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1 :, * ) 1 ) 1 ) 1 ) He s o o k S u z ie, Kim 2 ) 3 ) 4 ) 4 ) 5 ) 5 ). 1.,,,.,,, (Kim, ).,, (Ba e & Kim, 1994 ). (Bla nk, Clar k, Lon gm a n & At wood, 1989 ).,. FAP GAR (F am ily AP GAR) Sm ilk st ein (19 78 ) (Kim et a l, 1993 ). Olson, Bell P or t n er (19 80 ) (F am ily Ada pt a t ion a n d Coh esion Evalu at ion Scales : FACES I, II, III) Cir cu m plex Model.,,. (pr ocess m od el ),. E pst ein, Baldwin Bish op (198 1, ) McMa st er Model of F a m ily fu n ct ion (MMF F ) McMa st er F am ily Assessm ent Device (FAD),,,,,, 6. FAM (F am ily Assessm ent Mea su r e) * (KRF F ). 1) 4 ) 2 ) R h od e Isl a n d 5 ) 3 )

2 MMF F FAD,,,,, ( ) (St einh a u er, Sa nt a- Barb ar a, Sk in n er, ). F E S (F am ily E nvir on m ent Sca le ) Moos (19 74 ),, 3. P less Sat t erwh it e (197 3 ) F F I (F am ily Fu n ct ionin g In d ex ),,, F a m ily Con cept Assessm ent Met h od (F CAM Va n der Veen, 1960 ; ). <Ta ble 1> J a n g (199 8 ) Olsen FACE S I, II, III, F eet h am & Rober st F F F, Sm ilk st ein F a m ily AP GAR, Pless Sa t t er wh it e F F I. <T a b le 1> Rev iew o f f a m ily f u n ct io n ing ins t ru m e nts In st r u m ent s McMa st er F a m ily Assessm ent Device (FAD) (Ep st ein, Ba ldwin, & Bish op, ; ) F am ily a da pt abilit y & Coh esion (FACE III) (Olson, ) F am ily Assessm ent Mea su r e (FAM ) (St einh a u er, Sa n t a -Ba rb ar a, Sk in n er, ) FAP GAR (Sm ilk st ein, 1978 ) Su b con cept s Pr oblem solving ; Com m u n ica t ion ; Roles ; Affect ive r esp on siven ess ; Affect ive in volvem en t ; Beh avior al con t r ol Ada pt a bilit y ; Coh esion ; Com m u nica t ion Ta sk a ccom plish m en t ; Com m u nica t ion ; Role perform a n ce ; Affect ive expr ession ; Affect ive involvem ent ; F am ily m a n agem ent ; Va lu es & N or m Ada pt a bilit y, P a rt n er sh ip, Gr owt h ; Affect ion ; Resolve F am ily E nvir onm ent Sca le (F E S ) (Moos, 1974 ) Rela t ion sh ip ; P er son al gr owt h ; St ru ct u r a l m a int en a n ce Th e F a m ily fu n ct ioning In d ex (F F I) (Pless & Sat t erwh it e, 1973 ) BTF E S (Bea ver s et a l, ) Th e F a m ily Con cept Assessm ent Met h od (F CAM ) (Va n der Veen, ; ) t h e F am ily Eva lu a t ion F orm (F E F ) (Em ery, Weint r au b, & N eale, ) St ru ct u r ed F a m ily Int er a ct ion Sca le (SF IS ) (P er osa, ) Sim u la t ed F a m ily Act ivit y Mea su r e (SIMFAM ) (St r a u ss & Ta llm a n, 197 1) Ma rit al sa t isfa ct ion ; F r equ en cy of disa gr eem ent ; H a ppin ess ; Com m u n ica t ion ; Week en ds t oget h er ; Pr oblem - solving F am ily st ru ct u r e ; Au t on om y ; Affect ; P er cept ion of r ea lit y ; Ta sk efficien cy Con sider a t ion/ conflict ; F a m ily a ct u a lizat ion ; Op en com m u n ica t ion ; Com m u nit y sociabilit y ; F a m ily a m bit ion ; Int er n al/ ext er n al locu s of cont r ol ; Toget h er n ess ; Closen ess Conflict / t en sion ; Em ot ion a l closen ess ; Com m u nit y in volvem en t ; Ch ildr en ' s a dj u st m en t ; Mot h er/ fat h er r elat ion ; F in a n cial a spect s ; Nu rt u r a ble ; Ru les ; Roles Pr im ar y En m esh m ent / disen ga gem en t/ over pr ot ect ion ; N eglect/ rigidit y/ flexibilit y/ conflict / avoid a n ce ; Conflict expr ession wit h ou t r esolu t ion ; P ar en t m a n a gem en t/ t r ia n gu lat ion ; P ar en t ch ild coa lit ion/ det ou ring P ow er ; Su p port ; Com m u n ica t ion ; Pr oblem solving a bilit y ; Cr eat ivit y

