시설노인과 재가노인의 가족지지, 자존감 및 건강상태 비교연구

김귀분 ( Kwuy Bun Kim ),이경호 ( Kyung Ho Lee ) 경희대학교 동서간호학연구소 2000 동서간호학연구지 Vol.5 No.1

This study aims to provide the fundamental data for substantial nursing intervention in the elderly through a comparative appreciation on family support, self-esteem, and health status between the institutionalized elderly people and the homestaying ones. The subjects of this study are the institutionalized 108 elderly people of E and C Public Homes and the home-staying 109 elderly ones of O-Nho In Jeong(a kind of public recreational facilities for the aged) over the age of 65. The instruments for this research are based upon the tool(11 items, 5 points for each) for measuring family support developed by Choi, Young Hee(1984), a self-esteem scale done by Rosenberg (1965), the tools(20 items) for checking the health status of the elderly done by Lee, Young-Ja(1989). The sampling for this study has been carried on from July, 2000 until November, 2000. Questionnaire data were drawn up by personal interviews. The analyses of collected data are based on general characteristics calculated at the rate of 100 percentage to the average, t-test, ANOVA(some difference on a level with p<.05 being subsequently confirmed by DMR) for family support, self-esteem and health status, and Pearson Correlation to verify the hypothetical correlation among the subjects` family support, self-esteem and health status. The results of this study are as follows: 1. The difference between two groups in the light of family support, self-esteem and health status. ① Family support-The rate of the family support that the institutionalized elderly people perceive turned out to be 22.13, that of the home-staying ones 30.99. ② Self-esteem-The rate of the self-esteem that the former perceives proved to be 25.59, that of the latter 32.28. ③ Health Status-The rate of the health status that the former perceives turned out to be 39.67, that of the latter 51.60. 2. Family support, self-esteem, health status in terms of demographic characteristic ① Family support-The group of institutionalized elderly people shows a tendency to be chiefly influenced by the death or life of the spouse and the number of the children; the group of the home staying ones to be chiefly influenced by the educational level ② Self-esteem-The group of institutionalized elderly people shows a tendency to be chiefly influenced by educational level; the group of the home staying ones to be chiefly influenced by the amount of pocket money, the pocket money provider and the family main supporter. ③ Health Status-The group of institutionalized elderly people shows a tendency to be chiefly influenced by educational level; the group of the home staying ones to be chiefly influenced by age, the death or life of spouse, religion, and the educational level. 3. Correlation among family support, self-esteem, and health status The rate of correlation between family support and health status proved to be the highest (r=.549). After came the rate of correlation between health status and self-esteem, which turned out to be(r=.506). The last came the rate of correlation between family support and self-esteem, which proved to be(r=.406). According to this study, there is a conspicuously close correlation among family support, self-esteem, and health status for the elderly. Thus, it would be indispensible to seek out a variety of nursing intervention ways how the elderly could promote family support, self-esteem, and health status.

노인들의 사회적 지지와 건강행태 및 건강수준과의 관련성

김태면(Tae-Myon Kim),이석구(Sok-Goo Lee),전소연(So-Youn Jeon) 한국보건교육건강증진학회 2006 보건교육건강증진학회지 Vol.23 No.3

