• 제목/요약/키워드: 아동 학대

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간호사의 아동학대 인식, 신고 효과성 인식 및 신고 장애 인식 조사 (A Study on the Perception on Child Abuse, Effectiveness of Reporting, and Barriers to Reporting among Nurses)

  • 홍선영;박미향
    • 한국보건간호학회지
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    • 제30권2호
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    • pp.236-246
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    • 2016
  • Purpose: The purpose of this study was to investigate the Nurses' perception of child abuse, effectiveness of reporting, and barriers to reporting. Method: We surveyed 155 nurses at a University Hospital by using convenience sampling. The perception of child abuse, effectiveness of reporting, and barriers to reporting were measured using structured questionnaires. Data analysis was performed using SPSS WIN 21.0 program. Results: In nurses' perception of child abuse, the perception of physical abuse was higher than that of others - such as neglect, sexual abuse, and emotional abuse. Among nurses, the perception of child abuse was different according to age, material status, children, nurse career, education level, religion, experience of education, and perception of mandated reporter. The results showed a significant correlation between the perception on child abuse and perception on the effectiveness of reporting, as well as between perception on the effectiveness of reporting and perception on barriers to reporting. Conclusion: Based on the findings of this study, it is suggested to develop education programs and guidelines to help nurses to make appropriate decisions for the proper professional intervention when a child abuse case is suspected.

아동학대로 오인했던 선천성 매독 1예 (A case of congenital syphilis mistaken for possible child abuse)

  • 김순주;이승우;임정우;윤유숙;이준성;이경일;황자영
    • Clinical and Experimental Pediatrics
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    • 제52권6호
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    • pp.710-712
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    • 2009
  • 선천성 매독은 매우 드문 질환이기는 하나 심각한 질환을 유발할 수 있어 모자보건의 주요부분을 차지하고 있다. 4개월 남아가 좌측 팔의 운동장애로 내원하여 시행한 방사선 사진에서 상완골 골절이 발견되었으며 아동학대가 의심되어 시행한 추가 검사에서 선천성 매독으로 진단되었고 환아와 환아 부모에 대한 치료가 이루어졌다. 저자들은 이 환아의 진단과 치료과정에 대해 보고하면서 임산부와 신생아에 대한 매독선별검사의 중요성에 대해 강조하는 바이다.

성학대를 내용으로 한 그림책 읽기 과정에서 나타난 만 5세 유아의 반응 분석 (An Analysis of the Responses of 5'Year' Old Children in the Process of Reading Picturebooks on Sexual Abuse)

  • 천희영;이귀숙;신세니
    • 아동학회지
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    • 제33권5호
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    • pp.117-137
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    • 2012
  • The purpose of this study was to analyze 5'year' old children's responses in the process of reading picturebooks on sexual abuse and to explore the educational implications of the results. 42'five year' old children and 2 of their teachers participated as subjects in the study. Data was collected by means of observation, a diary record of the teacher's class, and an interview with teachers about children's responses in the process of reading picturebooks on sexual abuse during the free choice activities, and group activities in J and K daycare centers in Busan, Korea from July to September. The results were as follows : the analysis identified three patterns of responses; consistent responses, awkward responses, and confused and frightened responses. These result imply that selecting picturebooks for sexual abuse preventive education programs for young children needs to be given careful consideration. The importance of the teacher's reading skills and sociocultural cognition regarding sexuality in general were also discussed.

초등학생 부모의 체벌 지지도가 신체적 아동학대에 미치는 영향 (Influences of Beliefs in Corporal Punishment to Physical Child Abuse in Elementary Student's Parent)

