• Title/Summary/Keyword: 부모 중재

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소아의 음성장애 및 치료 : 사례연구

  • 정옥란
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.7 no.1
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    • pp.128-131
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    • 1996
  • 소아들의 음성장애의 대부분은 음성과 기능에 의한 성대의 오용 및 남용으로부터 기인한다. 그러나 음성장애에 대한 인식의 부족으로 인하여 소아의 음성장애 발견율은 극히 낮은 수준에 머므르고 있다. 치료에 있어서도 행동의 통제가 그다지 쉽지 않기 때문에 많은 어려움이 따른다. 본 연구는 소아의 음성장애의 발생경위와 문제의 설명과 차팅에 의한 남용의 감소에 초점을 둔 치료사례이다. 5세 아동의 심한 음성장애로 의뢰되어졌다. 음성증후는 목쉰소리, 기식화된 소리, 일시적인 발성일탈(phonation break) 등이 두드러졌다. 이비인후과 전문의의 스트로보스코프(stroboscope) 검진결과 초기 양측성 성대결절이 성대 앞쪽으로부터 1/3 지점에서 발견되었으며 비지피치(Visi-Pitch)로 측정된 퍼터베이션(perturbation 수치가 16.8이었다. 사례사 조사 과정에서 아동이 활동적이며 자주 고함을 지르고 자동차놀이를 주로하며 많은 시간을 보낸다는 것이 밝혀졌다. 중재 프로그램은 우선 문제를 설명하고 인식시키는 것과 고함을 지르거나 자동차놀이를 하면서 자동차 소음을 흉내내는 등의 음성남용 회수를 감소시키는 것에 초점을 두었다 17회의 치료로 성대결절이 감소되었고 퍼터베이션은 3.8로 저하되었으며 아동 스스로 음성남용을 통제할 수 있다는 임상적 판단하에 치료를 종결하였다. 1개월 후 추후 검사에서 남용적인 습관이 여전히 나타나지 않았으며 음성상태도 양호하였다. 소아 음성장애의 치료는 소아가 이해할 수 있는 용어로 문제의 인식을 확실히 시키고 행동을 체계적으로 통제할 수 있는 치료프로그램을 실행시키는 임상가의 자질이 대단히 중요하다. 그러나 그에 못지 않게, 많은 시간을 아동과 함께 보내는 부모나 교사의 협력이 치료의 성패를 좌우할 수 있다.조구와 처리구간에 차이가 없었다. 그러나 유지방 함량의 경우 대조구가 3.22%, 처리구가 3.37%로 처리구가 0.15% point 증가했으나 유의차는 없었다. Fan + sprinkler가 설치된 시설에서 사육된 젖소에서 생산된 우유내 체세포수는 대조구에 비해 26.63%가 감소되었으나 유의차는 발견할 수 없었다. 이상의 시험 결과에서 볼 때 fan + sprinkler를 이용한 방서 방법은 고온 stress를 완화시켜 유생산성의 증가에 기여할 수 있는 하나의 방법이라고 본다.을 알 수가 있었다.없다. 본 논문의 대상은 바로 이러한 합성 동사성명사의 논항구조와 동사성명사에 의해 하위범주화된 논항들의 문법적 실현양상이다..그 결과 심리적 특성과 사용자 수용 특성은 아바타 수용도에 부분적으로 영향을 미친다는 것 결과가 나타났다.웨어 프로세스 평가와 개선 모델의 개발을 위한 기초적인 자료를 제공할 것으로 예상된다 또한, 본 연구 결과는, 우리나라 소프트웨어 조직들이 실제로 무엇을 필요로 하는지를 밝힘으로써, 우리나라의 소프트웨어 산업을 육성하기 위한 실효성 있는 정책 입안을 위한 기초 자료를 제공할 것으로 예상된다.다.를 검증하려고 한다. 협력체계 확립, ${\circled}3$ 전문인력 확보 및 인력구성 조정, 그리고 ${\circled}4$ 방문보건사업의 강화 등이다., 대사(代謝)와 관계(關係)있음을 시사(示唆)해 주고 있다.ble nutrient (TDN) was highest in booting stage (59.7%); however no significant difference was found among other stages. The concentrations of Ca and P were not

