• 한국사회정책
• /
• 제19권2호
• /
• pp.137-161
• /
• 2012

전통적으로 아동과 노인의 돌봄은 가족의 책임으로 여겨지고 관행적으로 실천되어 왔다. 한국정부는 가족에 의해서 돌봄을 받지 못하는 아동과 노인에 국한된 잔여적 제도를 구축해 왔다. 그러나 21세기에 들어서 고령화, 저출산, 여성의 노동시장 참여 증가, 가족의 형성과 해체의 변화, 가족 내의 돌봄 제공에 대한 인식 변화 등의 사회적 변인들은 돌봄 제공에 있어서 국가의 개입의 필요성 형성의 주요한 요인들로 작용해왔다. 이 논문은 유엔사회개발연구소의 돌봄의 정치사회경제학 연구에서 개발된 케어 다이아몬드 개념을 적용하여 한국의 사회적 돌봄 정책 발전을 국가, 시장, 가족, 제3의 부문 간의 제도적 분배의 변화를 분석하고자 한다. 분석 결과, 아동 돌봄의 경우, 정부와 시장의 역할이 증대된 반면, 제3의 부문의 역할은 줄었다. 노인 돌봄의 경우, 정부, 시장, 제3의 부문의 개입의 성장을 보였다. 그러나 한국의 가족 중심의, 특히 여성에 의한, 돌봄 제공 원칙은 변화하지 않았다.

• Child Health Nursing Research
• /
• 제5권3호
• /
• pp.358-367
• /
• 1999

The Purpose of this study was to identify of parent-child relationship, Perceived social support and coping of female in late adolescents and its relationships. The underlying assumption is that Parent-child relationship based on internal working cognition affects on perceived social support and coping. The sample was consisted of 277 female students of college. The instruments used in this study were Parental bonding instrument (PBI)(Parker, Tupling & Brown. 1979), Personal resources questionnaire : PRQ-part II (Weinert ' Brant, 1987), and Way of coping (Folkman & Lazarus, 1985). The data was analyzed using frequencies, correlation coefficient, ANOVA. and t-test. As a result. perceived social support correlated positively with Parental care and negatively with parental overprotection. Perceived social support showed positive relationship with coping. Perceived social support differed according to parent-child relationship type. The group of 'affectionate constraint' high care and high overprotection. reported high perceived social support, but 'affectionless control'(low care and high overprotection) reported low perceived social support. The group of high perceived social support showed higher parental care and higher coping than low one. The group of high coping showed higher parental care, lower parental overprotection and higher perceived social support than low one. Findings from this study linking retrospective accounts of early parental relationships to current working models concerning the nature of supportive relationships are consistent with attachment theory that individual who, as children, experienced relationships with their parents that were independent-encourage. affectionate, and not overprotective developed working models of others as available to provide social support. This study confirmed that perceived social support significantly related to coping in dealing with stress.

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권8호
• /
• pp.3429-3434
• /
• 2014

Aims: To identify the psychosocial adjustment of Turkish patients with breast cancer and the effects of perceived social support on their adjustment. Materials and Methods: The sample comprised 100 volunteering patients diagnosed with breast cancer in the last six months reporting to the Outpatient Chemotherapy Unit at the Medical Faculty Hospital in northern Turkey. The data for the study were collected through the Descriptive Information Form, the Psychosocial Adjustment to Illness Scale-Self-reflection (PAIS-SR) and the Cancer-Specific Social Support Scale and analyzed via SPSS 16.0 for Windows. Descriptive statistics, Chi square test, ANOVA and correlation were used to evaluate data. Results: There was a negative significant correlation between mean scores in the sub-scales of the social support scale and the ones in the sub-scales of the psychosocial adjustment to illness scale (p<0.05). Similarly, there was a negative significant correlation between confidence support and health care orientation as well as adjustment to social environment. Likewise, emotional support was in a negative significant correlation with health care orientation, adjustment to domestic environment, extended family relationships and adjustment to social environment. Conclusions: It was concluded that social support for patients with breast cancer had an influence on their psychosocial adjustment to illness. Holistic care should be given to breast cancer patients by oncology nurses especially in the first six months of treatment. It could be concluded that patients should be accompanied by their family/relatives in treatment and care following their diagnosis with breast cancer, that their family should be made more aware of the fact that the patient should be physically and psychologically supported, that patients with breast cancer should be provided with domiciliary care, and that they should be encouraged to participate in social support groups.

