기혼 여성노동자의 일-가족 양립이 정신건강 및 건강관련 삶의 질에 미치는 영향

이인숙 한국사회복지연구회 2020 사회복지연구 Vol.51 No.3

본 연구는 기혼 여성노동자의 일-가족 양립의 긍정적, 부정적 측면이 이들의 정신건강 및 건강관련 삶의 질에 어떠한 영향을 미치는지를 검증하고자 하였다. 이를 위해 ‘여성가족패널조사’의 6차 원자료를 통해 일자리에 종사하고 있는 기혼 여성노동자 2,559명을 분석대상으로 하였다. 분석결과 첫째, 기혼 여성노동자의 일-가족 양립의 긍정적 측면이 4점 만점에 2.98점, 부정적 측면이 2.36점으로 긍정적 측면이 높게 나타났다. 둘째, 일자리 요인 중 종사상 지위나 정규직 여부 등 객관적 고용지위보다는 직무만족도, 일자리만족도가 일-가족 양립의 촉진과 갈등에 더 영향력이 있었다. 셋째, 정신건강 지표 중 스트레스에 대한 영향력은 일-가족 양립의 긍정성, 부정성 모두 유의미하지 않았으나, 일-가족 양립의 부정적 측면은 우울감에 주요한 영향을 미친다. 마지막으로 일-가족 양립의 긍정적, 부정적 측면 모두 건강관련 삶의 질을 설명하는 주요 요인이었다. 이러한 결과를 바탕으로 연구의 함의와 정책적 시사점을 제시하였다. This study aims to investigate how positive and negative side of married working women' work-family interfaces affect their mental health and health-related quality of life. For this purpose, 2,559 married female workers engaged in jobs were analyzed through the 6th wave raw data of the Korean Longitude Survey of Women & Families. According to the first analysis, the positive interaction level of married female workers was high, with 2.98 points out of 4 and 2.36 points in negative interaction. Second, subjective perceptions of jobs, rather than objective job status, such as job status or full-time status among job factors, were the main factors affecting work-family enhancement or conflict. Lastly, the influence on stress, which is mental health, was not significant in both positive and negative interfaces of work-family compatibility, but negative interfaces were shown to affect depression. Both positive and negative factors of work-family compatibility have been major factors in the quality of health-related life. Based on these findings, the implications of the study are discussed.

다문화가정 이주여성의 구강건강관련 삶의 질(OHIP-14) 관련요인

김혜진 ( Hye-jin Kim ),남지영 ( Ji-young Nam ) 한국치위생학회(구 한국치위생교육학회) 2016 한국치위생학회지 Vol.16 No.1

Objectives: This study aims to analyze the factors influencing on the oral health-related quality of life of migrant women in multicultural families. Methods: An interview survey was conducted through the general characteristics, oral health behaviors, and OHIPs(oral Health Impact Profiles) of 200 migrant women in multicultural families registered in multicultural family support center in Pohang. The survey was carried out from March 2 to 29, 2011. Data were analyzed using SPSS version 18.0 program. by frequency analysis, chi-square test, t-test, ANOVA, and hierarchical regression analysis. Results: Oral health promotion behavior showed statistically significant differences(p<0.01) in the number of tooth brushing and in those using oral health care supplementary device by each country. The oral health-related quality of life was significantly influenced by economic compensation, pregnancy, and the economic status of the native country(p<0.05). Conclusion: The nationwide oral health policy should be established for migrant women in multicultural family.

