• Title/Summary/Keyword: spouses

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Influencing Factors and Trend of Suicidal Ideation in the Elderly: Using the Korea National Health and Nutrition Examination Survey(2001, 2005, 2010) (노년기 자살생각의 요인과 변화추이 분석: 국민건강영양조사 3개년도(2001, 2005, 2010)자료를 활용하여)

  • Choi, Ryoung;Hwang, Byung-Deog
    • Korean Journal of Health Education and Promotion
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    • v.31 no.5
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    • pp.45-58
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    • 2014
  • Objective: The purpose of this study was to analysis the determinants and trend of suicidal ideation the elderly in Korea. Methods: This study participants were selected the elderly over the age of 55 from the Korea National Health and Nutrition Examination Survey in 2001(n=1,122), 2005(n=2,098), and 2010(n=2,402). Statistical analysis methods used in this study were $x^2$-test, logistic regression analysis and other basic statistics such frequency, percentage using SPSS version 21.0. Results: In 2001, the influencing factors of suicidal ideation was spouses, subjective health status and stress recognition. In 2005, the influencing factors of suicidal ideation were spouses, subjective health status, chronic disease amount, activity limitation, depression experience and stress recognition. In 2010, the influencing factors of suicidal ideation were elderly, education level, subjective health status, activity limitation, depression experience and stress recognition. Conclusions: The health education considering the characteristics of each elderly group should be developed and applied to prevent adults' suicidal ideation because the factors influencing suicidal ideation were revealed differently between the elderly group.

The Perceptions of Marriage and Childbirth of Health Care Fields College Students (보건의료계 대학생들의 결혼과 출산에 대한 인식)

  • Kim, Hye-Sook;Park, Jae-Sung;Jo, Eun-Joo
    • The Korean Journal of Health Service Management
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    • v.5 no.2
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    • pp.131-146
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    • 2011
  • The purposes of this study were to identify and compared the selection conditions of spouses and the perceptions of marriage and childbirth by sex. Moreover, this study tried to find the number of child the study subjects want to have in their marriage and what factors were important for whether they have no or one child or more than two children. The study subjects were college students who were belong to 6 health care related departments selected randomly from all health care related departments in one metropolitan area. In the selection conditions as their spouses, they ranked 'love', 'personality' and 'wealthiness' as important factors in order. Male ranked females' employment as 10th but female ranked it 5th. In conclusion, there were concordances and dis-concordances on the perceptions of marriage and child birth by sex. Understanding these factors caused by gender roles in our society could contribute to making new policies for promoting marriage rate in younger age and overcoming the problems of low birth rates by giving more specific data to policy makers for increasing child birth rate.

Identifying the Causes of Nutrition Inadequacy in Vietnamese Married Immigrant Women and Korean Spouses through Qualitative Research (질적연구조사를 통한 베트남 결혼이민여성과 한국인 배우자의 영양불량 원인 규명)

  • Joe, Mee-Young;Hwang, Ji-Yun
    • Journal of the Korean Dietetic Association
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    • v.25 no.1
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    • pp.59-73
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    • 2019
  • This study examined the possible causes of nutritional inadequacy in Vietnamese immigrant women married to Korean husbands. Qualitative in-depth interviews were conducted with a sample of 34 Vietnamese marriage immigrant women and 17 Korean spouses participating in or having experienced Nutrition Plus from four Community Health Centers in Seoul, Korea. The study results showed that the nutritional staus of the Vietnamese marriage immigrant women was affected by the unfamiliar Korean food (cultural factor), low household income (economical factor), difficulty in purchasing Vietnamese food (environmental factor), and low accessibility to nutrition support systems (social factor). The Korean husbands' nutritional status was affected by the unfamiliar Vietnamese food (cultural factor), low household income (economic factor), and irregular working conditions (social factors). Nutritional interventions as a public service to the community needs to be developed and applied. Suggestions are presented regarding the future efforts to better understand and meet the nutrition needs of intermarried couples to respond to their heterogeneous needs and deliver adequate nutrition service to ever increasing intermarried families.

