• 한국사회복지학
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• 제53권
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• pp.105-128
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• 2003

본 연구는 65세 이상 노인을 모시고 있는 가족부양자를 대상으로 재가복지서비스에 대한 이용의사와 이에 영향을 미치는 요인을 분석함으로써 향후 노인부양의 사회적 지원방안을 보다 효과적으로 마련하는데 연구의 목적이 있다. 서비스 이용의사에 영향을 미치는 요인을 선행요인, 가능태 요인, 욕구요인으로 구분하여 이용행위를 분석한 Anderson-Newman 모델을 기반으로, 총 230명의 가족부양자가 분석에 포함되었다. SAS 6.12를 이용하여 빈도분석, 교차분석과 함께, 서비스 이용의사에 있어 다양성이 포함될 수 있도록 다중명목 로지스틱 분석(Multinominal logistic analysis)을 실시하였다. 연구결과, 재가복지서비스를 이용하겠다는 의향은 85.9%로 나타났으며 시설보호서비스도 비슷한 수준인 86.9%이었다. 그러나 재가복지서비스는 무료 또는 유료라도 사용하겠다는 의사가 각각 50%씩 나타난 반면, 시설보호서비스는 유료라도 사용하겠다는 의사가 91.1%로 상대적으로 높게 나타났다. 또한 장기요양 발생시 대처방안에 있어서도 가족이 전담하기보다는 장기요양보험제도나 사회적 고용지원제도와 연결시키려는 욕구가 높았다. 재가복지서비스 이용의사에 영양을 미치는 요인을 분석해보면, 서비스를 이용할 의사여부는 연령, 부양자와 노인간의 우애관계, 노인부양 가치관과 같은 선행요인(predisposing factors)이나, 노인부양의 경제적 혹은 심리적 부담, 가족내 추가로 돌봐야 할 가족원 유무 등과 같은 서비스 이용의 직접적인 욕구와 연결된 요인(need factors)들이 주요한 영향력을 보이고 있다. 반면 서비스를 이용하겠다는 사람들 중 무료 옥은 유료 이용의사를 주요하게 구분하는 것은 가능태 요인(enabling factors)으로, 소득수준이 높을수록, 주부양자를 대체할 부부양자가 없을수록 유료라도 사용하겠다는 의향이 높은 것으로 나타났다. 이와 같은 연구결과에 기초하여 향후 노인부양을 위한 사회적 서비스의 지원 방향성과 대책이 제시되었다.

• 가족자원경영과 정책
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• 제18권1호
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• pp.141-162
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• 2014

The purpose of this research is to suggest some measures to improve policy issues by analyzing policy related to a child care service program in the community. Gilbert and Terrell's social policy analysis framework is used to analyze an after-school care service program for elementary school children. Furthermore, the Elementary Care Class(including the After-school Program), Youth After-school Academy, and Community Child Center, referred to as public care services, are employed to analyze community care service programs for children. The Elementary Care Class, Youth After-school Academy and Community Child Center are very similar in terms of the contents and application of the care service program for children, and mainly serve children in low-income groups. In addition, although user overlapping is an inevitable problem because the operating time of the Elementary Care Class and After-school Program coincides with that of the Youth After-school Academy and Community Child Center, it is structurally very hard to adjust the content of service, operating time, and so on because of differences in the delivery system for each program. Therefore, it is necessary to generate a unified delivery system to manage after-school care service programs for children and create a new special control tower to solve these problems. Furthermore, it is needed to extend the services to children from general double-income family, which is a blind spot of the care service.