다문화가정 결혼이주여성의 건강관련 삶의 질 예측모형

박현옥,박경숙,권오윤 한국디지털정책학회 2018 디지털융복합연구 Vol.16 No.1

This study is to determine health related to Quality of Life(QOL) of married immigrant women in multicultural families, factors of predictors, and influence of these factors to develop and verify the structural model for development of an effective nursing mediation strategy for improved QOL. The participants were 254 women who immigrated to Korea for marriage. The hypothetical model is based on the health improvement model by Pender. Immigrant women’s perceived barriers, perceived benefits, self-esteem, and perceived health had an impact on their health promotion behavior(HPB). These variables explained 55.2% of the QOL regarding health, and perceived health conditions, self-efficacy, self-worth, and level of cultural adaptation explained 29.3% of acts towards improving health. The results of this study suggest that development of efficient policy considering factors affecting health related to QOL of married immigrant women in multicultural families. 본 연구는 다문화가정 결혼이주여성의 건강관련 삶의 질을 설명하는 요인을 규명하고, 각 요인들의 영향력을 파악하여 구조모형을 개발해 검증하는데 목적이 있다. 2013년 7월 1일부터 2014년 2월 28일까지 한국거주 1년 이상인 다문화가정 결혼이주여성 254명을 대상으로 하였다. 가설적 모형은 Pender의 건강증진모형을 바탕으로 건강관련 삶의 질을 내생변수로 구성하여 구축하였다. 수정된 모형의 적합 결과는 χ²=112(p<.001), RMSEA=0.069, GFI=0.937, NFI=0.910, CFI=0.948 였다. 수정 모형의 검정결과 지각된 유익성, 지각된 장애성, 자아존중감, 지각된 건강상태가 건강관련 삶의 질을 55.2% 설명했으며 지각된 건강상태, 자기효능감, 자아존중감, 문화적응도가 건강증진행위를 29.3% 설명하였다. 다문화가정 결혼이주여성의 건강관련 삶의 질의 영향 요인은 자아존중감(β=.35), 지각된 건강상태(β=.20), 지각된 장애성(β=-.26), 지각된 유익성(β=.21) 순으로 나타났다. 본 연구는 다문화가정 결혼이주여성의 건강관련 삶의 질에 영향을 주는 요인들의 효과를 확인 했다는 점에서 의미가 있으며, 향후 본 연구결과를 토대로 결혼이주여성에게 제공되는 건강 정책에서 전략 개발의 기초자료가 될 수 있을 것이다.

파킨슨병 환자 가족의 삶의 질에 미치는 영향요인

김규리,김민주 대한근관절건강학회 2019 근관절건강학회지 Vol.26 No.2

Purpose: The purpose of this study was to investigate the factors affecting the quality of life of family caregivers of patients with Parkinson disease in Korea. Methods: A total of 162 family caregivers of patients with Parkinson disease who were visiting the D hospital in B city completed questionnaires, including general and disease-specific characteristics, family burden, patient-caregiver relationship satisfaction, family support and quality of life. Data were analyzed with t-test, ANOVA with Scheffétest, Pearson’s correlation coefficient, and multiple regression analysis using SPSS 23.0. Results: The average score of the quality of life was 85.54±17.74 (range: 26~130) among family caregivers of patients with Parkinson disease. Stepwise multiple regression analysis revealed that fifty percent of the quality of life was explained by family support, family burden, and patient-caregiver relationship satisfaction. Conclusion: Family support, family burden, and patient-caregiver relationship satisfaction were identified as factors affecting the quality of life of family caregivers of patients with Parkinson disease. Therefore, it is necessary to develop a program to enhance family support and reduce family burden to improve the quality of life of family members caring for patients with Parkinson disease.