3 (Lee, 199 1),, (Ch o, 1992 ).. (Lee et al., ),,.,,,, 6.,,, (dom ain ).,.. (Lee et a l., ),,,,, 6, ,,,,, (Lee et a l., ) ,,, ,. 3..,,,,, 6,. 1 ~ 2,. 5,,

4 Lik ert t yp e 26.,,, 7,,, 4,,,, 5,,, 3,, 4, 3. win dows SP SS pr ogr a m (Ver sion 10.0 ) Ch r on ba ch ' s a lph a (it em t ot al cor r ela t ion ), Var im ax (prin cipal com pon ent a n a lysis) , 8 1%, %, 2 10 (9 1%). 6 3 (2 7.3 % ), 56 (24.2 % ) (26.4 % ), (18.2 % ), (52.4 % ) (20.8 % ) (4 8.9 % ), (19.0 % ), 5 38 (16.5% ) (6 1.5 %), 87 (37.7 %), (22.9 % ) 4 7 (20.3 % ),,, 10 (4.2 % ). 2., 1) (corr ect ed it em t o t ot a l cor r elat ion coefficien t ).30 <Table 2 >..30. <T a b le 2 > Co rrect e d it e m s of f a m ily f u n ct io n in g It em It em Con t ent Ou r fa m ily m em ber s feel close t o ea ch ot h er. ( ( ) ). Th er e is a feeling of t oget h er n ess in ou r fa m ily (, ). We ar e t o sh ow ou r affect ion for ea ch ot h er (k issing, h u gging..) ( (, ).) Ou r fa m ily is h a rm oniou s, pea cefu l. ( ). Ou r fa m ily m em ber s u n der st a n d ea ch ot h er ( ). Ou r fa m ily m em ber s t r u st ea ch ot h er. ( ). Ou r fa m ily m em ber s a r e self - cen t er ed. (.) E a ch fam ily m em b er ' s r ole is defin ed in ou r fa m ily. (.) We ar e sa t isfied wit h t h e fam ily du t ies a ssign ed t o u s. (.) correct ed it em t ot a l corr ela t ion a lph a if it em delet ed