Influence of the Caregiver Burden on the Oral Health-related Quality of Life of the Spouse of an Elderly Person with Dementia at Home (재가 치매노인 배우자의 부양부담감이 구강건강관련 삶의 질에 미치는 영향)

  • Sung, Kiwol
    • Journal of Korean Public Health Nursing
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    • v.34 no.3
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    • pp.429-443
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    • 2020
  • Purpose: This study examined the influencing factors of caregiver burden on the oral health-related quality of life of the spouse of an elderly person with dementia at home. Methods: The participants were 115 spouses of dementia patients registered at dementia safety centers in five health centers in D city. Data were collected from June through December in 2019, using questionnaires of Oral Health Impact Profile (OHIP-49) and Burden Interview (BI). The data were analyzed using an independent t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression analysis using the IBM SPSS Statistics 25.0 Program. Results: A negative correlation was observed between the oral health-related quality of life and caregiver burden (r=-37, p<.001). The caregiver burden (β=-.28, p=.001), subjective health status (β=.39, p<.001), and dental clinic visit (β=-.25, p=.002) explained 33.0% of the variance in the oral health-related quality of life. Conclusion: The development of nursing care for spouses of dementia patients will be needed to reduce the caregiver burden and enhance subjective health status and dental clinic visit, which influence the oral health-related quality of life of spouse of elderly people with dementia at home.

A Theory Construction on the Care Experience for Spouses of Patients with Chronic Illness (만성질환자 배우자의 돌봄 경험에 대한 이론 구축)

  • Choi, Kyung-Sook;Eun, Young
    • Journal of Korean Academy of Nursing
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    • v.30 no.1
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    • pp.122-136
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    • 2000
  • Chronic illness requiring attention and management during a long period of time puts great burden onto patients, their family and society. For patients with chronic illnesses, providing social support is the most important, and the fundamental support comes from their spouses. Amount and quality of support from spouses seems to differentiated according to the sex of patients. Female patients tend to believe that their spouses are not very supportive. Therefore, the researchers assessed the burden of husbands of female arthritis patients to discover the factors that result in greater burden. Also, they developed a theoretical model of husbands′ care for their wives through a qualitative research into husbands′ experience. Method 1: The study material was 650 female arthritis patients registered in an arthritis clinic. The questionnaire about the disease experience of female arthritis patients and the burden of husbands were sent. Returned questionnaires numbered 210(32.3%) and 27 were excluded because of inadequate answers. The remaining 183 questionnaires were analyzed. The mean age of the patients was 51 years and the mean age of spouses was 55 years. The mean marital period was 28 years. The average duration since diagnosis was 9.1 years. Education level was varied from primary school to graduate school, and average income/month was 1,517,300 won. Method 2: Initial questionnaire studies on the burden of husbands were performed. Among 183 responding husbands, 23 consented to participate for a qualitative research. Data was obtained by direct and telephone interviews. The mean age of participants was 58 years, and the educational level and socioeconomic status also varied. Result: 1. Husbands′ burden: The average burden was 57.68 with a range of 6-96. 2. Burden and general characteristics: The husband′s burden correlated with the age of the patients, numbers in the family, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and the husband′s understanding of the level of severity. 3. Linear correlation analysis on burden: The husbands′ burden is explained in 22.5% by husband′s recognition of level of severity and husbands′ age. 4. There were four patterns of the burden on husbands: both objectve burden and subjective burden were high(pattern I), both of objectve burden and subjective burden were low(pattern II), objective burden was high but subjective burden was low(pattern III), objective burden was low but subjective burden was high(pattern IV). The pattern was correlated with the family income, educational level of the patients and their husbands, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and husband′s understanding of level of severity. 5. The core category of the caring experience of the husbands with arthritis patients was "companionship". The causal factor was the patients′ experience due to symptoms : physical disfigurement, pain, immobility, limitation of house chores, and limitation of social activities. Contextural factors are husbands′ identification of housework and husbands′ concern about the disease. The mediating factors are economic problems, fear of aging, feeling of limitation and family support. The strategy for interaction is mind control and how to solve emotional stress. The "companionship" resulted from caring activities, participation of household activities, helping patients′ to coping with emotional experience. 6. Companionship is established through the process of entering intervention, and caring state of mind. Entering intervention is the phase of participation of therapy and involvement of houseworks. The caring phase consists of decision on therapy, providing therapy, providing direct care, and taking over the household role of wife. Through caring phase, the changing phase set a stage in which husbands consolidate the relationship with their wives, and are reminded of the meaning of marriage. As a result, in changing phase, husbands′ companionship is enhanced. In conclusion, nursing care of chronic illnesses should include a family member especially the spouse. All information on disease shoud be provided to patients and whole family member. Strong support should also be provided to overcome difficulties in taking over role of other sex. Then the quality of life of patients and families will be much improved.