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Effects of Psychological Variances in Internet Addiction of 4th, 5th, and 6th Graders from Low Income Families (심리적 변인이 저소득층 초등학교 고학년 아동의 인터넷 중독에 미치는 영향)

  • Hong, Yeon-Ran;Do, Eun-Young
    • Child Health Nursing Research
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    • v.20 no.2
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    • pp.67-74
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    • 2014
  • Purpose: The purpose of this study was to investigate factors contributing to internet addiction in 4th, 5th, and 6th graders from low income families. Methods: Participants for this study were 201 4th, 5th, and 6th graders from low income families living in Taegu. Data were collected from March, 2 to May, 29, 2013 using self-report structured questionnaires. Data were analyzed using SPSS/Win 20.0 programme. Results: Among the students, 78.6% were regular users, 14.4% were potential users, and 7.0% were high-risk users. The factors influencing internet addiction, in order of importance, were; conversation with family, followed by depression. Conclusion: These results suggest that efforts should make to monitor use of internet by elementary school children from low income families, and preventive strategies should be developed taking into consideration factors that influence internet addiction.

The sexual knowledge, sexual attitude and sexual behavior of psychiatric patients (정신질환자의 성지식, 성태도 및 성행동)

  • Park, Seung-Mi;Kim, Ji-Young;Ko, Sung-Hee
    • Journal of Digital Convergence
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    • v.15 no.9
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    • pp.261-271
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    • 2017
  • This study was conducted to identify sexual knowledge, sexual attitude, and sexual behavior that are perceived by psychiatric patients, and analyzes their differences and relations. Participants were 222 adult psychiatric patients hospitalized in two psychiatric hospitals located at K city of J province. Data were collected from March 11 to April 15, 2016 by using structured questionnaires. Collected data were analyzed through independent t-test, One-way ANOVA, $Scheff{\acute{e}}$ test, Pearson's Correlation Coefficients using SPSS/WIN 20.0 program. The mean score of sexual knowledge was 2.60, sexual attitude was 2.74, and sexual behavior was 0.49. The sexual knowledge of patients differed significantly according to parent attitude(${\rho}$<.01), and sexual behavior showed the difference according to diagnosis(${\rho}$<.05). Sexual knowledge had a significant positive correlation with sexual attitude(r=.75, ${\rho}$<.001) and sexual behavior(r=.15, ${\rho}$<.05). There were also positive correlation between the sexual attitude and active sexual behaviour(r=.20, ${\rho}$<.01), the subcategory of sexual behaviour. These results of study suggest that psychiatric nurses should appropriately assess sexual problems of psychiatric patients and include them in nursing interventions.

State of Visual Acuity Test and Factors Related to Vision Deterioration of Preschoolers (미취학 아동의 시력검진 실태와 시력저하 관련요인)

  • Lee, Sunghwa;Lee, Haejung
    • The Journal of the Korea Contents Association
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    • v.16 no.12
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    • pp.132-142
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    • 2016
  • The study aimed to examine the state of visual acuity tests in preschoolers and determine the factors affecting the deterioration of their vision. A total of 172 pair, child aged 5-7 years and either one of their parents, were recruited from childcare centers or kindergarten between August 2015 and January 2016. Questionnaires were administered to the parents, and the children's visual acuities were measured. Using forward selection in logistics regression analysis, factors affecting vision deterioration were elucidated. Of 172 children, 128 (74.4%) had undergone a visual acuity test previously and 77 (44.8%) showed a deterioration in their vision. Children who had undergone their first visual acuity test after the age of 7 years (OR=7.425, CI=2.844- 19.385) and showed more abnormal eye symptoms, such as squinting or tilting the head to see or falling down frequently (OR=3.084, CI=1.202-7.914) and whose age was younger (OR=10.335, CI=3.252-32.848), were more likely to develop deterioration of vision. Children who had a posture such that they looked up at the computer monitor from below (OR=.075, CI=.022-.255), were less likely to show deterioration of vision. It can be inferred that early visual acuity tests is essential to detect deteriorated vision of preschoolers. Therefore, it is necessary to educate parents, personnels in day care center, and health clinics about the importance of early visual acuity tests and close observation of specific behaviors related to vision deterioration. Development of precautionary intervention program of vision deterioration in preschoolers and examination of its effects are needed.