  • 안혜영
    • 지역사회간호학회지
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    • 제12권2호
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    • pp.482-490
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    • 2001
  • Purpose I investigated how beliefs in punishment have influence on child abuse. Also, I investigated how socio-demographic variables of parents' have influences on child abuse by parents. Sampling was conveniently and total 160 parents replied to the study. Data analysis was done by descriptive statistics, Pearson's correlation using SPSSWIN. The results were as follows. Mild child abuse: 'Throwing the object at me(21.1%)', 'Clutching, and pushing (21.0%)', 'Slapping on the cheek (19.1 %), Severe child abuse: 'Kicking, pounding and biting(4.1%)', 'Rod, stick, belt, broom beating using a various objects such as(51.7%)', 'Beating all over the body(6.8%)'. Very severe child abuse: 'Burning with cigarette (0%)', 'Threatening me with a knife, a hammer, a naxe, a gimlet the objects such as(0.7%)', 'Injuring me with the objects such as (0%)', 'Hospitalized by belting(0%)'. Correlations of major variables were as follows. Physical child abuse by elementary student's parents has significantly positive correlation with beliefs in punishment(r= .244 p= .003) and has significantly negative correlation with parent's age(r=-.273, p=.001). But physical child abuse has not significant correlations with family income, education. Conclusion: Beliefs in punishment of parents have influences on child abuse. To prevent child abuse, effective parenting program development is required.

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임신 중 흡연에 의한 태아학대: 태아생존권 옹호를 위한 접근 (Critical Discussion on Smoking During Pregnancy as a Form of Fetal Abuse: An Approach to Advocate for Fetal Right to Life)

  • 김영미;조갑출
    • Child Health Nursing Research
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    • 제22권4호
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    • pp.317-325
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    • 2016
  • Purpose: Smoking during pregnancy contributes to the risk of negative health outcomes in mothers and babies. The purposes of this study were to review the harmful effects of maternal smoking during pregnancy on fetal and child development, to discuss if maternal smoking should be criminalized as a form of child abuse, and to explore advocating for fetal rights. Methods: A variety of published literature and legal documents including the Korean constitution, criminal laws, and children's welfare laws were reviewed and critically analyzed. Results: Women who smoke during pregnancy are more likely to experience abortion related to placental dysfunction. Their unborn risk premature birth, fetal growth restriction, low birth weight, neurobehavioral disturbances, and/or other complications and newborn babies are also at risk for complications. The advocates for fetal rights can assert that maternal smoking should be regarded as a crime. Conclusion: Findings show that maternal smoking during pregnancy is a major risk factor for many adverse pregnancy outcomes. Effective strategies and health policies for smoking cessation during pregnancy are required to protect pregnant women and their babies.

우울 및 불안장애 환자에서 아동기 학대와 정서증상 및 리질리언스와의 관계 (Relationship of Affective Symptoms and Resilience with Childhood Abuse in Patients with Depressive or Anxiety Disorders)

  • 경미하;민정아;채정호
    • 대한불안의학회지
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    • 제9권1호
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    • pp.68-73
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    • 2013
  • Objective : The aim of this study is to identify the relationship between childhood abuse and affective symptom including resilience in patients with depression or anxiety. Methods : A total 256 outpatients diagnosed with depressive disorder or anxiety disorder according to DSM IV-TR, were evaluated with Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Parent-Child Conflict Tactics Scale (PCCTS), Connor-Davidson Resilience Scale (CD-RISC). Independent t-test, Chi-square analysis and analysis of covariance (ANCOVA) were performed to identify the demographics of patients and the relationship between affective symptoms including resilience and childhood abuse. Results : Among demographic and clinical variables, patients with childhood abuse history were significantly higher rate in patients who were living alone and unemployed. In affective symptoms, patients with childhood abuse history were significant more severe in depressive symptoms, and state anxiety score than patients without history of childhood abuse. Patients with childhood abuse history had higher score for trait anxiety and lower score for resilience than patients who had no history of childhood abuse. Conclusion : These finding suggest that history of childhood abuse might be risk factor on depressive and anxiety symptoms severity. And this might be a predictable factor of poor treatment outcome.