Objectives: This study intends to understand the difference within group of social support level and the effect of social support to health behaviors and health status of the elderly by selecting the old of local society as target. Methods: Data were obtained from self-administered questionnaire of 8,688 persons, older than 65 years, living in a community. We measured the sociodemographic characteristics, social support(family support, other support, quality of support), physical health state(subjective health status, number of chronic disease), physical function state(activities of daily living; ADL, instrumental activities of daily living; IADL), cognition state(mini-mental state examination-Korean; MMSE-K) and depression state(short form of geriatric depression scale; SGDS), health behaviors(smoking, drinking, exercise, eating habit). Univariate, multinominal logistic regression and covariance structure analysis were employed to analyze factors affecting on the social support of the elderly. Results: When considering the degree of social support by the sociodemographic characteristics of the older adults, the family support, other support and quality of support is better when the old is male, young, high education and self-reported living status is good and it has significance statistically. When considering the relation between social support and health status, the family support, other support and quality of support is better when the old's subjective and objective physical health status is good. The family support, other support and quality of support is better when the old's subjective health status is better. The other support and quality of support is better when the old's ADL(activities of daily living) and IADL(instrumental activities of daily living) are good. The family support, other support and quality of support is better when the old's cognitive function and depression state is better. When considering the relation between social support and health behaviors, in case of smoking and drinking, the quality of support, family support and other support is better when the old smokes and drinks rather than the old does not. In case of exercise and eating habit, the family support, other support and quality of support is better when the old exercises and eats regularly rather than the old does not. It has significance statistically. From the result of performing covariance structure analysis by structural equation modeling(SEM) with two endogenous variable(health behaviors and health status) and one exogenous variable(social support), factor loading of health status is 0.74 and factor loading of health behaviors is 0.05. The social support explains health status of 55.4% and health behaviors of 2.9%. Conclusions: This study has the meaning that it from the difference of social support generating from inside of the group for the old residing in city and country and specifies the effect that the difference of social support influences to health status and health behaviors. From now on, in the development of health improvement strategy of the olds, it is necessary to approach from inclusive aspect while considering psychosocial factor such as social support and social economical factor as well as health status.

고등학생이 지각한 부모진로지지가 진로결정수준에 미치는 영향

안수민(Sumin Ahn),김희화(Heehwa Kim) 인지발달중재학회 2018 인지발달중재학회지 Vol.9 No.2

본 연구의 목적은 고등학생이 지각한 부모진로지지가 진로결정수준에 영향을 미치는 과정에서 고등학생의 직업가치관, 진로결정 자기효능감의 매개효과를 살펴봄으로써 고등학생의 진로선택에 도움을 주기 위한 구체적인 개입 방안을 마련하는 것이다. 연구대상은 부산․경남지역에 소재한 인문계 고등학교에 재학 중인 1학년 학생 409명이며 설문지를 통해 자료를 수집하였다. 수집된 자료를 통해 빈도분석, 기술통계 산출, Pearson 상관분석, 확인적 요인분석을 실시하였다. 측정변인 간의 인과적 관계를 살펴보기 위해 구조모형을 검정하였고, 측정변인들 간의 총효과와 직․간접효과를 살펴보았다. 이상의 연구방법에 따라 수행된 연구결과는 다음과 같다. 첫째, 부 정보적지지와 고등학생의 진로결정수준 간의 관계를 진로결정 자기효능감이 완전매개 하였다. 둘째, 모 정서적지지와 고등학생의 진로결정수준 간의 관계를 진로결정 자기효능감이 부분매개 하였다. 셋째, 부 정보적지지와 고등학생의 진로결정수준 간의 관계 및 모 정서적지지와 고등학생의 진로결정수준 간의 관계에서 내적 직업가치관과 진로결정 자기효능감의 이중매개효과가 나타났다. 넷째, 고등학생의 진로결정수준에 영향을 미치는 각 변인들의 총효과는 진로결정 자기효능감, 모 정서적지지, 내적 직업가치관, 부 정보적지지 순으로 나타났다. 이러한 결과를 통해 본 연구는 고등학생의 진로결정수준에 영향을 미치는 환경적 변인과 개인 심리 내적 변인 간의 인과적 관계를 규명하였다. 또한 부 정보적지지는 진로결정수준에 내적 직업가치관과 진로결정 자기효능감을 통해 간접적인 영향을 미치고, 모 정서적지지는 진로결정수준에 직접적인 영향을 미치면서 내적 직업가치관과 진로결정 자기효능감을 통해 간접적인 영향을 미치는 것으로 나타난 결과를 통해, 부모가 각각 자녀의 진로결정수준에 어떠한 변화 과정을 거쳐 영향을 미치는지를 확인하였다. This study aims to examine the mediating effects of high school students work value and career decision self-efficacy on their parent career support process. The data of 409 humanities high school students in their freshman year, living in Busan and Kyungnam provinces were collected for the study. The major findings of this study were as follows: First, fathers information-related support did not have a direct impact on high school students career decision status; however, it had an indirect affect through the mediating variable of career decision-making self-efficacy. Second, mothers emotion-related support had a direct impact on high school students career decision status as well as indirect affect through the mediating variable of career decision-making self-efficacy. Third, the relationship between fathers information-related support and mothers emotion-related support with high school students career decision status indicated a double mediating effect of intrinsic work value and career decision-making self-efficacy. Fourth, the total effect of each variable affecting the career decision status of high school students was in the order of career decision-making self-efficacy, mothers emotion-related support, intrinsic work value and fathers information-related support. The results of this study elucidate a causal relationship between environmental variables and internal psychological variables affecting the career decision status of high school students. In addition, the results that both fathers information-related support has an indirect effect and mother emotion-related support has a direct and an indirect affect (mediated by intrinsic work value and career decision-making self-efficacy) on the career decision status suggest differences in parents effects on their child s career decision status.

