistics 21로 분석하였다. 분석결과, 첫째, 일터영성의 하위요인중에서 공동체의식은 심리적 돌봄에 영향을 미치고, 일의의미는 사회적 돌봄과 영적 돌봄에유의미한 영향을 미치는 것으로 나타났다. 둘째, 소진은 돌봄수행에 직접적인 영향을 미치지는않지만 소진의 독립적 영향력을 측정한 사후분석에서 사회적 돌봄과 영적 돌봄에 미미한 정도의 영향을 미치는 것으로 밝혀졌다. 셋째, 소진은 일터영성이 돌봄수행에 영향을 미치는 과정에서 조절효과가 없는 것으로 검증되었다. 이러한 연구 결과를 바탕으로 본 연구의 시사점, 제한점 및 추후 연구과제에 대하여 논의하였다.

요양시설 입소 노인 주보호자에 대한 사회적 지지가 부양긍정감과 부양부담에 미치는 영향 (Effects of Social Support for Elderly Residents' Primary Caregivers in Long-Term Care Facilities on Caregivers' Positive Feelings and Burden)

  • 김지향;한숙정
    • 가정∙방문간호학회지
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    • 제26권2호
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    • pp.199-209
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    • 2019
  • Purpose: This study was conducted to determine factors affecting the positive feelings and care burden of elderly residents' primary caregivers in long-term care facilities. Methods: The survey was conducted between November and December 2018. A structured questionnaire was used to collect data, and 148 individuals voluntarily participated. The collected data were examined through descriptive statistical analysis using SPSS WIN ver.24.0, t-test, one-way Anova $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and multiple regression. Results: Factors that significantly affected caregivers' positive feelings included caregivers' education level(${\beta}=-.32$, p<.001), social support(${\beta}=.31$, p<.001), care burden(${\beta}=-.29$, p=.001), and total support fee(not more than 1.5million won)(${\beta}=-.18$, p=.012). The explanation power was as high as 40.0%(Adj $R^2=.40$). Factors that significantly affected caregivers' burden included social support(${\beta}=-.25$, p=.002), positive feelings(${\beta}=-.25$, p=.002), elderly individual's religion(${\beta}=-.17$, p=.007), and elderly individual's marriage status(${\beta}=.17$, p=.021). The explanation power was as high as 45.0%(Adj $R^2=.45$). Conclusion: Our results suggest that it is necessary to increase social support for elderly residents' primary caregivers in long-term care facilities. This can be helpful to decrease burden and enhance positive feelings in caregivers. We should also collect caregivers' information as well to provide appropriate assistance.

사례관리자들의 실천경험 연구 - 질적사례연구 방법 접근 - (A study on the experience of care managers - Approached Qualitative case study method -)

  • 김영숙;임효연;신소라
    • 사회복지연구
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    • 제40권2호
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    • pp.89-122
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    • 2009
  • 본 연구는 사회복지실천현장의 사례관리자들의 직무세계를 분석하기 위해서 그들이 수행하는 사례관리 직무의 빈도, 가장 중요하다고 생각하는 직무군의 유형과 그 이유, 가장 어렵게 생각하는 직무의 유형과 그 이유를 질적사례연구방법을 통해 살펴보았다. 사례관리 직무범주는 데이컴 방법으로 도출했으며 도출된 9개의 직무영역을 사례관리 수행빈도, 중요도, 난이도로 분석하였다. 연구참여자는 사례관리를 주 업무로 하는 3년 이상의 사회복지사 10명이 세평적사례선택을 통해 선택되었으며 자료분석은 매몰된 분석(embedded analysis) 유형을 따라 이루어졌다. 연구결과에 대한 함의에서 연구자들은 본 연구 참여자들의 사례관리실천 경험을 "이용자 중심의 서비스와 제도적 압력 사이에서 긴장을 유지하며 균형점을 찾는 과정"으로 기술했다. 연구결과를 근거로 지역사회복지네트워크 구성, 사례관리자들의 직무권한을 보장하는 제도적 장치 마련, 균형과 상향평준화를 위한 표준매뉴얼의 개발을 제안했다.

reCAPTCHA 기술의 사회공헌성이 지속사용의도에 미치는 영향에 관한 연구 (A Study on the Effect of Social Contribution of reCAPTCHA Technology on the Continuance Intention to Use)

  • 윤승정;김민용
    • 한국IT서비스학회지
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    • 제15권2호
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    • pp.107-123
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    • 2016
  • The purpose of this study is to find the continuance intention to use for reCAPTCHA technology which has information security and social contributions (decrypting archives) according to the user's pro-social level. In this research, reCAPTCHA technique generally gives users to information security and decrypting archives. However, as a result of preliminary survey, most users were not even aware of information security and social contributions (decrypting archives) functions. Therefore, in this research, we will measure with two kinds of focus. The first is the assumption that there will be also a difference in the continuance use depending pro-social level of the user of information technology, second we explain only the function of information security to the first group as well as decrypting archives to the second group. Generally, pro-social means that degree of understanding and supporting to the other people's interest, actions, needs, help, and care. In this research, we assume that if users have a low level of others care, they might evaluate that reCAPTCHA technology's social contributions is low. While they have a high level of others care, they recognize reCAPTCHA technology's social contribution is high and then they tend to use this technology continuously. Through this research, we finally find the most efficient way to increase the degree of continuance use of information technology.