5 3 2 3 <T a b le 2 > Co rrect e d it e m s o f f a m ily f u n ct io n ing (co nt in u e d ) It em It em Cont en t Ou r fa m ily m em ber s m eet t h eir fam ily r esp on sibilies. 10 (.) Ou r fa m ily m em ber s lik e t o sp en d a lot of t im e t oget h er. 1 1 (.) Th er e is a ru les, st a n da r d s t o follow in ou r fa m ily. 12 ( (, ).) Ou r fa m ily m em ber s observe fam ily ru les. 13 (,.) Ru les a r e flexible in ou r fa m ily. 14 (,.) Wh en decied t h e im p or t a nt t h ing t o t h e fa m ily, all fa m ily m em ber s ca n t ell fr a nk ly, a n d t h eir su ggest ion s a r e followed. 15 (.) Ou r fa m ily m em ber s follows fam ily pr ecept s. 16 (.) Ou r fa m ily m em ber s h a s a n a bilit y t o r esolve t h e pr oblem by 17 t h em selves. (.) When needed, we receive a financial support from our relatives. 18 ( /.) Wh en n eeded, w e r eceiv e a fin a n cia l su pp ort fr om ou r r ela t ives in 19 la ws. ( /.) Wh en n eeded, w e r eceiv e a fin a n cia l su pp ort fr om ou r frien ds, 2 0 n eigh bor s. (,.) We ca n sa y a n yt h in g t o ou r fa m ily m em ber s fr a nk ly. 2 1 (.) Ou r fa m ily m em ber s r esolve t h e pr oblem t oget h er. 2 2 (.) When we meet some problems, we always ask a help t o our relatives. 2 3 (.) Wh en we m eet som e pr oblem s, we a lwa ys a sk a h elp t o ou r frien d s, n eigh bor s. 24 ( (, ).) F rien d s, r ela t ives visit ou r h om e fr equ en t ly. 2 5 (.) Ou r fa m ily m em ber s get a long wit h ot h er r elat ives. 2 6 (,.) correct ed it em t ot al cor r ela t ion a lph a if it em d elet ed a lph a (Lee et a l., ) ) (1). (pr in cip al com p on ent a n a lysis)

6 Va rim a x %, %, %, %, %, % % <Table 4 >. 0.3 (Ka n g, Serk, & Oh, ),.3 0 <Ta ble 3 >. (2 ), (Walt z & Ba u sell, 198 1). 1,, 2., 3 (, ), 4, 5, 6 /. 6 <T a b le 3 > Fa cto r A n a ly s is of f a m ily f u nct io n in g it e m s It em It em Con t ent of Ea ch F a ct or Ou r fa m ily m em ber s feel close t o ea ch ot h er. Th er e is a feeling of t oget h er n ess in ou r fa m ily. We a r e t o sh ow ou r a ffect ion for ea ch ot h er (kissin g, h u ggin g,.. et c) Ou r fa m ily is h a rm oniou s, pea cefu l. Ou r fa m ily m em ber s u n der st a n d ea ch ot h er Ou r fa m ily m em ber s t r u st ea ch ot h er Ou r fa m ily m em ber s lik e t o sp en d a lot of t im e t oget h er. Wh en we m eet som e pr oblem s, we a lwa ys a sk a h elp t o ou r r elat ives. Wh en we m eet som e pr oblem s, we a lwa ys a sk a h elp t o ou r fr ien ds, n eigh b or s. F rien d s, r ela t ives visit ou r h om e fr equ en t ly. Ou r fa m ily m em ber s get a long wit h ot h er r elat ives. Th er e ar e r u les, st a n d ar ds t o follow in ou r fa m ily. Ou r fa m ily m em ber s observe fam ily ru les. Ru les a r e flexible in ou r fa m ily. Ou r fa m ily m em ber s follow fa m ily pr ecept s. E a ch fa m ily m em b er ' s r ole is defin ed in ou r fa m ily. We a r e sat isfied wit h t h e fa m ily du t ies a ssign ed t o u s. Ou r fa m ily m em ber s m eet t h eir fam ily r esp on sibilit ies. Ou r fa m ily h a s a n a bilit y t o r esolve t h e pr oblem by t h em selves. Wh en decied t h e im p or t a nt t h ing t o t h e fa m ily, all fa m ily m em b er s ca n t ell fr a nk ly, a n d t h eir su ggest ion s a r e follow ed. We ca n sa y a n yt h in g t o ou r fa m ily m em ber s fr a nk ly. Ou r fa m ily m em ber s r esolve t h e pr oblem t oget h er. Wh en n eeded, w e r eceiv e a fin a n cia l su pp ort fr om ou r r ela t iv es. Wh en n eeded, w e r eceiv e a fin a n cia l su pp ort fr om ou r r ela t iv es in la w s. Fact or Fact or Fact or 3 F a ct or F act or Fact or Fact or

