• 제목/요약/키워드: Apathy

검색결과 53건 처리시간 0.025초

치매환자의 행동심리증상에 비약물적 중재가 미치는 효과 - 메타분석 (The Effect of Nonpharmacologic Interventions on Behavioral and Psychological Symptoms of Dementia : A Meta-Analysis)

  • 권미화;이재신
    • 한국콘텐츠학회논문지
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    • 제17권6호
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    • pp.540-550
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    • 2017
  • 본 연구는 치매환자의 행동심리증상에 미치는 다양한 비약물적 중재의 효과를 확인하고, 중재 별로 주요하게 작용된 증상이 무엇인지를 알아보고자 메타분석을 실시하였다. 자료 수집은 국 내외 검색엔진을 이용하였으며, 2000년 1월부터 2016년 6월까지 출판된 연구를 대상으로 하였다. 치매환자에게 적용한 비약물적 중재의 효과를 제시한 사전-사후실험연구 가운데 실험군과 대조군이 있는 무작위통제실험연구(Randomized Controlled Trial; RCT)를 대상으로 하였다. 최종 선정된 23편의 연구를 분석한 결과, 치매환자에게 적용한 다양한 비약물적 중재 연구 전체의 효과크기는 -0.33으로 "보통"의 효과크기가 나타났다. 세부적인 비약물적 중재 별 효과크기는 작업치료가 -0.26로 "보통"의 효과크기, 다감각자극이 -0.65로 "보통이상"의 효과크기로 임상적으로 유의한 차이가 있음이 증명되었다(p<.05). 중재 별로 주요하게 작용된 행동심리증상으로는 가정기반 프로그램에서는 주로 공격성, 기억력과 관련된 문제행동에 영향을 주었다. 또한, 회상치료와 작업치료는 대체적으로 무감정, 다감각자극과 음악치료는 불안이나 초조행동에 주요 변화가 있었음을 확인할 수 있었다. 본 연구 결과를 통하여 다양한 비약물적 중재가 치매환자의 행동심리증상에 효과가 있음을 확인할 수 있었으며, 중재 별로 주요하게 작용된 증상을 확인 할 수 있었다. 따라서 추후 임상에서 치매환자를 위한 비약물적 중재 시, 각 환자의 행동심리증상에 적합한 중재를 선택하여 접근하는 노력이 필요 할 것이다.

서울시내 정상 또는 저체중 여중생의 다이어트 행위 실태와 관련요인 분석 (A Study on Dieting Behaviors and Related Factors among Normal or Low-weight Middle School Girls in Seoul)

  • 박선희
    • 한국학교보건학회지
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    • 제14권1호
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    • pp.115-130
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    • 2001
  • Dieting behaviors prevail among most women and are highly increasing among female adolescents who don't have to lose weight. The dieting behaviors of normal or low weight groups are highly related to the negative impact of health risk behaviors. We need a strategy for intervening in the dieting behaviors of relevant groups. With this background, a study was conducted to examine the current situation of dieting behaviors and related factors in middle school girls, and to provide guidelines for the relevant dieting group. This survey was carried out by self-questionnaires passed out to 901 middle school girls from 3 middle schools in Seoul. Data were collected from April 10th, 2000 to April 17th, 2000 and 794 respondents' data were finally selected for analysis. The instruments of this study were Shin's scale for effects of mass-media, Birleson's depression self-rating scale translated by shim, Rosenberg's self-esteem scale, Smilkstein's Family APGAR score translated by Yoon, Kim's school-related adjustment scale. The credibility of instruments was 0.41~0.83 in the pilot study and 0.70~0.86 in the main study. The summary of results was as follows: 1. The general characteristics of respondents were analyzed. In comparison of grade and dieting behaviors, the subjects of the group perceived that their body image was obeser than their real body image and their ideal body image was slenderer than their current body image. A dieter's body image was seriously distorted. 2. The dieting behaviors were analyzed. The Subjects' BMI was within the normal to low range -- they didn't have to lose weight. But actually 47.3% of the respondents were dieters. Their main dieting methods were exercise(71.8%), computer games(64.9%) such as DDR and pump, and intake reduction(64.1%). Most dieters were using desirable methods such as exercise and intake control. But unhealthy methods such as saunax, smoking and harmful drug-use were also used by a few dieters. The main reason for dieting was attractiveness. The chief resources of dieting methods were mass-media(67.8%), friends(64.3%), and parents & relatives(35.1%). Only a few subjects obtained the information from health professionals. While they were trying to lose weight, 42.1% of the subjects experienced side effects such as dizziness(45.0%), apathy(20.5%), appetite loss(18.5%), amenorrhea and the irregularity of the menstrual cycle(16.6%). 3. The relationship between dieting behaviors and factors was analyzed. Dieting behaviors were significantly related to the experience of menarche, the experience of dating with heterosexuals, perceived body image, self-esteem, depression, family's relationship, school instruction-related adjustment, school life-related adjustment, and the effect of mass-media. After that, the multiple logistic regression was used. The analysis revealed that dating, perceived body image, the experience of menarche and the effect of mass media were significant factors. In conclusion, strategies for preventing irrelevant dieting behaviors are urgently required to enhance female adolescents' ability to choose the right information from countless others and to recognize their optimum body image.