유아의 사회도덕성에 대한 유아 연령 및 아버지 양육참여의 영향 (The Effects of Children's Age and Fathers' Childrearing Involvement on the Social Morality of Young Children)

  • 이주연;문예은
    • 한국보육지원학회지
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    • 제17권5호
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    • pp.63-82
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    • 2021
  • Objective: The purpose of this study was to examine the impact of children's age and their fathers' childrearing involvement on the social morality of young children. Methods: The data were gathered from parents who had 3-5 year old children enrolled in daycare centers and from their daycare teachers. The parents answered questions about their children's socio-demographic background and the father's childrearing involvement. And the teachers rated children's social morality. The data from a total of 245 questionnaires were analyzed by SPSS 25.0. Results: First, there was a statistically significant difference between young children's morality score and convention score. Young children's morality scores were higher than their convention scores. Second, children's age was a significant influential factor on both their moral and conventional social morality. Third, father's care-discipline had the only impact on children's conventional social morality. That is, children's social morality was higher when their fathers gave them more care and guidance. Forth, an interaction effect between children's age and father's development-support on children's conventional social morality was found. Conclusion/Implications: The results from this study suggest that a differentiated approach is needed according to the types of childrearing involvement of fathers in order to improve children's social morality.

중년남성들의 노부모와의 친밀성과 수발효능감이 노부모 수발헌신에 미치는 영향: 부모건강집단과 부모병약집단 간의 다집단분석을 중심으로 (A Study on the Effects of Middle Aged Male's Intimacy toward Parents and Self-Efficacy of Care-Giving on Their Care-Giving Commitments for Aged Parents: Focused on the Multiple Group Analysis between Subjects with Healthy Parents and Subjects with Unhealthy Parents)

  • 이원준;신성자
    • 대한가정학회지
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    • 제49권10호
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    • pp.15-27
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    • 2011
  • The predominant concern of the study consists in:(1)the positive direct effects of both individual's intimacy toward parents and individual's self-efficacy of care-giving roles on individual's care-giving commitment; (2)the positive mediating effect of individual's self-efficacy of care-giving on individual's care-giving commitment; (3)the moderating effect of the degree of unhealthy condition of individual's elderly parents on each causal relationship. For conducting this study, a survey method was used on 318 males with parents at the aged of 45-60, residing in Daegu and KyungPook. In order for subjects to verify research questions, structural equation models were explored. The findings of the study supported the direct, indirect effect and moderating effects, which suggested in research questions. Participants with unhealthy parents showed greater tendency in terms of influencing their intimacy toward parents on care giving commitment than participants with healthy parents did. The above findings claimed our attention in that provided a range of practical implication.

주간보호센터 중심의 재가 치매노인을 위한 프로그램의 개발 및 효과 검증 연구 (Development and Testing of Day Care Program for Demented Elders)

  • 임영미;정복희
    • 한국보건간호학회지
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    • 제19권2호
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    • pp.371-381
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    • 2005
  • Purpose: The purpose of the study was to develop the day care program for the demented elders and to determine the effects of multiple activity therapies on the physical, emotional, cognitive, social function and physiological indicators of dementia elders in day care center. Method: A total of 13 elders with mild dementia in the data care center were participated. Manual and guideline of data care program was developed. Data care program was composed of movement/exercise, foot massage, music therapy, horticultural therapy, and art therapy. Data care program was performed by trained intervener for 32 weeks. Instruments were physical functioning such as hand grip strength., vital capacity, chiar stand test, sit and reach test, one leg standing, Berg' Balance scale, 6m Walk Velocity, stair climb, ADL, GDS-K, MMSE-K, Integrative Social Functioning Scale, cortisol, Ig A and Ig G. These were measured at the baseline, 16-week, and 32-week post-intervention by the trained nurses. Data were analyzed as Wilcoxon signed rank test. Results: For Hand grip, balance, and vital capacity, there was a significant difference between baseline and 16-week post-intervention(p<.05). For one leg standing, 6m velocity, there was a significant difference between 16-week post-intervention and 32-week post-intervention(p<.05). For Stair climb, there was a significant difference between baseline and 32-week post-intervention(p<.05). For depression and social functioning, there was no significant difference among baseline, 16-week, and 32-week post-intervention. For cognitive functioning, there was a significant difference between baseline and 32-week post intervention(p<.05). There was a significant difference of cortisol, and Ig G between baseline and 32-week post-intervention(p<.05). Conclusion: It would appear that physical fitness, functional performance, ADL, depression, social and cognitive functioning, and physiological indicator of community dwelling elders with dementia can be improved through day care program using multiple stimuli.

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