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A Study on Factors Affecting Middle-aged Men's Suicidal Ideation (중년 남성의 자살생각 영향요인)

  • Lee, Seon-Young;Heo, Myoung-Lyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4777-4785
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    • 2015
  • This study attempted to provide basic data for screening high-risk subjects by confirming suicidal thinking intensity and by identifying its influential factors in mid-aged men. Data No.3 from third National Health and Nutrition Survey in 2012 by the CDCP were used with 40-64 years middle-aged men targets. The collected data were analyzed via applying weight by using the complex sample analysis method of SPSS 19.0 program, frequency analysis, cross-analysis, and logistic regression analysis. The result revealed that 10% of middle-aged men showed suicidal thinking, and low-income earners had suicidal thinking 1.972 times higher than usual, the unmarried 2.587 times higher than men with spouses, men without spouses 1.482 times higher than men with spouses, the underweighted 18.183 times higher the obese. The blue-collared and the unemployed had suicidal thinking 1.349 and 13.342 times higher than the white-collared respectively. Furthermore, inactive subjects showed suicidal thinking 2.998 times higher than active subjects. Therefore, to prevent suicide in mid-aged men, separating these high-risk subjects in primary screening is needed for management, and suicide prevention programs should be developed at social and political level that include the information considering stress, depression, and obesity.

The Effect of the Activity of Daily Living of Adult People with Physical Disabilities on Spouse's Caregiving Stress and Depression (성인 신체장애인의 일상생활활동능력이 배우자의 부양스트레스와 우울에 미치는 영향)

  • Kim, Deok Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.371-380
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    • 2016
  • The purpose of this study was to investigate the caregiving stress and depression of spouses who support adults with physical disabilities, calculate the activity of daily living (ADL) of the disabled and determine the correlation of each area and the influence of their ADL on the caregiving stress and depression of spouses. This study was performed on 86 spouses of the disabled who were receiving rehabilitation treatment in two hospitals located in S and K cities from July to August 2016. According to the results, the total caregiving stress scores were $71.43{\pm}17.78$ and the economic and psychological stresses among low items were higher than the other items. The total depression score was $50.34{\pm}26.41$, which was slightly higher than the average of normal adults. The caregiving stress and depression were high for aged women, for cases of high caregiving expense and time, for young disabled and for stroke disease. Factors that affected the caregiving stress were the age of the disabled and the duration of their disability; their ADL had no influence on the caregiving stress. The result showed that the depression affected their age, disabled type and grade, and ADL. Actual policy support capable of giving economic, physical, and psychological assistance should be prepared to reduce caregiving stress and depression.

The Effect of Communication on Marital Adjustment of Cancer Patients and their Spouses - Focusing on the Actor Effect and Partner Effect - (암환자와 배우자의 부부적응에 대한 부부의사소통의 영향 - 자기효과와 상대방효과를 중심으로 -)