• Human Ecology Research
• /
• 제55권6호
• /
• pp.581-592
• /
• 2017

This study investigated the occupational experiences of social workers in child care facilities. The participants of the study were six social workers in child care facilities. This qualitative research used a Consensual Qualitative Research (CQR) method that and classified the main findings into five categories and twelve sub-themes. This study revealed that child care professionals define themselves as "caregivers" and "role models." Positive effects of institutional life on a child were forming peer relationships and being able to use diverse services while negative effects included acquiring a social stigma, having problems in developing attachment between a child and a surrogate caregiver, developing passive attitude and weak will power from communal living. Meanwhile, conflicts with children and poor working conditions led to burnout for caregivers. Our recommendations on the direction of change for the facilities are: categorizing admitted children, supporting restoration of family functions, reinforcing support for children's preparation for an independent life, and developing expertise. This paper provides a better understanding of child care facilities as well as encourages further social discourse on institutionalized children in order to promote policy making and implementation.

• 지역사회간호학회지
• /
• 제30권3호
• /
• pp.368-376
• /
• 2019

Purpose: In Korea, the prevalence of dementia patients has increased, which makes the care burden of nurses important. The purpose of this study is to identify factors affecting the care burden of nurses caring elderly patients with dementia. Methods: A cross-sectional design was conducted using a convenience sample of 127 nurses from two hospitals and a nursing home in Korea. Participants completed questionnaires on knowledge of and attitudes toward dementia, social support, self-esteem, dementia problematic behavior (DPB), and professional caregiver burden index. The data were analyzed by using the t-test, ANOVA, Pearson correlation, and multiple regression with the SPSS/windows version 21.0 program. Results: The influencing factors for nurse burden include day shift, DPB, self-esteem, social support, which explain 28.0% of care burden of nurses. Conclusion: To reduce the burden of the nurses, there needs to be an administrative system that focuses on enhancing their self-esteem and social support. Active institutional support may be necessary for the nurses taking care of elderly patients with dementia.

• 가정과삶의질연구
• /
• 제34권5호
• /
• pp.21-33
• /
• 2016

The purpose of this study is to explore the relative influence of psychological well-being and social support on the burnout of infant care teachers. Participants were 194 infant care teachers from 52 infant daycare centers in Gyeong-gi-do. Psychological burnout was assessed by the Maslach Burnout Inventory(Lee, 2011), psychological well-being was measured by the Psychological well-being scale(Cho & Cha, 2001) and social support was measured by the social support questionnaire(Bak, 1985). Date were analyzed using descriptive statistics and analysis, t-test, Pearson's correlation analysis, and multiple regression analysis. The major results of this study were as follows; First, there were differences in burnout in terms of marital status, work experiences, classroom operation type and income. Second, Infant care teachers' burnout was negatively correlated with psychological well-being and social support. Third, the most influential factor on infant care teachers' burnout was purpose in life, the second most influential factor was self-acceptance, the third most influential factor was emotional support, and the least influential factor was environmental mastery. Results of this study indicate that a psychological well-being enhancement program should be developed and emotional support from a social relationship network should be enhanced in order to prevent infant care teachers' burnout.

• 한국콘텐츠학회논문지
• /
• 제21권4호
• /
• pp.555-564
• /
• 2021

본 연구는 기존 노인돌봄서비스의 사회적가치지향성과 서비스 이용 노인의 안녕감을 평가하고, 돌봄 욕구에 대한 수요를 확인하여 우리나라 노인돌봄 정책의 발전 방향을 모색하고자 실시되었다. 2019년 10월 기준 3개월 이상 노인돌봄기본서비스를 이용한 노인 1,501명을 편의표집하였으며, 빈도분석 및 기술통계분석, t-검정, 분산분석 등을 실시하였다. 분석 결과 돌봄 서비스의 사회적가치지향성은 평균 90.93점이며, 돌봄 서비스 이용 노인의 안녕감은 71.29점으로 나타났다. 분산분석 및 사후분석 결과 사회적가치지향성을 보다 높다고 인식한 집단에서 노인들의 안녕감이 통계적으로 유의미하게 높았다. 한편 돌봄 서비스 중단 시 우려되는 점에 대해 "외로움", "고독사", "안전" 등의 키워드가 도출되었으며, 향후 필요한 서비스로 '일상생활 지원 서비스'에 대한 욕구가 가장 높았다. 본 연구결과를 토대로 노인돌봄서비스의 발전 방향 모색 및 노인돌봄 체계 구축에 기초자료로 활용될 수 있을 것이다.