개인주의-집단주의와 자기개방이 가족친밀감에 미치는 영향:온·오프라인 교류비교

남순현,권정혜 한국심리학회 2015 한국심리학회지 일반 Vol.34 No.2

This study analyzed the changes of family communication systems within the interpersonal paradigm of the digital era. In order to achieve this, the study conducted comparable analyses on the influences of individualism-collectivism tendencies and the online and offline self-disclosures in terms of family intimacy levels. The demography of the 1,697 research subjects ranged from teenagers to people in their thirties, who had been identified as active SNS users from December 2011 to March 2012 by the nationwide population and random sample surveys. The results showed that horizontal individualism had a statistically significant association with the frequency of online family interaction, whereas vertical collectivism has no meaningful correlation with the online family interaction frequency. In terms of online self-disclosures, only the Domain A (intimate subject) had a significant association with the online family interaction frequency and the online family interaction frequency had a statistically significant correlation with the quality of family relationships. On the other hand, in terms of offline family interactions, the vertical collectivism had a statistically significant relationship with the offline family interaction frequency. In terms of offline self-disclosures, all variables regarding offline interpersonal relationship, had no meaningful impact on the offline family interaction frequency. The research results also showed that individual cultural values and online self-disclosure had significant influences on the online family interaction frequency as mediators. In addition, the Domain C (simple acquaintance) of online self-disclosure and Domain A, B, and C of offline self-disclosure had directly influences with the quality of family relationship. The study results comprehensively verified that active online self-disclosure improved the frequency of online family interaction, thereby increased the quality of family relationships in the society where horizontal individualism was becoming more prevalent than vertical collectivism. Therefore, the study indicated that a paradigm of family communication could also be transformed from offline to online. 본 연구의 목적은 디지털시대를 맞이하여 대인관계 패러다임의 변화 속에서 가족의사소통체계에 대한 변화를 이해하기 위한 것이다. 연구목적을 달성하기 위해 본 연구에서는 개인주의-집단주의와 자기개방이 가족친밀감에 미치는 영향에 대해 가족의 온라인과 오프라인 의사소통체계를 비교해보고자 하였다. 연구대상자는 2011년 12월부터 2012년 3월까지 전국비례할당표본과 임의표본을 통해서 표집된 SNS를 활발히 사용하고 있는 10대에서 30대까지 1,697명이었다. 연구결과, 온라인 가족의사소통체계에서 수평적 개인주의는 온라인 가족접촉빈도와 유의미한 정적 관계가 있었고, 수직적 집단주의는 온라인 가족접촉빈도와 유의미한 부적 관계를 보였다. 온라인 자기개방은 A영역(가까운 대상)에서만 온라인 가족접촉빈도와 유의미한 정적 관계를 보였고, 온라인 가족접촉빈도는 가족관계의 질과 유의미한 정적 관계를 보였다. 반면에 오프라인 가족의사소통에서는 수직적 집단주의만이 오프라인 가족접촉빈도와 유의미한 정적 관계를 보였고, 오프라인 자기개방의 모든 영역은 오프라인 가족접촉빈도와 유의미한 관계를 보이지 않았으며, 오프라인 가족접촉빈도는 가족관계의 질과 유의한 정적 관계를 보였다. 개인의 문화적 가치와 온라인 자기개방은 온라인 가족접촉빈도를 매개로 가족관계의 질에 영향을 미칠 뿐만 아니라 동시에 온라인 자기개방 C영역(단순 지인)과 오프라인 자기개방 A, B, C영역은 모두 가족관계의 질과 직접효과를 보였다. 따라서 본 연구는 점차 수직적 집단주의에서 수평적 개인주의로 넘어가고 있는 우리 사회에서 활발한 온라인 자기개방이 온라인 가족접촉빈도를 촉진시킴으로써 가족관계의 질을 증진시킨다는 사실을 알 수 있다. 이는 점차 가족의사소통의 패러다임도 오프라인에서 온라인으로 변화될 수 있음을 시사한다.

가족지지가 임부의 건강관련 삶의 질에 미치는 효과: 우울의 조절작용

이성희,김정아,김민경 사단법인 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.1

The aims of this study was to examine the moderating effect of depression on association family support and health-related quality of life(HRQoL). A total of 250 pregnant women in D city, S. Korea completed questionnaires assessing family support, depression, and HRQoL from August to October in 2016. The collected data were analyzed using IBM SPSS Statistics 20.0 and SPSS PROCESS Macro. Pearson correlation coefficient was used to identify the relationships among family support, depression, and HRQoL The relationship between family support and HRQoL was examined with multiple regression analysis. The moderating effect of depression on association family support and HRQoL was examined using conditional effect. Findings lent support to the notion that family support was associated with HRQoL in pregnant women. However, finding show that this effect was significantly lower among individuals reporting higher symptoms of depressed mood. Implications from this study highlight that the moderating effect of depression should be considered when developing intervention strategies to raise HRQoL in pregnant women. 본 연구의 목적은 임부의 가족지지와 건강관련 삶의 질의 관계에서 우울의 조절작용을 조사하는 것이다. 2016년 8월에서 10월까지 국내 D시의 250명의 임부를 대상으로 구조화된 설문지를 통하여 가족지지, 산전우울과 건강관련 삶의 질을 측정하였다. 수집된 자료는 IBM SPSS Statistics 20.0과 SPSS PROCESS Macro를 이용하여 분석되었다. 가족지지, 우울과 건강관련 삶의 질간의 관계는 Pearson 상관계수를 이용하여 확인되었다. 그리고 가족지지와 건강관련 삶의 질과의 관계는 중다회귀분석으로 검증되었다. 가족지지와 건강관련 삶의 질과의 관계에서 우울의 조절작용은 조건부 효과를 통해 검증되었다. 연구결과, 임부의 가족지지는 건강관련 삶의 질에 유의한 영향을 주는 것으로 나타났다. 그러나. 이러한 효과는 우울증상이 심한 임부 집단에게서는 유의하게 낮았다. 연구결과는 임부의 건강관련 삶의 질을 향상시키기 위한 중재 전략을 개발할 때 우울의 조절효과를 고려할 필요가 있음을 시사한다.