노인의 건강상태가 우울에 미치는 영향에 대한 사회적 지지의 매개효과

윤현숙(Yoon Hyun-Sook),구본미(Koo Bon-Mi) 한국사회복지학회 2009 한국사회복지학 Vol.61 No.2

본 연구는 서울과 춘천에 거주하는 65세 이상 노인 1,409명을 대상으로 노인과 자녀가 주고받은 사회적 지지가 노인의 건강상태가 우울에 미치는 영향을 매개하는 효과가 있는지를 살펴보았다. 연구결과, 노인의 건강상태가 나쁘고, 사회적 지지가 낮을수록 우울정도가 높았으며, 노인의 건강상태가 우울에 미치는 영향에 대해 사회적 지지가 부분적인 매개효과를 지니며, 이러한 효과는 성별로 다르게 나타났다. 남성노인의 경우, 자녀에게 제공받은 도구적 지지와 자녀에게 제공한 정서적 지지와 도구적 지지가 건강상태가 우울에 미치는 영향을 매개하는 것으로 나타났으며, 여성노인의 경우에는 자녀로부터 받은 모든 사회적 지지(정서적, 도구적, 재정적 지지)와 자녀에게 제공한 도구적 및 재정적 지지가 매개효과를 지니는 것으로 나타났다. 이러한 연구결과를 바탕으로 사회복지실천 현장에서의 적용과 향후 연구를 위한 제안을 제시하였다. This study examines the mediating effects of social support on the relationship between health status and depression of the elderly in Korea. Through stratified multi-state random sampling, 1409 individuals aged 65 and over who lived in Seoul and Chunchen, and who had their own children were selected. Social support was composed of three types: emotional support, instrumental and financial support, and included both support-received from and provided to children. The multiple regression model proposed by Kenny and Baron was used. As the results, first, the elderly get more depressed when having lower health status and lower social support. Second, there is a partial mediating effect of social support in association with health status and depression. Comparing by gender, instrumental support received from children, and emotional and instrumental support provided to children are mediators in the link between health status and depression in the case of male. In the case of female, emotional, instrumental and financial support received from children, and instrumental and financial support provided to children shows the mediating effects between health status and depression. The results suggest that social support both received from and provided to children reduces the negative impacts of health status on depression of the elderly in Korea.