7 3 2 3 <T a b le 4 > Eig e n Va lu e & Pe rc e nt o f t h e t ot a l v a ria n ce ex p la in e d of f a m ily f u nct io n in g f act o rs F a ct or Eigen Va lu e P er cen t of t h e t ot al Cu m u lat ive va ria n ce expla in ed P er cent F a ct or 1 (Affect iv e b on din g) F a ct or 2 (Ext er n a l r ela t ion sh ip ) F a ct or 3 (F a m ily n or m ) F a ct or 4 (Roles & r esp on sibilit ies ) F a ct or 5 (Com m u nica t ion ) a ct or 6 (F in a n cial r esou r ces ) <T a b le 5 > Co rre lat io n b etw e e n f act o rs o f f a m ily f u nct io n ing (N = 2 3 1) F a ct or F a ct or 1 F a ct or 2 F a ct or 3 F a ct or 4 F a ct or 5 F a ct or 6 F a ct or **.4 2 1**.44 0 **.56 5 **. 102 (p =.00 0 ) (p =.00 0 ) (p =.00 0 ) (p =.000 ) (p =. 124 ) F a ct or **.37 9 **.34 8 **. 182 ** (p =.00 0 ) (p =.00 0 ) (p =.000 ) (p =.005 ) F a ct or **.38 7 **.07 1 (p =.00 0 ) (p =.000 ) (p =.28 1) F a ct or ** * (p =.000 ) (p =.03 1) F a ct or (p =. 170 ) F a ct or ,,,,,.,,,,,,,,.. (3 ). 4 <Ta ble 5 > (r ) ,. 3 ) Cr onba ch ' s Gut t m a n <Table 6>. 24 Cronba ch ' s.87, Gut t m a n.84. <T a b le 6 > Re lia b ility o f f a m ily f u nct io n ing f act o rs F a ct or Gu t t m a n Reliabilit y Alph a coefficient Coefficient F a ct or F a ct or F a ct or F a ct or F a ct or F a ct or Tot a l ,

8 Lee (199 9 ), %. 6,,,,, %. FAP GAR, FAD, FAM, FACE,,,. 1 Lee (199 9 ).. -,. 2, ,, (Kim et al., 1994 ),,, (Lee, 199 1)., FAP GAR, FACES,, (Kim et a l., ; Ba e & Kim, 1994 ).,,. 4,,. FAD, FAM FACE, F F I, F F Q

9 3 2 3,. 5. FAD, FACE, FAM, F F I F E F, F F Q.. FAD, FACE, F F I, F F Q. 6 Lee (19 99 ),.., 2 18, 19. (Hybrid ) (Lee et al., 1999 ) ,,,. Cr onb a ch ' a lph a (Yu & Kwon, ) 2-3.,,,, % 38 %.... Lee (1999 ) SP SSWIN ver ,,,,,, %, %, %, %, %, %, %