• 중환자간호학회지
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• 제6권2호
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• pp.51-64
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• 2013

Purpose: This study was to analyze adherence to self-care behaviors and identify factors affecting the adherence behaviors among inpatients with heart failure. Methods: A total 94 hospitalized inpatients from three hospitals participated in a survey. Data were collected using structured self-reported questionnaire from November 28, 2011 to March 31, 2013 and analyzed using frequency, t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression. Results: The score of adherence to self-care behaviors among inpatients with heart failure was $26.02({\pm}8.84)$. Factors related to the adherence to self-care behaviors were living with spouse (t=-2.47, p=.019), functional state (t=2.18, p=.034), heart failure knowledge (r=-.49, p<.001), social support (r=-.35, p<.001), self-control (r=-.25, p=.016), and self-care confidence (r=-.24, p=.019). The factors affecting adherence to self-care behaviors were heart failure knowledge, self-care confidence, and social support. These factors explained 32% of the variance in adherence to self-care behaviors. Conclusion: The adherence to self-care behaviors with heart failure can be improved if heart failure knowledge, self-care confidence, and social support are improved. Therefore, developing a nursing intervention program for patient with heart failure that is considered these factors leads to improve quality of life and prevent readmission.

• 한국보육학회지
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• 제18권1호
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• pp.53-76
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• 2018

본 연구는 보육정책이 가진 아동 발달적 기능에 초점을 두고, 돌봄의 유형이 영아의 발달에 미치는 영향을 살펴보고자 했다. 구체적으로는 돌봄의 유형을 어린이집 돌봄, 가정내 양육으로 구분하고 이를 세분화하여 각 발달영역에 미치는 영향을 비교하고자 하였다. 한국아동패널 1-3차년도 자료를 활용, 발달 영역 별 중다회귀방법으로 분석한 결과는 다음과 같다. 첫째, 어린이집의 이용이 영아의 운동기능 및 언어, 사회성의 모든 발달영역에 미치는 영향이 모두 긍정적으로 작용하는 것으로 나타났다. 둘째, 어린이집 이용 시기에 따라서 각 발달 영역의 수준이 차이를 보였으며, 마지막으로 어린이집 인증여부는 영아의 사회성 발달 측면에서만 그 차이가 나타났다. 종합해 볼 때, 어린이집 이용이 영아의 발달 수준에 긍정적이라고 하더라도 어린이 평가인증 강화와 같은 서비스 질 제고 방안 역시 여전히 필요해 보인다.

• Child Health Nursing Research
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• 제3권1호
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• pp.42-51
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• 1997

Although a family-centered approach to health care for developmentally disabled children has been advocated, existing systems of care have not adequately addressed the support needs of the family system and the essential role that parents play in the daily care of these children. The overall purpose of this research is to examine family system adaptation to the care of a developmetally disabled child using the Resiliency Model of Family Stress, Adjustement, and Adaptation Framework. Relationships among family system demands (stressors, strains, transitions, child's illness factors) and family system strengths and capabilities(resource of social support) were examined to determine their separate and combined contribution to explanining the variability in family system outcomes (family system coping ). The subject for this study was 46 families who have a child with developmental disabilities(mental retardation and / or autism) from three special educational programs in Seoul, Korea. Results from correlation and hierachial regression analysis revealed that perceived social support operated as a resiliency factor between family stress and coping. Child and family characteristics appeared to be important predictors of perceived social support and coping. In summary, there is evidence that the resource of social support as a family strength and capability was found to improve the family coping. These findings also must be viewed within the context that sample of families of children with disabilities was relatively small and eligible families from support group of special educational program.

• 재활간호학회지
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• 제7권2호
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• pp.220-230
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• 2004

Purpose: The study has planned to find out the perceived social support of the families with pneumoconiosis patients. Method: The subjects of the study were the 300 family care givers of the pneumoconiosis patients who were hospitalized in Taeback, Donghae and Jeongsun Occupational Medical Center. The Social Support Survey Instrument developed by Park(1985) was adopted. Results: The Direct Perceived Supports showed statistically differences by the age(F=1.70 p=0.01) and the state of the disease(F=3.09 p=0.027) of the patients. The Health Situation Centered Support was different by the marietal situation(F=2.29 p=0.48) of the pneumoconiosis patients. The Indirect Perceived Supports were statistically different by sex(t=3.76 p=0.043) and relation with the patient (F=2.49 p=0.048), group joining(t=3.79 p=0.042) of the family care givers. The DPSs were statistically different by family income(F=2.25 p=0.025), family authority(F=2.81 p=0.031) and health insurance status(F=2.13 p=0.026). Recommendation: It is recommended to develop an active social support program at the pneumoconiosis care centers for the middle aged female family care givers of the pneumoconiosis patients with the support of Ministry of Labor, Ministry of Health and Welfare and other NGOs of pneumoconiosis.

