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.

노인의 만성통증과 통증대처, 피로, 자아존중감 및 우울의 관계연구

장혜경(Chang Hae Kyung),손정남(Sohn Jung Nam),차보경(Cha Bo Kyoung) 기본간호학회 2006 기본간호학회지 Vol.13 No.1

Purpose: This study was done to investigate the relationship among the variables, chronic pain, pain coping, fatigue, self-esteem, and depression in elders. Method: Data were collected by self-reported questionnaires from 270 older adults. Data analysis was done with SPSS 10.1 for descriptive statistics and a PC LISREL program for covariance structural analysis. Results: According to modified model, chronic pain was found to have a significant direct and total effect on pain coping. Chronic pain and pain coping were found to have a significant direct and total effect on fatigue. Chronic pain, pain coping and fatigue were found to have a significant direct and total effect on self-esteem. Chronic pain, pain coping, and self-esteem were found to have a significant direct effect on depression. Conclusion: This modified model is considered appropriate for explaining the relationship among chronic pain, pain coping, fatigue, self-esteem, and depression in elders. Also, the findings support the development of an intervention strategy to relieve chronic pain in elders.

저출산과 가족정책

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.

조모의 손자녀 양육에 관한 문화기술지

장혜경(Chang Hae-Kyung),손현미(Son Hyun-mi),임정현(Lim Jung-hyun) 한국사회복지학회 2009 한국사회복지학 Vol.61 No.1

사회경제적 조건의 변화에 따라 늘어가는 가족 해체의 대안으로 조손가족에 대한 사회적 관심이 증가하고 있는 현재 다시 짚어보아야 할 것은 조손가족이 갖는 사회문화적 가치이다. 조손가족에 대한 접근은 정책결정자나 전문가의 관점에서만 이루어져 왔으므로 조손가족 구성원들의 당사자 시각은 결여되어 있다. 본 연구는 이러한 반성에 기초하여, 조손가족 조모들의 양육 경험의 의미를 문화기술지 연구방법을 통해 알아보았다. 10명의 조손가족 조모들을 정보제공자로 하여 수집한 자료 분석 결과 조모들의 경험은 '다중의 경계 밖에 가족 만들기'라는 문화적 주제로 수렴되었다. 이러한 연구결과를 바탕으로 조손가족이 하나의 가족 체계로서 갖는 가치를 수용하고 이 체계의 고유성을 강화하고 보존하며, 조모들이 이미 가지고 있는 양육 기능을 더욱 계발하고, 조모와 손자녀 중간세대와의 연결을 꾀하는 실천적, 정책적 접근을 제안하였다. Due to the change of socio-cultural conditions, family dissolving is increasing. As an alternative, grandparents who parent their grandchildren are also increasing rapidly and many show deep concern at this phenomenon. The grandparents-grandchilderen families were approached through policy-makers' and professionals' perspective, not through insiders' view. The purpose of this ethnographic study were to explore the experiences and meaning-makings of grandmothers who are raising grandchildren. 22 narrative interviews with 10 grandmothers were conducted. The results of data analysis are as follows. The cultural theme in rasing experieneces of grandmothers is 'Constituting a family beyond the multiple boundaries'. This theme include four cultural meaning: 'Recunstuction of everyday life beyound boundaries', 'Boundary of relative poverty more rigid than boundary of absolute poverty', 'Compromising constantly with narmal culture having both inclusion and exclusion' boundaries', 'Having aspiration toward crossing the boundaries'. The policiy-makers and practitioners for the grandparents-grandchildren families should recognize the experiences and meaning-making of these families and should perform culturally perceptible and family-centered policies and practices.

중년여성의 노화 불안과 주관적 안녕과의 관계: 긍정적 사고와 사회적 지지의 매개효과

장혜경 ( Hae Kyung Chang ) 한국보건정보통계학회(구 한국보건통계학회) 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 coefficient, 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 thinking (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 adapting aging through positive thinking and strengthening social support networks. Based on these findings, this study will be used as basic data for developing integrated nursing intervention programs to promote well-being of middle-aged women.