10 (Lee et a l., ) 6. Cr onb a ch ' s.87, Gu t t m a n.84..,,.,.,,. Re f e re n ce s Ba e, J. M., & Kim, Y. J. (1994 ). Va lidit y a n d r elia bilit y of FACE III wh en a pplied t o t h e on e of t h e fam ily m emb er s. J Korean A cad Fam M ed 15 (6 ), Bla nk, J. J., Cla rk, L., Lon gm a n, A. J. & At wood, J. R. (198 9 ). P er ceived h om e n eeds of ca n cer pa t ient s a n d t h eir car egiver s. Can cer N u rsing, 12, Ch o, H. (19 92 ). T h e Fam ily as ev ironm ent of nu rsing. U n pu blish ed m a nu script. Ewh a Wom en s U niver sit y, Seou l, Kor ea. Epst ein, N. B., Baldwin, L. M., & Bish op, D. S. (198 1). T h e M cm ast er Fam ily A ssessm en t Dev ice, Ver sion 3, copyrigh t r egist r a t ion nu m ber E pst ein, N., Ba ldwin, L., & Bish op, D. (1983 ). Th e McMa st er F am ily Assessm ent Device, J ou rn al of M arit al & Fam ily T h erapy, 9, J a n g, S. O. (1998 ). An a n a lysis of fam ily nu r sin g r esear ch in Kor ea. J Korean A cad N u rs, 28 (1), Ka n g, B. S., Serk, K. S., & Oh, Y. J. (199 3 ) S PS S/ PC + for st at ist ical an aly sis. Seou l : Tr a de Ma n a gem ent P r ess. Kim, S. J., Lee, C. S., Lee, G. H., Ka n g, J, W., P ar k, C. W., & P ark, Y. R (1994 ). F a m ily fu n ct ion of ext en ded fa m ily a n d nu clea r fa m ily u sin g FACE S III. J Korean A cad Fam M ed 15, Kim, I. S., Lee, S. H., Lee, K. M., Kim, S. Y., & J u n g, S. P. (199 3 ). Th e differ en ce of m arr ia ge - sa t isfa ct ion scor e a m on g fa m ily gr ou ps a ccor din g t o t h e fa m ily AP GAR scor e a n d fam ily a da pt a bilit y coh esion evalu at ion scale. J k orean A cad Fam M ed, 14, Kim, J. E. (1996 ). T h e Ch ange of fam ily fu n ct ion in k orean fam ily. P a per pr esent ed at t h e m eet in g for t h e Openin g of t h e H a n ya n g U niver it y N u r sin g Resear ch Cent er, Seou l. Lee. K. T. (19 9 1). T h e S t ru ct u re of con sciou sn ess of t h e k orean p eople. Seou l, Sh inwon Pu blish in g Com pa n y. Lee, E. O., H esook Su zie Kim, P a rk, Y. S., Son g, M., Lee, I., & P a rk, Y, H. (199 9 ) Model developm ent of ch a n ge of fam ily fu n ct ion in g wit h ch r onic illn ess. J Korean A cad N u rs, 29 (3 ), Lee. E. O., Lim, N. Y., & P a rk, H. A. (19 98 ). S t at ist ical an aly sis an d nu rsing m edical research. Seou l : Soom oon Pu blish in g Com p a ny. Moos, R. (1974 ). Fam ily E nv ironm ent S cales, P alo Alt o, CA : Con su lt in g P sych ologist Pr ess. Olson, D.H., Bell, R., & P ort n er, J. (198 0 ). Fam ily adapt ability and coh esion ev alu at ion - scales, St. P au l, MN :U niver sit y of Min n esot a pr ess. Pless, I. B., Sa t t erwh it e, B. (1973 ). A m ea su r e of fam ily fu n ct ionin g a n d it s a pplicat ion, S ocial S cien ce an d M edicin e, 7, Sm ilk st ein, G. (19 78 ). Th e fa m ily AP GAR : A