• 대한인간공학회지
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• 제33권5호
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• pp.387-394
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• 2014

Objective: The purpose of this study is to survey trend and the real state of ageing population in UK, and its charge organizations, relevant policies and studies. Background: As in other countries, UK population is ageing and people aged 65 or over account for about 17% of population in UK. Considering this ageing population, there are varying basic studies and policies for older people in UK. Method: First, the author consulted ageing and its policies in UK with some faculties in an UK university. Next, based on the results of consultation, wide literature survey was conducted, which includes papers in relevant academic journals, publications and website surfing. Results: A number of basic studies for surveying status and characteristics of older people as well as simple population trend for them have been conducted in UK. Healthcare services are free for all UK residents, and varying social care services including equipment, home and residential cares, financial support, etc., are provided by local governments. Cost of social cares is means-tested and is not free for everyone. There are a number of governmental or non-profit organizations dedicated to help older people access social care services or to financially fund research projects older people. Conclusion: There are more basic studies, and healthcare and social care services for older people in UK, compared to Korea. Application: It would be useful as basic data for establishing effective polices for old people in Korea.

• 가족자원경영과 정책
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• 제8권3호
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• pp.127-142
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• 2004

The major purpose of this study is to investigate the actual condition of elementary school, nursery school, social welfare facilities providing after-school child care programs and to suggest new after-school program which is focused on social and emotional development for children of dual-earner couples. The cases of current after-school programs in Seoul and Gyeonggi area were analyzed. The results are as follows. First, it was showed Hat elementary school' child care programs after school were designed for speciality-aptitude education during 3-4 hours. Second, nursery school's programs were showed to instruct children in homework and make up learning and were operating until late evening. But the nursery school fee is more expensive than the other facilities. Third, social welfare facilities have a variety of program than elementary school and nursery school. But the program still consist of homework, supplementary lessons, speciality education etc. These facilities have too much students, compared to the teachers

• 한국보육지원학회지
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• 제17권2호
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• pp.29-46
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• 2021

Objective: The purpose of this study is to examine young children's social experiences during COVID-19. In this study, social experiences are defined as children's social interactions and relationships, their educational experiences, and their daily life experiences in child care centers. Methods: Participants include nine child care teachers and fifteen young children. Data were collected through semi-structured interviews with individual teachers, interviews with young children, and small group storytelling activities with young children. Results: The main findings in exploring meanings and implications of childcare consulting were as follows. First, childcare consulting was recognized as a process of learning about changes through mutual relationships. Second, the different ways to practice childcare consulting, the formation of the learning culture of an organization to help experience collective intelligence, the process of finding various solutions through mutual communication, and the improvement of childcare teachers' professional capabilities while reflecting the current times and context were all investigated. Conclusion/Implications: Given the findings of the study, the importance of childcare consulting, and the ways to establish its systems were discussed.

• 한국가족관계학회지
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• 제23권3호
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• pp.153-175
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• 2018

Objectives: The purpose of this study is to examine the effects of care burden among mothers of children with developmental disabilities on depression and the moderating effects of formal and informal social support. Method: The self-report questionnaires were administered to 200 mothers of children with developmental disabilities (aged 6~20 years) in pre-adulthood in Gyeongi-do. A hierarchical regression analysis was conducted. Result: First, There is a need to provide a mental health program that can relieve depression. Second, Individualized intervention strategies for mothers' psychological counseling and support programs for intensive case management and parenting stress management programs are needed. Third, Individual visit case management is required. In addition, it is necessary to expand the eligibility for care services and to maintain long-term programs. Conclusion: The findings suggested that there is a need to provide mothers with not only personal assistance program but also services such as mothers' psychological counseling, peer mentor program, and parenting stress management.