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장애아동 어머니의 가족 스트레스와 적응에 관한 구조모형

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Author(s)
이경희박정숙김정남고효정박청자박영숙권영숙신영희
Alternative Author(s)
Lee, Kyung HeePark, Jeong SookKim, Chong NamKoh, Hyo JungPark, Cheong JaPark, Yeong SookKwon, Young SookShin, Yeong Hee
Publication Year
1993
Keyword
Family AdaptationSituational DefinitionFamily StressSocial SupportFamily FunctioningFamily Life Event Stress
Abstract
In comparison with the long and continuous history of research in the general area of stress and coping, theoretical and clinical interest in family stresses, hardships, and adaptation is a recent phenomenon.
Today family behavior in response to predictable and unpredictable life events has gained respect as an important area of theory building, research, and intervention.
To understand the phenomena of family behavior, comprehensive theoretical framework is needed which gives a background to us.
For the purpose that, this study was designed to develop and generalize a structural model for family stress and adaptation in families with handicapped children.
A hypothetical model was constructed on the basis of the family stress theory developed by McCubbin etc. The model included 6 theoretical concepts and 12 paths.
For the purpose of model testing, empirical data were collected from June to December, 1993. The subjects of the study constituted 82 mothers of children in three special schools in Taegu.
An SPSS PC+ and PC-LISREL 7. 13 computer programs were used for descriptive and covariance structure analysis. The results of the study were as follows.
The results of covariance structure analysis indicated :
The hypothetical model showed itself a good fit to the empirical data 64(df=5, P=0.343), Goodness of Fit Index=0. 994,Adjusted Goodness of Fit Index=0.969, Root Mean Square Residual=0.035].
The results of Hypothesis testing indicated :
(1) Social Support(y11= 336, T=2.052) and Family Functioning (y12=.697, T=4.163) had direct effects on Situational Definition.
(2) Social Support(y23=-.229,T=4.453) and Situational Definition(β21=-.263, T=-2.070) had direct effects on the effect of the handicapped child on the family.
(3) Family Functioning(y32=.411, T=3.591) had direct effects on Family Adaptation.
(4) The Family Stress(β32=-.301,一2.59) had direct effects on Family Adaptation.
The model was supported by the empirical data. Thus it was suggested that the model could be adequately applied to family nursing care with families with handicapped.
본 연구는 장애 아동의 가족 스트레스 및 적응에 대한 구조 모형을 일반화 시키고자 장애 아동으로 인한 가족 스트레스와 연관된 건강 현상을 포괄적으로 설명하고, 이에 관련된 체계적인 연구 수행 및 간호 중재법을 개발하는데 기초가 되고자 시도되었다.
이를 위하여 선행 연구에서 제시한 12개의 경로가 포함된 가설적 모형을 검증하였다.
모형의 부합도는 공변량 구조 분석 (Covariance Structure Analysis)을 이용하여 검정하였는데 그 결과 모형은 경험적 자료에 잘 부합하므로써 이 모형의 타당성이 지지되었다.
모형에서 제시된 가설 검정결과 장애 아동의 가족 스트레스에 직접적인 영향을 준 변수는 스트레스 상황 재정의 및 사회적 지지였다.
가족 생활 사건 스트레스 및 가족 기능은 장애 아동의 가족 스트레스에 대한 직접적인 영향은 작고 통계적으로 유의하지 않았다.
외생 변수인 가족 기능은 장애 아동 가족의 적응에 유의한 영향을 나타냈다. 내생 변수인 장애 아동으로 인한 가족 스트레스는 장애 아동 가족의 적응에 직접적인 유의한 영향을 주는 것으로 나타났다.
Alternative Title
A Structural Model for Maternal Adaptation and Family Stress in Families with Mentally Handicapped Children
Department
Dept. of Nursing (간호학)
Publisher
College of Nursing
Citation
정신간호학회지, Vol.2(1) : 76-101, 1993
Type
Article
ISSN
1225-8482
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/36892
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