11 3 2 3 pr op osa l for a fa m ily fu n ct ion t est a n d it s u se by ph ysicia n s, J ou rn al of Fam ily Pract ice, 6, St einh au er, P., Sa nt a- Barb ar a, J., & Sk in n er, H. (1982 ). Th e pr ocess m od el of fa mily fu n ct ion in g. Can adian J ou rn al of Psy ch iat ry, in pr ess. Va n der Veen, F. (196 0 ) Fam ily con cep t Q sort. Ma dison, Wiscon sin ; Da n e Cou n t y Men t al H ea lt h Cent er, u n pu blish ed. Va n der Veen, F., (19 69 ). Fam ily Con cep t Inv en t ory. U n pu blish ed m a nu script, In st it u t e for J u venile Resea r ch, Ch ica go. Walt z, C. F., Ba u sell, R. B. (198 1) N u rsing research design st at ist ics an d com pu t er an aly sis. F. A. Davis com pa ny ph ila delph ia. Yu, D. K., & Kw on, Y. S. (19 97 ). S PS SW IN for st at ist ical an aly sis. Seou l. Keeh a nj a e. - Ab s t r a c t - A St u d y on t h e Dev elop m en t of t h e Kor e a n Fa m ily Fu n ct ion in g Sc a le. Le e, In -S ook 1 ) Park, Y ou n g -S ook 1 ) S on g, Mi-S oon 1 ) Le e, Eu n -Ok 1 ) Kim, He s ook -S u z ie 2 ) Park, Y ou n -Hw an 3 ) Ch oi, Ky on g -W on 4 ) Ch in, Y ou n g -Ra n 4 ) Kim, Dae -He e 5 ) Lee, Hy e on -S ook 5 ) P u r p o s e : Th e pu r p ose of t h is st u dy wa s t o develop t h e in st r u m en t t o m ea su r e fa m ily fu n ct ionin g for Kor ea n fa mily wit h a ch r onic ill ch ild, a n d t o t est t h e validit y a n d r elia bilit y of t h e in st ru m ent. Me t h o d : Th e it em s of in st ru m ent wer e con sist ed b a sed on r esear ch er s ' pr eviou s st u dy of con cept a n alysis of t h e Kor ea n fa m ily fu n ct ionin g. Tw ent y six it em sca le w a s developed wit h six dom ain s. In or der t o t est r eliabilit y a n d validit y of t h e scale, dat a wer e collect ed fr om t h e fa m ilies, wh o h a ve a ch ild wit h a ch r onic illn ess. Da t a w a s collect ed b et ween Au gu st a n d Sept em ber in in a Gen er al H ospit al in Seou l, Kor ea. Re s u l t : Th e r esu lt s wer e a s follows : As a r esu lt of t h e it em a n alysis, 24 it em s w er e select ed fr om t h e t ot a l of 26 it em s, exclu din g it em s wit h low cor r elat ion wit h t ot al sca le. Six fa ct or s wer e evolved by fa ct or a n alysis. Six fa ct or s explain ed % of t h e t ot al va ria n ce. Th e fir st fa ct or 'Affect ive b on din g' explain ed 15.4 %, 2 n d fa ct or ' Ext er n a l r elat ion sh ip ' %, 3r d fa ct or ' F a m ily n orm ' 10.5%, 4 t h fa ct or ' Role a n d r espon sibilit ies' 8.3 %, 5t h fa ct or ' Com m u nica t ion ' 7.9 %, a n d t h e 6t h fa ct or ' F in a n cial r esou r ce ' expla in ed 7.3 %. Cr on ba ch ' s coefficien t of t h is sca le w a s.87 a n d Gu t t m a n spilt - h a lf coefficient w a s.84. Co n c lu s i o n : Th e st u dy su pp or t t h e r eliabilit y a n d va lidit y of t h e sca le. Th er e wer e dist in ct differ en ces in dim en sion s of fam ily fu n ct ionin g scales develop ed in t h e U. S. Ke y w o rd s : F am ily fu n ct ion in g, In st r u m ent developm ent 1) College of Nursing, Seoul Nat ion al Universit y 2 ) College of N u r sin g, U n iv er sit y of Rh ode Isla n d, U SA 3 ) Seoul Wom en ' s College of Nursing 4 ) Gr a d u a t e st u d en t, C oll ege of N u r sin g, S e ou l N a t i on a l U n iv er sit y 5 ) S e ou l N a t i on a l U n iv er sit y H osp it a l

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완성09E02박은숙.PDF : * 1 ) 2 ) 3 ) 4 ) 1 ) 5 ) 6 ). 1.,., (cont ent - ba sed cu rricu la ) (pr ocess- b a sed cu rricu la ),,,,,., -, (Ben -Zu r, Ya gil & Spit zer, 1999 ; H egge, 19 9 5 ; Oer m a n n, 19 94 : Spit ser,