사회복지 현장실습의 실습성과와 실습성과에 영향을 미치는 요인

장혜경(Chang, Hae-Kyung),유영준(Yoo, Young-Joon) 한국지역사회복지학회 2008 한국지역사회복지학 Vol.0 No.25

TV 다큐멘터리가 생성한 정신장애 담론: 구별짓기의 완성

장혜경 ( Hae Kyung Chang ),우아영 ( Ah Young Woo ) 한국사회복지연구회 2011 사회복지연구 Vol.42 No.1

본 연구는 TV시사다큐멘터리가 정신장애와 정신장애인에 대해 어떤 담론을 생산하고 있는지를 알아보고 있다. 담론은 현실을 규정하고 해석하여 현실을 재구성하는 힘을 가지므로, 다큐멘터리가 생성하는 정신장애담론은 언어표현의 방식과 내용을 통해 지배담론의 형상과 지배담론이 현실을 어떻게 재구성하는지를 포착할 수 있는 중요한 단서가 된다. 이를 위해 공중파 방송사들의 시사다큐멘터리 중 정신장애를 다루고 있는 프로그램 4개를 Fairclough의 비판적 담론분석방법으로 분석하였다. 분석 결과, TV 다큐멘터리가 생성하고 있는 정신장애 담론은 ``구별짓기의 완성``이었다. 텍스트 수준에서 구별의 이유를, 담론적 실천에서는 구별의 주체와 방법을, 사회적 실천에서는 구별짓기의 일상화를 보여주고 있었다. 다큐멘터리의 정신장애 담론은 정신장애인에 대한 관습적이고 통념적 담론을 반복적으로 재생산하고 정신장애인을 담론생산의 장으로부터 배제하면서 그들의 주체적 위치를 상실시킨다. 정신장애에 대한 지배담론의 구조와 질서를 전복할 수 있는 대안담론은 정신장애인 들이 담론생산의 주체 위치를 회복할 때 가능해 질 수 있는 것이다. 또한 연구자와 실천가들도 지배담론의 효과에 민감하며 대안담론의 생산에 적극적으로 가담할 때 대안담론 구성의 가능성을 열 수 있을 것이다. 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.

재가 노인의 자아통합감에 영향을 미치는 요인

장혜경(Chang, Hae Kyung),오원옥(Oh, Won Oak) 기본간호학회 2011 기본간호학회지 Vol.18 No.4

Purpose: This study was done to identify the relationship of perceived health status, depression, meaning of life, and family function and to ego integrity, and to investigate the main factors influencing ego-integrity in community dwelling elders. Method: The research design for this study was a descriptive survey design using a convenience sampling. Data collection was done using self-report questionnaires with 157 community dwelling elders located in 3 cities, Seoul, Seosan and Gyungju. Data analysis was done using SPSS 15.0 pc+ program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: There were significant differences between ego-integrity according to gender, religion, economic level and amount of spending money. Ego-integrity had significant positive correlations with perceived health status, meaning of life, family function and a negative correlations with depression. The major factors that affect ego-integrity in community dwelling elders were self-awareness and acceptance, contentedness with past and present, gender and family function, which explained 62.7% of ego-integrity. Conclusion: Findings from this study provide a comprehensive understanding of ego-integrity and related factors for community dwelling elders.

재가노인의 노쇠, 영양상태, 긍정적 사고 및 가족기능이 건강보존에 미치는 영향

장혜경(Chang, Hae Kyung) 한국성인간호학회 2015 성인간호학회지 Vol.27 No.1

한 기관에서 경험한 육종성 간세포암의 임상적 특징

장혜경(Hae Kyong Chang),박준성(Joon Seong Park),박영년(Young Nyun Park),조신일(Sin Il Cho),김경식(Kyung Sik Kim),최진섭(Jin Sub Choi),이우정(Woo Jung Lee),지훈상(Hoon Sang Chi),김병로(Byong Ro Kim),윤동섭(Dong Sup Yoon) 대한외과학회 2006 Annals of Surgical Treatment and Research(ASRT) Vol.70 No.3