IF-Matrix 및 SI-Index 분석 모델 기반의 강재 파이프 서포트 상태등급 평가 영향 요인 선정에 관한 연구

김준상(Kim, Jun-Sang),은형진(Eun, Hyung Jin),장지영(Jang, Ji Young),정욱(Jung, Wook),김정렬(Kim, Jung-Yeol),김영석(Kim, Young Suk) 대한건축학회 2021 대한건축학회논문집 Vol.37 No.8

Status grade evaluation work for steel pipe supports is essential to identify the damage level of the repeated and reused steel pipe supports and bring the steel pipe supports with guaranteed performance to the construction site. However, status grade evaluation of steel pipe supports was analyzed that consistency and reliability of the evaluation results were insufficient because the quality manager of temporary equipment rental companies mainly used qualitative methods such as a visual inspection to evaluate the status of the steel pipe supports. Analysis of relevant criteria has revealed that there was no basis for the item and the item’s threshold value for status grade evaluation criteria of the steel pipe supports. This study aims to select the influencing factors for status grade evaluation of the steel pipe supports and to develop the criteria(draft) for the status grade criteria based on the selected influencing factors. A total of 26 influencing factors were selected. At least 71.0% of the respondents answered that the developed steel pipe supports status grade criteria(draft) was appropriate. it is expected that influencing factors for status grade evaluation of the steel pipe supports and steel pipe supports status grade criteria(draft) will provide a basic framework for improving the status grade criteria for steel pipe supports.

장애인 가족지원 서비스 이용 현황 및 만족도 조사

김기룡(Kim, Kiryong),강경숙(Kang, Kyungsook),이명희(Lee, Myonghee) 이화여자대학교 특수교육연구소 2016 특수교육 Vol.15 No.4

연구목적: 본 연구는 장애인 가족의 삶의 질 제고를 위한 장애인 가족지원 서비스 및 장애인가족지원센터의 운영 개선 방안을 제안하고자 실시되었다. 가족지원 서비스의 유형은 장애인 가족의 삶의 질 척도 영역에 따라 분류한 가족지원 서비스의 신체적․물질적 안녕 지원, 양육 활동 지원, 가족 상호작용 지원, 정서적 안녕 지원, 장애 관련 지원 등 5개 하위유형과 각 16개 세부 항목으로 구분하였다. 연구방법: 장애인 가족의 어려움과 특성을 파악하기 위해‘장애인 가족지원 조사지’를 사용하였다. 조사지는 기초정보 조사용 12개 문항, 장애인가족지원 서비스와 장애인가족지원센터의 이용 현황 및 만족도 파악을 위해 서비스 이용 여부, 이용한 서비스의 유형, 이용기간 비용과 같은 이용 현황, 그리고 서비스 만족도 등이 11개 문항으로 총 23개 문항으로 구성하였다. 이를 전국장애인부모연대의 17개 시도지부, 전국의 40개 장애인가족지원센터의 도움을 받아 최종 1,140부를 분석 대상 자료로 선정하여 조사결과를 분석하였다. 연구결과: 장애인 가족의 10명중 7.5명 정도는 가족지원 서비스를 최소 1회 이상 이용한 경험이 있는 것으로 나타났으며, 서비스 유형별로는 ‘장애자녀 활동지원, 돌봄지원 등의 양육지원’서비스, 방과후학교 등은 높은데 반해, 가정의 주거환경 개선 지원, 부모 노후 대책 등 가족의 미래 설계 지원, 장애인 가족 사례관리 지원, 가족상담ㆍ가족치료 등은 낮은 것으로 나타났다. 또한, 장애인 부모 간 친교 활동 지원 영역의 경우 다른 서비스에 비해 만족도가 높게 나타났고, 장애인 가족 사례관리 지원에 대한 만족도는 낮은 것으로 나타났다. 또한 장애인가족지원센터를 통해 가족지원 서비스를 가장 많이 이용하고 있었다. 결론: 장애인 가족지원 서비스는 다양한 방법으로 제공될 필요가 있으며 장애인가족지원센터를 통한 전달체계 구축 마련을 제안하였다. Purpose: The purpose of this study is to propose the operational improvement of disability support services for families of children with disabilities along with the improvement of family support centers, with the goal of improving the quality of life for family members of children with disabilities. The types of family support services include five subtypes classified according to the quality of life scale for the families of children with disabilities: physical and material support, parenting support, family interaction support, emotional well-being support, disability support. Method: In order to grasp whether available services adequately support families of children with disabilities 11 questions on the "Family of Children with Disabilities Support Questionnaire" were used. 1,140 copies of the "Family of Children with Disabilities Support Questionnaire" were selected for data analysis. Results: As a result of the analysis, it was found that about 7.5 out of 10 family members of children with disabilities had experienced using family support services at least once. The service type of "parenting support" was broken into subcategories, such as children with disabilities life support, caring support services, "after-school" etc are higher than that of other services. However, it was found that the support for the improvement of the family living environment, support for the future design of the family taking into account factors such as parental aging and retirement, and disabled family case management support, family counseling and family therapy appeared to be low. When comparing the support activities, parents showed the highest level of satisfaction with friendship activity support compared to other services. Parental satisfaction of the disabilities case management support provided to families of children with disabilities appeared to be low. Conclusion: This study suggested the needs of diverse support services for families of children with disabilities and the needs of delivery system through the family support centers for the people with disabilities