응급실 간호사의 아동학대 신고의도 (Intention to Report Child Abuse of Emergency Room Nurse)

  • 박혜영;최은정;이은남
    • 중환자간호학회지
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    • 제6권2호
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    • pp.1-11
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    • 2013
  • Purpose: The purposes of this study were to examine a attitude, subjective norm, perceived behavior control, intention to report child abuse and to identify predictors of emergency room (ER) nurses' intention to report child abuse cases. Methods: A total of 364 nurses in ER participated in this study. Data were collected by self-administered questionnaire and analyzed with descriptive statistics, t-test or ANOVA, Pearson correlation, and stepwise multiple regression analysis. Results: 84.1 % of emergency room nurses reported feeling of obligation to report child abuse. Attitude, subjective norm, and perceived behavior control were positively correlated with intention to report child abuse. Intention to report child abuse was predicted by emergency room nurse's attitude, perceived behavior control, subjective norm, ER nurse career, and recognition as a reporting obligator. Conclusion: Child abuse education program should be developed to help ER nurses to report child abuse case and positive attitude toward reporting the cases.

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장애아 부모를 위한 아동학대 예방 프로그램 효과분석 (The Effect of a Child Abuse Prevention Program for Parents with Disabled Children)

  • 안혜영
    • 대한간호학회지
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    • 제34권5호
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    • pp.663-672
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    • 2004
  • Purpose: This study describes the ecological variables effect on child abuse potential and the results from a prevention program for parents with disabled children aiming at decreasing child abuse potential. Method: Data was collected from 30 parents with disabled preschoolers attending an early education center in a community. The program consisted of handouts, small group lectures, support group meetings on understanding the disabled child-parents relationship, communication skill improvement, non-punitive discipline techniques, and influences of child abuse. A non equivalent pre-post test design was employed. Result: Ecological variables, and parenting self-efficacy, had a significant effect on child abuse potential in parents with a disabled child. By regression parenting self-efficacy showed(27.1 %) child abuse potential. Both parenting self-efficacy and beliefs in corporal punishment directly related to (52.0%) child abuse potential in parents. The program was effective inbringing some positive changes on pareting self-efficacy beliefs in corporal punishment, and child abuse potential toward disabled children. However, marital discord was not significantly effected. Conclusion: Child abuse prevention programs should decrease thechild abuse potential in parents. Thus I recommend a child abuse prevention program development; for parents with disabled adolescents, and teachers in disabled child education.

아동학대로 인해 발생한 중증 단백-에너지 영양실조 환아에서 동반된 구리결핍증 빈혈 1예 (Copper Deficient Anemia in Severe Protein-Energy Malnutrition due to Child Abuse)

  • 변성환;전제덕;장수희
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제10권1호
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    • pp.60-65
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    • 2007
  • 저자들은 가족 내에서 아동학대로 인해 발생한 치명적인 중증 영양실조를 보인 5세 여아에 동반된 빈혈과 구리 결핍증을 WHO 치료 지침과 구리 보충요법으로 호전시킨 1예를 치험하였기에 보고하는 바이다.

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부모의 방임 및 학대가 청소년의 학교생활적응에 미치는 영향 : 사회적 위축의 매개효과 (The Effects of Parents' Neglect and Abuse on the School Adjustment in Adolescents : The Mediating Effects of Social Withdrawal)

  • 박기원
    • 아동학회지
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    • 제35권1호
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    • pp.1-15
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    • 2014
  • In this paper, the effects of parental neglect and abuse on school adjustment mediated by social withdrawal in adolescents were examined using a sample of 2,163 second grade middle school students(1,096 boys and 1,067 girls) from the Korean Child and Youth Panel Survey(KCYPS) data set. All research variables were measured using self-reported questionnaires. They were analyzed by means of Structural Equation Modeling. The results indicated that parents' abuse had no direct effect, but there was an indirect effect on adolescents' school adjustment mediated by adolescents' social withdrawal. Parental neglect had a direct effect on adolescents' school adjustment and also had an indirect effect on adolescents' school adjustment mediated by social withdrawal. The results indicate that parental neglect is a more significant contributor than adolescents' social withdrawal on adolescents' school adjustment. The results of this study show that parenting attitude, more specifically parental neglect, tend to be more important factors on school adjustment compared to adolescents' psychological problems, such as social withdrawal in adolescence. Taken together, these findings suggest that interventions aimed at improving parental neglect and adolescents' social withdrawal need to be emphasized if adolescents are to better adjust to school life.