• 대한가정학회지
• /
• 제50권5호
• /
• pp.25-38
• /
• 2012

Drawing on social and cultural capital theory, the study investigates the influences of social capital and cultural capital on the academic achievement of children in out-of-home care. We collected data from 494 children living in out-of-home services, including institutional care facilities, foster care homes, and group homes. To analyze the collected data, a multiple regression analysis method was used. In addition, the IV (instrumental-variables) estimation was utilized to rule out the possibility of reverse causality. The level of children's social capital was measured through children's relationships with parents and friends, parental monitoring, etc. The level of children's cultural capital was measured by their cultural activities, such as going to museums, and playing musical instruments. Children's personal characteristics and placement history in out-of-home services were used as control variables. We found that among personal characteristic variables, self-esteem, depression and anxiety, and delinquency affected the academic achievement of the children. Cultural capital, but not social capital, positively affected the level of academic achievement of the children. Based on the study results, implications for child welfare practice were discussed.

• 한국사회복지학
• /
• 제43권
• /
• pp.270-298
• /
• 2000

Government provides financial support to the 74 Home help service centers, 36 Day care service centers, and 18 Short stay service centers for the elderly. The number of service centers that receive financial support from the government is far less to meet the potential demand for the community care services. This paper applies cost-benefit analysis to evaluate the net social benefit of the services provided by the 3 types of the community care service centers sponsored by the government to justify the expansion of the government support. The benefit is calculated as community care services are provided privately in the market without financial support from the government. The potential market price is regarded as the benefit or value provided to the elderly. The price levels that potential users are willing to pay for these services are surveyed in the Census for the Elderly by the KIHASA, 1998. The market prices for the community services are generated by equating limited amount of service supply, as in number of users in one year in 3 types of community care service centers, and potential demand for the services. Market prices are multiplied to the number of users of 3 types of community centers to get the total benefit. Total operating cost of the community care service centers is regarded as cost. According to the cost-benefit analysis, Home-help service centers generated net social benefit of 137 billion Won, Day Care service centers generated 15 billion Won, and Short stay service centers generated 6 billion Won. Significant amount of net social benefit indicates that government should increase level of financial support to these service centers.

• 한국콘텐츠학회논문지
• /
• 제13권2호
• /
• pp.378-389
• /
• 2013

본 연구는 주성분분석을 활용하여 1995-2009년 동안의 보건의료비 지출을 소득수준별로 일인당 지출, 민간부문 지출, 공공부문 지출 및 총지출로 구분하여 사회후생 증대 효과를 분석하였다. 분석결과에 의하면 소득수준별 보건의료비 지출의 사회후생 증대효과는 세계전체 소득과 우리나라의 경우 부문별 지출에 따라 편차가 크고, 중간소득 국가에서 가장 크게 나타났으며, 고소득 국가, 저소득 국가, EU 국가 및 OECD 국가는 낮은 수준의 유사한 형태를 보이고 있다. 한편, 보건의료비 지출을 부문별로 살펴보면 일인당 지출은 소득수준과 무관하게 사회후생 증대효과가 낮은 것으로 나타났고, 민간부문 지출은 부문별 지출 중에서 사회후생 증대효과가 가장 크게 나타났다. 공공부문 지출과 총지출의 경우 중간소득 국가가 크게 나타났으며 소득수준별로 편차가 큰 특징을 나타내고 있다. 결과적으로 보건의료비 지출의 효율성을 제고하여 사회후생 증대에 기여할 수 있는 방안을 모색하는 것이 가장 중요한 현안이라 하겠다. 이를 위해서는 무엇보다도 보건의료비 지출이 공공성의 특성을 벗어나 시장기능에 의한 자원배분을 할 수 있는 제도적 지원 방안이 모색되어야 할 것이다.