  • Lee, In-Jeong
    • Korean Journal of Social Welfare
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    • v.63 no.2
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    • pp.179-205
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    • 2011
  • Recently, problems regarding marital adjustment of cancer patients are recognized as serious matter of concern for it had been reported that these issues have severe negative effects on relationship stability within marriage. It is noteworthy how marital adjustment is found to be critical for the cancer patient's mental stability, healing process and chances of survival as reported in the research. Thus, the ultimate goal of this research is to contribute to improvement of the stable relationship and also to formulate the social service related strategy for marriage adjustment for married cancer patient married couples in Korea. Actor and Partner Interdependence Model was formed in order to observe how the communication of the married couple affects marital adjustment and how this has an actor effect as well as partner effect. In order to authenticate this research model, dyadic data which sample the cancer patient and the spouse as a pair. Survey was conducted as the cancer patients who had been diagnosed with cancer and their respective spouses. The survey was taken from 160 married couples which totals to 320 people all together. Results indicated the cancer patient and the spouse have a significant relationship in marital adjustment. Through this, it had been concluded that marital adjustment is not separated but co-dependent with dynamic relationship. And the mutual constructive communication had proven to have a significant positive effect on one's marital adjustment. In demand-withdrawal communication, its negative effect on the self effect was found to be significant in both the patient and the spouse to both of their marital adjustment. Mutual avoidance communication had shown to only cause significant negative effect on self effect to the patient. In verifying the partner effect, significant negative effect was caused by patient's demand-withdrawal communication in partner effect on the spouse's marital adjustment. The results of this study are discussed in term of their implications for clinical interventions for the betterment of marital adjustment among cancer patients and their spouses. The suggestions for future research are discussed also.

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A Study on the Effects of Married Women's Intention of Childbirth (기혼여성의 출산의향에 영향을 미치는 요인에 관한 연구)

  • Un, Sun-Kyoung;Park, Hyo-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.210-217
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    • 2020
  • This paper analyzes the factors influencing the childbirth intention of married women with the goal of analyzing whether times of spouses' housework, marital satisfaction, values of children and traditional gender role, and social services related to the reduction of low fertility contribute to women's intention to give birth. The respondents of the research were 1,000 married women, and the research was conducted with 482 women of childbirth intention. The findings are as follows. Age of sociodemographic factors has an influence on the childbirth intention. Related to family's character, factors influencing childbirth intention are number of children, times of spouses' housework, and marital satisfaction. In addition, emotional and instrumental values of children, number of recognized public services for reduction of low fertility. In other words, the more women share housework with spouses and satisfy their marital life, the more childbirth intention of women is increased. In order to improve childbirth intention, changes of perception of gender role and sharing housework, reinforcement of social system for work and family compatibility that convert changes of perception into action, advanced marital relationship programs, extensive support for subfertility and a huge build-up of social services related to reduction of low fertility need to be provided.

Comparison Life Satisfaction with Health Perception of the Elderly People in Jeonbuk Area (전북지역(全北地域) 노인(老人)의 건강인식(健康認識)에 따른 생활만족도(生活滿足度)의 비교(比較))

  • Choi, Mu-Hwan;Jeong, Chai-Bin;Park, Jun-Sang;Jung, Hae-Kyoung;Lee, Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.10 no.1
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    • pp.1-11
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    • 2006
  • The present study is intended to supply the welfare program for the elderly people with the data to be acquired by comparing and analyzing life satisfaction and health perception of 797 elders living in Jeonbuk area on the past, present and future dimensions. The results could be drawn as follows: 1. The subjects are composed of 50.8% females and 40.2% males. The majority of them are urbanites, living with spouses, dependent on children financially and suffering currently from illness. 2. With regard to their consciousness of health and life satisfaction, most subjects are not confident in their health but are satisfied with their current life. 3. As for socio-demographic characters by gender, male elders are mostly living with spouses(p=.000) and diseases(p=.000). Whereas, most females are left without spouses(p=.000) but with diseases(p=.000). 4. In terms of life satisfaction in connection with health perception by gender, elderly men seem to be significantly satisfied with their life in the past(p=.001), present(p=.000) and future(p=.000). Likewise, elderly women are significantly satisfied with their life in the past(p=.000), present(p=.000) and future(p=.000). Both men and women turned out to be satisfied with their present life, particularly. From the above outcomes, it may be summed up as follows: All the subjects in this survey are currently suffering from some kinds of diseases and have, thus, no confidence in their health. As far as they remain confident in their health, they can be satisfied with their life in the past, present and future dimensions, particularly for the present. In conclusion, the consciousness of one's health has great influence on one's life satisfaction especially in elderly stage. It seems, therefore, imperative to help the elderly people to control their health continuously to make them confident in their health and to develop welfare programs to meet diverse needs of the elderly people.

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