특수교육 관련서비스에 대한 부모교육 프로그램이 발달지체유아 부모의 양육효능감, 가족역량강화, 가족 삶의 질에 미치는 영향

정서형,박지연 한국유아특수교육학회 2016 유아특수교육연구 Vol.16 No.1

본 연구에서는 발달지체유아의 부모에게 특수교육 관련서비스에 대한 부모교육 프로그램을 제공하고 이것이 양육효능감, 가족역량강화, 가족 삶의 질에 미치는 영향을 알아 보았다. 연구 참여자는 서울시에 위치한 E병원 어린이 발달센터를 이용하는 발달지체유아의부모 22명이며, 이 중 11명의 실험집단 부모들은 총 13회기의 부모교육 프로그램에참여하였다. 본 연구는 사전 ․사후검사 통제집단설계를 사용하였으며, 두 독립표본t 검정을 실시하여 집단 간 변화정도의 차이를 살펴보았다. 연구결과, 양육효능감, 가족역량강화, 가족삶의 질 모두에서 실험집단 부모가 통제집단 부모보다 유의하게 큰 폭의 향상을 보였다. 본연구는 특수교육 관련서비스에 대한 부모교육이 발달지체유아의 부모에게 미치는 긍정적 효과를 확인하였을 뿐 아니라 공공의료 환경에서 특수교사를 중심으로 다양한 분야의전문가가 함께 제공한 프로그램이 장애아 가족을 효과적으로 지지할 수 있음을 보여주었다는 데 그 의의가 있다. The purpose of this study is to investigate the effects of a parental education program on special education related services on parenting efficiency, family empowerment, and family quality of life in parents of young children with developmental delay. Participants were 22 parents of young children with developmental delay who attended the Children Developmental Center of the E hospital in Seoul. The experimental group attended a total of 13 sessions of the parental education program. This study utilized pre-test post-test control group quasi experimental design and the independent t-tests were conducted to determine if there was a significant difference between groups. The results showed that there were significant statistical differences between two groups in all of the three dependent variables. This study added evidence to the existing literature on the positive effects of the parent education dealing with related services in parents of young children with developmental delay. Also, this study showed a possibility that public medical agencies can play a central role in family support based on collaboration between early childhood special educators and related service professionals.

다발성 골연골종증 환자의 삶의 질에 대한 분석

정원주(Won-Ju Jeong),홍남수(Nam-Soo Hong),박일형(Il-Hyung Park),서일(Il Seo),오창욱(Chang-Wug Oh),윤종필(Jong Pil Yoon),경희수(Hee-Soo Kyung),김하정(Ha-Jeong Kim) 대한정형외과학회 2016 대한정형외과학회지 Vol.51 No.2