일부 도시 저소득층 주민의 사회적 지지와 자가평가 건강수준

임민경,신영전,유원섭,양봉민,김명희,Lim, Min-Kyoung,Shin, Young-Jeon,Yoo, Weon-Seob,Yang, Bong-Min,Kim, Myoung-Hee 대한예방의학회 2003 예방의학회지 Vol.36 No.1

Objectives : To assess the distribution of social support, and explore its effects on self-rated health status in a low income neighborhood of Seoul, Korea. Methods : In September 2001 we conducted a survey in a low income neighborhood of Seoul, Korea, in which 862 residents, aged 18 years or over, participated. We measured the general sociodemographic characteristics, self-rated health status and social support with the instrument developed from Korean translation of the Medical Outcomes Study Social Support survey (MOS-SSS) scale of the US. Logistic regression was used to identify the determinants of social support, and explore its effects on self-rated health status. Results : Lower social class, women or divorced people had much less social support compared to higher social class, men or those never married, respectively. Those families on much lower income also received less social support. Social support has a positive impact on the self-rated health status, which remains statistically significant even when other relevant variables are adjusted. Conclusions : This study suggests that social support has an important role in health, and the socially disadvantaged have lower social support. Therefore, to improve the health status of the poor, it is necessary to encourage community participation, and develop strategies that could strengthen their provision of social support.

대학생의 직업가치, 사회적 지지가 진로결정수준에 미치는 영향

정경순,이경임 대한통합의학회 2023 대한통합의학회지 Vol.11 No.4

Purpose : This study examined the effects of college students’ occupational value and social support on their career decision status. Methods : This research was conducted between May 6 and May 30 in 2023 with 228 college students from city B in South Korea as the study participants. The frequency, percentage, mean, and standard deviation of the collected data were analyzed, while t-test, ANOVA test, Scheffe’s test, Pearson correlation coefficient, and a multivariate regression analysis were conducted using the SPSS/WIN 22.0 program. Results : The analysis revealed that the research subjects had an average occupational value of 3.58±.44, social support of 4.18±.56, and a career decision status of 2.82±.59. Notably, a significant difference in the career decision status of the students was observed with regard to their fields of major (F=2.36, p=.019), However, no other variable demonstrated a significant difference. The confidence level pertaining to career decision-making was found to be positively correlated with the pursuit of status and self-direction (r=.25, p<.001), pursuit of creativity (r=.16, p=.017), pursuit of relationship (r=.35, p<.001), pursuit of diversity and change (r=.16, p=17), pursuit of interest (r=.19, p=.003), pursuit of compensation (r=.29, p<.001), pursuit of professionalism (r=.46, p<.001), material support (r=.25, p<.001), appraisal support (r=.35, p<.001), informational support (r=.32, p<.001), and emotional support (r=.29, p<.001). Moreover, the indecision level related to career decision-making demonstrated a positive correlation with the pursuit of excellence (r=.17, p=.010). The factors that affected the confidence level of career decision-making included appraisal support (β=.29, p<.001) and pursuit of compensation (β=.19, p=.003), whose collective explanatory power was 15 %. It was further observed that appraisal support (β=-.27, p<.001), pursuit of professionalism (β=-.16 p=.017), pursuit of excellence (β=.17, p=.005), and the field of major (β=-.16, p=.012) largely influenced the indecision level related to career decision-making, together bearing an explanatory power of 17 %. Conclusion : The results of this study have important implications for enhancing college students’ career decision status. Moreover, further research investigating the diverse variables that affect students’ career decision status is necessary, along with effective endeavors to improve education and develop programs that positively affect college students’ career decision status.

