Journal of Korean Academy of Nursing

Stress and Adaptation in Family with Physical Disabled Children: Sook Ja Yang; Journal of Korean Academy of Nursing 1999;29(2):238-248. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.2.238

Abstract PDF: The purpose of this study was to describe the relationship between family stress and adaptation in families with a disabled child through literature review using McCubbin's Double ABCX family crisis framework. The literature review focused on (1) family stress and factors affecting family stress, (2) the critical individual, familial and social resources which families acquire and employ over time in managing crisis situation, (3) the changes in definition and meaning families develop in an effort to make sense out of their predicament, (4) the coping strategies families employ, and (5) the range of outcomes of these family efforts The results showed that families reported financial difficulties and the burden of care-giving demands as major family stressors. Siblings of disabled children manifested depressive symptoms and social isolation, but was not consistent study results. The parents' views of the cause of the disabling condition fundamentally affected their behavior toward their disabled child. Especially, the fathers' views of the child's characteristics made the greatest contribution to positive changes in the mothers' perceptions. The term perceived social support refers to the cognitive appraisal by individuals that they are cared for and valued, that significant others are available to them if needed, and that they are satisfied with their interpersonal relationships. The perceived social support was more protective than social support source, network size and network density. Parental adaptation was found to be related to the child's communication competence rather than family coping strategies proposed by Lazarus and Folkman. One study results showed that there was no difference in depressive symptoms and physical health between mothers with a disabled child and those without all though mothers with a disabled child had negative attitudes and perceived themselves as having significantly less social support and lower family functioning. But a longitudinal study revealed decreases in the negative impact of the child and increases in sibling and overall family adaptation.

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Influencing Factors on Family Stress, Family Meaning and Family Adaptation in Families with High Risk Neonates: Joung Ae Lee, In Sook Park, Young Sook Moon, Nam Hyeong Lee; Journal of Korean Academy of Nursing 2007;37(4):431-441. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.4.431

Abstract PDF: Purpose
The purpose of this study was to identify the relationship among family stress, family meaning and family adaptation of families with high risk neonates.
Method
The date was collected on the basis of self- report questionnaires (August 2004 to March 2005); Tow-hundred twelve parents, who had high risk neonates in C hospital's neonatal intensive care unit, participated on request.
Results
Family sense of coherence, family meaning, social support, family stress, marital communication and patient condition had a significant, direct effect on family adaptation. Family cohesion, religion, confidence in the health professional, and length of stay had a significant, direct effect on family meaning.
Conclusion
The results of this study suggest the consequences associated with high risk neonates may be alleviated by a family support intervention designed to improve parental communication skills as well as to maintain family cohesiveness. Medical care could also encourage more emotional support of parents towards their neonate.

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Family Resiliency Facto for the Adaptation of Family who have a Congenital Heart Disease: Young Ran Tak, E Hwa Yun, Ji Yeon An, Sang Hwa Kim; Journal of Korean Academy of Nursing 2004;34(7):1298-1306. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.7.1298

Abstract PDF: Purpose
The purpose of this study was to explore the relationships of family strain, perceived social support, family hardiness, and family adaptation and identify the family resiliency factors for the adaptation of families who have a child with congenital heart disease.
Method
The sample consisted of 90 families who had a child diagnosed with congenital heart disease and completed surgical treatment. Data was collected from parents using a questionnaire.
Results
Results from path analyses revealed that family strain had a direct effect on both perceived social support and family hardiness, and an indirect effect on family adaptation. Also, the findings revealed that perceived social support had a direct effect on both family hardiness and family adaptation, and family hardiness had a direct effect on family adaptation. Thus, these results indicated that perceived social support and family hardiness had a mediating effect on family strain.
Conclusion
Findings provide the evidence for the theoretical and empirical significance of perceived social support and family hardiness as family resiliency factors for family adaptation. Clinical implications of these findings might be discussed in terms of family-centered nursing interventions for the families who have a child with congenital heart disease based on an understanding of family resiliency for adaptation.

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