목적: 다발성 골연골종증 환자들의 동통, 신체적 사회적 기능, 삶의 질을 연구하여 예후, 치료, 장기적 관리에 도움이 고되자 한다. 대상 및 방법: 1993년 3월부터 2014년 6월까지 다발성 골연골종증을 진단받은 45명을 대상으로 하였다. Research and development-36을 통해 신체 기능, 정신 건강, 생활 활력, 사회적 역할, 동통, 전반적인 건강 상태가 환자의 예후에 영향을 미치는지 분석하였다. 관련 인자는 나이, 성별, 체질량지수, 수술 여부, 침범된 관절 변형 발생 여부, 재발 여부, 가족력 유무, 종양의 위치, 병변의 개수로 하였다. 통계는 SAS ver. 9.3 (SAS Inc., Cary, NC, USA)을 사용하고 p값이 0.05 미만일 경우 의미 있는 것으로 해석하였다. 결과: 가족력이 있는 환자군에서 종합 평가, 신체적 기능, 생활 활력, 사회적 활동, 건강 상태가 저조한 결과를 보였고 통계적으로 유의하였다. 또한 동통, 정서적 건강, 전반적인 건강 상태의 평가결과 통계적으로 유의하지는 않았지만 열등한 경향이 있는 것으로 나타났다. 결론: 가족력을 인지할 만큼 중증도가 높은 환자일수록 예후가 불량하였다. 다발성 골연골종이 동통만이 문제가 아니라 사회적, 심리적인 문제를 포함한 삶에 전체적인 영향을 줄 수 있는 질병임을 알 수 있었다. Purpose: The purpose of this study is to help predict the prognosis of multiple osteochondromatosis patients with the investigation of social function, pain, physical function and quality of life of patients. Materials and Methods: Forty-five cases were diagnosed as multiple osteochondromatosis from March 1993 to June 2014. We performed a survey on pain, daily life, school or work life assessment of research and development-36. Forty-five people who responded to the survey completely were enrolled. Variable factors, including physical functioning, role limitations due to physical health, role limitations due to emotional problems, energy/fatigue, emotional well-being, social functioning, pain, and general health state were considered as elements related to quality of life. In addition, we investigated significant factors for multiple osteochondromatosis patients, and analyzed the survey by scoring. Related factors included age (over 18 years and under 18 years), gender, body mass index, operation, joint deformity, recurrence of disease, family history, the number of involved joints and the location of tumor. Statistical analyses were performed using SAS ver. 9.3 (SAS Inc., Cary, NC, USA). p-values of <0.05 were deemed statistically significant. Results: Patients with a family history of multiple osteochondromatosis showed a significantly decreased result of assessment, physical function, vitality of life, social activities, and health state. In addition, there was a tendency of a poor influence in pain, emotional wellbeing, and general health. Conclusion: The results suggest that family history is a significant factor influencing and predicting the quality of life. In other words, the developed patients in the household including patients with severe enough for the rest of the family to know have poor prognosis. Through this study multiple osteochondromatosis is a chronic disease having a profound impact on quality of life.

농산어촌 주민의 가족관계 만족도와 스트레스 지각이 생활만족에 미치는 영향

최영순 ( Young Soon Choi ) 한국도서학회 2012 韓國島嶼硏究 Vol.24 No.3

This paper examines the impacts that family relation satisfaction and stress perception have on life satisfaction. The case study involves residents in rural, mountain and fishing village. Another research question is to identify the correlation between satisfaction with family relations and stress perception. In Korea, the increasing rate of suicide due to stress has attracted considerable attention. In previous studies, the research hypothesis included three variables, and the results were as follows: Firstly, residents`s satisfaction of family relations has a positive affect on life satisfaction. Secondly, residents`s stress perception has a negative affect on life satisfaction. Thirdly, the relationship between residents`s satisfaction with family relations and stress perception shows negative correlation. In conclusion, residents`s satisfaction with family relations has a positive affect on life satisfaction and the process of coping with stress. However, the impacts of stress perception diminish the level of life satisfaction. Therefore it is necessary to reinforce family relations and cope with stress in order to enlarge life satisfaction, which is a strategy for health promotion. Thus, the Korean government and NGO should figure out a health promotion behavior mechanism which can enlarge life satisfaction and alleviate stress perception.

1인 가구 성인 여성과 다인 가구 성인 여성의 건강행태, 의료서비스이용과 건강관련 삶의 질

채현주,김미종 한국여성건강간호학회 2019 여성건강간호학회지 Vol.25 No.3

Purpose: This study was to identify health behavior, health service use, and health related quality of life of adult women in one-person and multi-person households. Methods: It was used data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII-2017). Subjects were 2,522 women with age of 19 to 64 years in 2017. Complex sampling design and data analysis were performed using SPSS 20.1. Results: Women in one-person households had higher rates of alcohol drinking (χ2 =13.77, p=.003), smoking (χ2 =16.07, p=.001), unmet medical care (χ2 =8.77, p=.004) and non-practice of cancer screening (χ2 =13.77, p=.003) compared to women in multi-person households. Health-related quality of life was also lower for women in one-person households (t=−2.46, p=.015). Factors affecting health-related quality of life in one-person households were household income, job status, and unmet dental care, having 32.4% explanatory power. One-person household women with low incomes, no jobs, and unmet dental care showed low health-related quality of life. In comparison, factors affecting health-related quality of life of women in multi-person household women were age, education level, unmet medical care, and unmet dental care, having 10.4% explaining power. Women in multi-person households with age of 60–64, low education level, unmet medical care, and unmet dental care showed low health-related quality of life. Conclusion: Health promotion strategies should be developed based on unique understanding of social, economic, and health of adult women in one-person and multi-person households.