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노인의 신체증상귀인에 따른 만성통증, 통증대처 및 우울
장혜경,Chang, Hae-Kyung 기본간호학회 2009 기본간호학회지 Vol.16 No.4
Purpose: This study was done to examine differences in chronic pain, pain coping, and depression according to attributions of somatic symptoms among the elderly. Method: Data were collected by self-report questionnaires from 195 persons age 65 or over. Descriptive statistics, ANOVA, and Scheffe's test were used to analyze the data. Results: There were statistically significant differences in chronic pain among the elders according to educational level and duration of pain, and in passive coping according to gender, physical function and duration of pain. There were statistically significant differences among the elders in active coping according to amount of spending money, in depression according to age, educational level, amount of spending money, and physical function. There also were statistically significant differences in chronic pain, pain coping, and depression according to attributions of somatic symptoms. Conclusion: The results of this study indicate that elders who have somatic attributions are incline to complain more severe chronic pain, to cope passively, and to manifest more severe depression than elders who have normalizing attributions. Continuous research is needed to improve effective nursing interventions for attributions of somatic symptoms among elders.
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돌봄노동의 분야별 제도화 방안 연구(Ⅰ) : 가족내 아동돌봄도우미를 중심으로
장혜경(Hye-Kyung Chang),김영란(Young-Ran Kim),김필숙(Phil-Sook Kim) 한국여성정책연구원(구 한국여성개발원) 2008 한국여성정책연구원 연구보고서 Vol.2008 No.13
The policy for child care in Korea has been focused on the institutional-based child care services. Although the institutional-based child care services have been helpful to many households who raise children, it is still not sufficient for the households who have individualized demands for child care. Although home-based child care may cover those individualized and various demands as a complement for institutional-based child care, it couldn't be the center of political interest for child care so far. In these circumstances, this study aims at searching the plans to support home-based child care. For accomplishing the purpose of this study, the actual conditions related with home-based child care were surveyed by KWDI, KIPF and KRIVET. The results show that there are divese demands for child care that institutional-based child care services can hardly meet. For example, the parents need the home-based child care services after the facilities are closed because of night shifts etc. But unlike the institutional-based care services, there is no financial support for using the home-based child care services provided from nonofficial companies. For procuring equity in using different types of care services, the financial support need to be offered to the households who employ home-based care services. On the other hand, the providers(companies and each individual caregiver) of home-based child care services in nonofficial area are also surveyed. The result shows that the companies and the caregivers suffer financial problem and low wages respectively. For managing the human resources of home-based child care systematically, the qualification system for the home-based child carers needs to be promoted.
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중년후기 성인의 기본심리욕구가 성공적 노화에 미치는 영향: 사회적 지지로 조절된 우울의 매개효과
장혜경(Hyekyung Chang),김보영(Boyoung Kim) 한국재활심리학회 2023 재활심리연구 Vol.30 No.2
본 연구는 중년후기 성인의 기본심리욕구가 우울을 매개로 한 성공적 노화에 미치는 영향을 확인하고, 그 과정에서 사회적 지지가 조절효과를 보이는지를 검증하고자 하였다. 이를 위해 50세에서 64세의 중년후기 성인 393명을 대상으로 기본심리욕구 만족 좌절, 우울, 사회적 지지, 성공적 노화에 대해 자기보고식 척도를 사용하여 측정하고, SPSS 21.0과 PROCESS macro를 이용하여 가설을 검증하였다. 연구결과는 다음과 같다. 첫째, 중년후기 성인의 기본심리욕구 만족과 우울의 상관이 부적으로 유의하였고, 우울과 성공적 노화의 상관이 부적으로 유의하였으며 기본심리욕구 만족과 성공적 노화와의 상관도 정적으로 유의한 것으로 나타났다. 둘째로, 매개는 기본심리욕구 좌절이 우울에 미치는 직접효과가 정적으로 유의하였고, 우울이 성공적 노화에 미치는 직접효과는 부적으로 유의하였으며, 기본심리욕구 좌절이 성공적 노화에 미치는 직접효과도 부적으로 유의한 것으로 나타났다. 셋째, 기본심리욕구 만족이 우울에 미치는 영향에서 사회적 지지가 조절하지 않는 반면, 기본심리욕구 좌절이 우울에 미치는 영향에서 사회적 지지의 조절효과가 유효한 것으로 확인되었다. 마지막으로 이와 같은 연구 결과를 바탕으로 연구의 의의와 한계점에 대해 논의하였다. This study examined the relationship between psychological needs, depression, social support, and successful aging in late middle-aged adults (aged 50-64). A survey of 393 participants was conducted online, and data analysis was performed using SPSS 21.0 and Hayes' PROCESS macro. The results showed that higher satisfaction of psychological needs was associated with lower levels of depression and positively correlated with successful aging. Frustration of psychological needs directly contributed to depression and negatively affected successful aging. Social support moderated the relationship between frustration of needs and depression. The study discusses implications and limitations of the findings.