Predictors of Protective Factors for Depression in Adolescent using Decision Making Tree Analysis (의사결정나무분석을 이용한 청소년 우울의 보호요인 예측모형)

  • Kim, Bo-Young
    • The Journal of the Korea Contents Association
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    • v.15 no.5
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    • pp.375-385
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    • 2015
  • The study is to develop specific strategies to prevent adolescents' depression, early detection and intervention services. This study was a descriptive research study with the purpose of predictors of protective factors for depression in adolescent using decision making tree analysis. The subjects for the study were 485 student in G city. This study collected data between September 23, 2013 and September 26, 2013 and analyzed them with frequency analysis, percentage, the mean and standard deviation, ${\chi}^2$-test, t-test, and a decision-making tree by using SPSS 20.0 program. From the data analysis, the predictive model for protective factors related to depression in adolescent with 4 pathways, 12 nodes. The common predicting variables of depression in adolescent were characteristics, family cohesion, parent adolescent communication, peer communication. The specialty of training data and test data was 76.0% and 65.4%. The sensitivity of training data was 78.2% and 63.7%. As for the classification accuracy, training data and test data explained 70.1% and 69.7%. Parent adolescent communication and peer communication to decrease depression of Korean middle and high school students are necessary. This study should contribute as baseline data for intervention strategies and planning ability of depression prevention in adolescents.

STRUCTURAL VALIDATION OF THE PRQ PART II (PERCEIVED SOCIAL SUPPORT) MEASURE FOR ADOLESCENTS (청소년의 인지적 사회지지 측정을 위한 PRQ(Personal Resource Questionnaire)-Part II의 타당도)

  • Lee, Eun-Young;Tak, Young-Ran
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.10 no.2
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    • pp.236-243
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    • 1999
  • The purpose of this study were to factor analyze the 25-item Personal Resource Question-naire (PRQ)-Part II, a social support measure, and to establish construct validity for the instrument among adolescents by relationship found between perceived social support and the theoretically relevant variables of attachment, parent-child relationships, and coping, The sample was consisted of 451 college students, aged 18 to 24. According to the criteria used in this study a four-factor structure, which consisted of 15-items, resulting from a principal components analysis with an oblique rotation, best represented the multidimensionality of the PRQ-Part II of late adolescents in Korea. Evidence in support of construct validity for both the 15-item and 25-item PRQPart II was provided by statistically significant correlations found between the two scales and the theoretically relevant variable of attachment, parent-child relationships, and coping. With the findings of this study, the 15-item Korean version of the PRQ-Part II can be used in research and practice as a reliable and valid instrument measuring perceived social support for late adolescents in Korea.

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Factors Affecting Depression in Mothers of Children with Disabilities (장애아동 어머니의 우울에 영향을 미치는 요인)

  • Cho, In Sook;Ryu, Hyun Sook
    • Child Health Nursing Research
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    • v.21 no.1
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    • pp.46-54
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    • 2015
  • Purpose: The purpose of this study was to investigate the factors affecting depression in mothers of children with disabilities and to identify the relationships between the depression, parenting-stress and self-esteem. Methods: The participants were 100 mothers of children with disabilities lving in G city. Data were collected using a structured questionnaire and analyzed using descriptive statistics, t-test, ANOVA and Pearson Correlation Coefficients with SPSS/PC+ 21.0. Results: There was a significant relationship between depression and parenting stress (p<.001). Depression was negatively correlated with self-esteem (p<.001). Variables affecting depression were parenting-stress, self-esteem and family income. The three factors accounted for 38.7% of the depression. Conclusion: The results of the study show that parenting-stress and selfe-steem are the most significant factors affecting depression. There is an urgent need to develop nursing interventions to reduce levels of depression in mothers of children with disabilities and to help them lead a healthier life.