Factors associated with clinical nurses’ preconception health behavior in Korea: a cross-sectional survey

Park Yoon-Jung,Sun-Hee Kim 한국여성건강간호학회 2024 여성건강간호학회지 Vol.30 No.1

Purpose: Nurses have been reported to be at an increased risk for miscarriage and preterm labor. However, there is limited knowledge regarding nurses’ preconception health behaviors. Therefore, this study aimed to identify factors influencing these behaviors.Methods: One hundred sixty nurses, who were planning their first pregnancy within the upcoming year, participated in an online survey from August 11 to October 31, 2021. Data on preconception health behavior, perceived health status, pregnancy anxiety, nursing practice environment, and social support were analyzed using the t-test, Pearson correlation coefficients, and multiple regression analysis.Results: Age (р=.024), educational level (р=.010), marital status (р=.003), work experience (р=.003), satisfaction with the work department (р<.001), smoking status (р=. 039), and previous health problems related to pregnancy outcomes (р=.004) were significantly associated with nurses’ preconception health behaviors. Furthermore, perceived health status (р<.001), pregnancy anxiety (р=.011), nursing practice environment (р=.003), and social support (р<.001) showed significant correlations with preconception health behaviors. Social support (β=. 28, р=.001), satisfaction with the work department (β=.23, р=.032), marital status (β=.22, р=.002), and perceived health status (β=.23, р=.002) were confirmed as factors associated with preconception health behaviors. These factors explained 40.9% of the variance in preconception health behaviors (F=6.64, р<.001).Conclusion: Clinical nurses’ preconception health behaviors were influenced by social support, perceived health status, satisfaction with the work department, and marital status. Interventions to improve clinical nurses’ preconception health behaviors should target social support and perceived health status. A preconception health behavior education program considering clinical nurses’ marital status and satisfaction with the workplace can also be implemented.

인지기능 저하 노인의 영양상태와 우울 간의 관계: 사회적 지지 조절효과를 중심으로

유나영,엄사랑,김수경,임희숙,신혜리 한국노년학회 2023 한국노년학 Vol.43 No.5

This study aims to examine the moderating effect of social support on the relationship between nutritional status and depression in the older adults with cognitive impairment group. For this purpose, 2,545 older adults with cognitive impairment group and 7,281 normal older adults selected based on a cognitive function diagnostic test were selected as final analysis subjects among all respondents in the 2020 survey of living conditions and welfare needs of Korean older persons. As a result of the study, it was found that both the nutritional status and depression relationship between cognitive impairment group and normal older adults were negatively significant. It was found that the elderly with cognitive impairment group had a significant the blood relation social support system among social support, and normal older adults had a significant non-blood relation social support system among social support. In other words, the lower the blood relation social support system for the elderly with cognitive impairment group, and the lower the non-blood relation social support system for the normal older adults, the higher the depression. Finally, as a result of examining the moderating effect of social support, it was found that the elderly with reduced cognitive function had a moderating effect in the blood relation social support system and the normal older adults elderly in the non-blood relation social support. Therefore, this study expanded the academic discussion by examining the moderating effect of social support on nutritional status and depression in the elderly based on NSS (New Nutrition Science), which emphasizes theories related to nutrition, depression, and social support. In particular, it is meaningful in that it can be used as basic data for practical and policy measures by conducting research on the elderly with cognitive decline, who have a high prevalence of dementia and mild cognitive impairment.