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장혜경(Hyekyung Chang) 한국가족법학회 2007 가족법연구 Vol.21 No.1
The low childbirth rate is a complex issue that causes many social and economic symptoms. Consequently, just a single proposal is not enough to cover policies to cope with low childbirth. It is emphasized that these policies should be approached from the point of view of children welfare, women welfare, and the family welfare. Enactment of the ‘Basic Law of Health Family’(2005) and establishment of ‘the First Basic Plan for Health Family (2006-2010)’ reflect well such points.<BR> Korean government establishes family policies that support women, family welfare and support for childbirth as a social responsibility. It is especially important that these policies target stable and supportive environments for raising children. This needs to be made from the long-term point of view rather than enticement policy for direct childbirth increases, focusing on social responsibility in raising children. It is also important that these policies include a policy for “the reexamination of work methods including men” with regards to support policy for both child-raising and working conditions. Specific policy objectives include: alleviation of economic burden of raising children, establishment of a family-friendly labor policies that enables equality with guarantees for continuity in economic activities of women, and expansion of equal responsibilities for raising children in both men and women.
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TV 다큐멘터리가 생성한 정신장애 담론: 구별짓기의 완성
장혜경 ( Hae Kyung Chang ),우아영 ( Ah Young Woo ) 한국사회복지연구회 2011 사회복지연구 Vol.42 No.1
This paper discuss the type of discourse associated with mental illness and individuals with mental illness in the context of TV documentary. Discourse is an linguistic product which prescribes and interprets the reality and reconstructs the reality systematically. Therefore, TV documentary contents illuminate the dominant discourse associate with mental illness through the diverse types of representation. We picked four TV documentaries from each public channels and analyzed these documentaries using Fairclough`s Critical Discourse Analysis. Faircough suggests the analysis frame consisting of three level. The analysis reveals that TV documentaries produce the discourse the completion of Distinction associated with mental illness and individuals with mental illness. TV documentaries suggest the reason why we distinct them from us in textual level. In discourse practice level, they suggest the method and the principal agent of distinction. For social practice, TV documentaries reinforce the dual attitude of viewer. Alternative discourse associated with mental illness and individuals with mental illness will be constructed when individuals with mental illness recovers the status of principal agents and produces strong voices about themselves.
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중년여성의 노화 불안과 주관적 안녕과의 관계: 긍정적 사고와 사회적 지지의 매개효과
장혜경 ( Hae Kyung Chang ) 한국보건정보통계학회 2020 보건정보통계학회지 Vol.45 No.3
Objectives: This study aims to verify the mediating effects of positive thinking and social support on the relation between aging anxiety and subjective well-being of middle-aged women. Methods: The subjects of this study were middle-aged women aged 40 to 59, who were members of the online research panel, and a total of 142 data was used for the final analysis. The data were analyzed using the descriptive statistics, Pearson’s correlation coeffi cient, multiple regression analysis and Sobel test by SPSS Statistics 22.0. Results: The mean score of subjective well-being was 3.30. The subjective well-being showed the significantly negative correlation with aging anxiety (r=-0.62, p<0.001) while it showed the positive correlations with positive think ing (r=0.82, p<0.001) and social support (r=0.63, p<0.001). In the relation between aging anxiety and subjective well-being, positive thinking and social support were the significant mediating variables. Conclusions: Nursing intervention is needed to help build relationships by accepting and adapt ing aging through positive thinking and strengthening social support networks. Based on these findings, this study will be used as basic data for devel oping integrated nursing intervention programs to promote well-being of middle-aged women.
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