Influencing Factors of Depression in Adults according to the Cause of Stress (성인의 스트레스 원인별 우울에 영향을 미치는 요인)

  • Kwon, Myoungjin;Song, Youngshin;Kim, Sun Ae
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.453-465
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    • 2021
  • This study was attempted to identify factors affecting depression by stress causes. Data from the 2018 Korea National Health and Nutrition Examination Survey were used, total subjects was 2,939. Data were analyzed by complex sample frequency, percentage, x2-test and regression by SPSS 25.0. As a result, in the economic problem group, gender, occupation, health-related quality of life, weight change, smoking, subjective health status and subjective body image were significant influencing factors for depression, and explanatory power was 28.7% (F = 8.23, p < .001). In the parent, child, and spouse problem group, age, health-related quality of life, weight change, and subjective health status were significant, explanatory power was 33.1% (F = 6.92, p <.001). In the self and family health problem group, gender, health-related quality of life, weight change, smoking, and subjective health status were significant, explanatory power was 29.6% (F = 5.74, p < .001). Through the results, the influencing factors that appear differently according to each stress cause can be used as basic data to establish an individualized intervention strategy.

Related Factors of Problem Behaviors among Students of Multicultural Family in Korea: A Systematic Review (한국 다문화 가정 학생의 문제행동 관련 요인에 관한 체계적 문헌고찰)

  • Chae, Myung-Ock;Kim, Ahrin;Jeon, Hae Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.614-626
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    • 2018
  • This study was conducted to review the literature and examine the factors related to problem behaviors among students of multicultural families in Korea. A systematic review of the literature was conducted using domestic documents retrieved through July 4, 2018 based on online searches of domestic databases (the Research Information Sharing Service, Korean Studies Information Service System and the National Diet Library). A total of 2,084 studies were searched, and 21 studies were used for analysis. The factors related to problem behaviors were related to individual factors (gender, school record, self-esteem, etc.), family factors (family type, parent support, mothers' enculturation stress, etc.) and environmental factors (friend support, teacher support, social support). The variables measured the problem behaviors among students of multicultural families were school life adjustment (10), psychological, social adjustment or maladjustment (4), and emotional problem behavior (3). Overall, the results indicate that social and policy efforts are needed to improve individual, family, and environmental factors based on more specific and consistent theoretical definitions related to problem behaviors among students of multicultural families in Korea.

Influencing Factors of Social Anxiety in Late School-aged Children (학령후기 아동의 사회불안에 미치는 영향요인)

  • Moon, So-Hyun;Kim, Hyung-ran;Kim, Jeong-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.63-73
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    • 2019
  • The purpose of this study was to investigate the prevalence of social anxiety among late School-aged Children and identify factors influencing the tendency to social anxiety. A self-report survey was conducted with primary school children who were in the 6th grades. Two hundred and seventy eight children were included in the study. The instruments utilized in this study were SASCA-K (Korean Social Anxiety Scale for children and adolescents), SES(Self-esteem Scale), CAPS(Child and Adolescent Perfectionism Scale), DSRS-C(Depression Self-Rating Scale for Children), and IPPA-R(Inventory of Parent and Peer Attachment-Revised version). Data were analyzed using descriptive statistics, t-test, One-way ANOVA, Pearson correlation and multiple regression with SPSS WIN 23.0 program. Social anxiety for the schoolchildren was positively correlated with perfectionism and depression, whereas self-esteem and attachment security was negatively correlated with social anxiety. Stepwise multiple regression analysis showed that 38.0% of the variance for social anxiety was significantly accounted for by self-esteem, self-oriented perfectionism, depression, attachment security (Father-communication). The most significant factor influencing social anxiety was self-esteem. Findings suggest that expanding health education, counseling and school-based health education programs is necessary to prevent and intervention mental problems of late School-aged Children through integrated intervention by schools, families and communities.