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암 환아 부모의 경험에 대한 질적 연구 (The Experience of Parents Whose Child is Dying with Cancer)

  • 조영숙;김수지
    • 대한간호학회지
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    • 제22권4호
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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노령자의 건강관리에 관한 연구 -서울 지역을 중심으로- (A Study on Health Care of the Aged Live in Seoul)

  • 박재림;고진복;오형근;김인택
    • 한국환경보건학회지
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    • 제7권2호
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    • pp.119-126
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    • 1981
  • This study aims to research on the actual state of the ways that the aged people live in Seoul use intentionally or unintentionally to maintain in their health. The aged people selected randomly for the study are 541 men and 902 women who are all more than 65 years old. This survey carried out from April to May in 1980. The results of this study are summed up as follows: 1. The main means of making a living engage was agriculture with the per cent of 57. 3 and next was commerce (11.9%). 2. As for their staple foods, the majority of them eat mixed food of rice and barley, and the rest eat rice or minor-grain mixed rice. As subsidiary foods, vegetables are the most common side dishes (68.9%) and see-weeds (6.7%) are taken by the minority of them. 3. Most of them (74.6%) frequently or occasionally take special health foods to maintaing their health. The most common health food turned out to be tonic liquor to men, while honey to women. 4. The majority of them(23.2% of men and 45.5% women) refrain from drinking and smoking. 5. 39.5 per cent of men and 25.5 per cent of wome) take light exercise such as going up hill and walking. 6. The majority of them undergo routine health check with the per cent of 10.8 or occasioanal health check with the 42.9. As medical treatment, many of them(45.9%) take Chinese remedies, western remedies(39.1%) and folk remedies (15.0%). 7. Many of them (66.0%) feel subjective symptoms about some geriatric diseases such as neuralgia, hypertension and cough. 8. Many of them (63.2%) free from mental trouble, while 17.7 per cent of them appeal to no job to do, 10.0 per cent of alienation and 9.1 per cent of domestic troubles. 9. Their subjective judgements of their secrets of health and longevity attach more importance to leading a regular life. 10. Most of them want to be served appropriate medical care, rest place, health consultations, etc. All these results reveal that health and longevity of the aged people are maintained by necessary cares and efforts, not by accident nor by apathy. It is thus highly desired tha tmany studies, enlightments and nationwide support about this problem be carried out in future.

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수지침과 뜸요법이 월경곤란증에 미치는 효과 (The Effect of Hand Acupuncture Therapy and Moxibustion Heat Therapy on Dysmenorrhea Women)

  • 김순옥;조수현
    • 여성건강간호학회지
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    • 제7권4호
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    • pp.610-621
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    • 2001
  • In order to find out whether Hand Acupuncture Therapy and Moxibustion Heat Therapy is effective to relieve dysmenorrhea syndrome, we performed a Quasi-experiment on a group of fourty females. The experiment was carried out during the period from April 20 to August 20, 1999. The group was divided into two sub-groups called "a Hand Acupuncture Therapy sub-group" and "a Moxibustion Heat Therapy sub-group" consisting of 20 females respectively. Hand Acupuncture Therapy and Moxibustion Heat Therapy were performed four times a week. Especially, in case of Moxibustion Heat Therapy, subjects were treated twice a times. The data analyzed by an SAS program. The results are as follows : 1) Hand Acupuncture Therapy and Moxibustion Heat Therapy are very effective to relieve dysmenorrhea syndrome. This study shows that in case of Hand Acupuncture Therapy sub-group, supposing that mean score of Menorrhalgia before treatment was 7.85, it became low to 4.50 when. subjects suffered the first menstruation and it was 2.50 at the second menstruation, and 1.60 at the third menstruation. In the mean score of Moxibustion Heat Therapy sub-group, Menorrhalgia before treatment was 7.85, it was 5.90 at the first menstruation(p<.05), and 3.00 at the second, and 1.85 at the third menstruation. 2) Among Hand Acupuncture Therapy subgroup, 9 subjects could hardly be relieved from the pain of dysmenorrhea at the first menstruation. So, they were treated additionally with the method of tonification and sedation of abdominal diagnosis of three constitution and became completely relieved at second menstruation. Meanwhile, 7 subjects among Moxibustion Heat Therapy also faced the same situation. So they were treated with Moxibustion on dorsum of hand and got effectiveness at the third menstruation after taking therapy. 3) Odinary dysmenorrhea syndrome are constipation, dizziness, anorexia, abdominal pain, lumbago, breast engorgement, abdominal distention, dysconcentration, nervousness, diarrhea, nausea & vomitting, apathy, restlessness, fatigue, aggression, leg pain, edema. After taking therapy, all of subjects were relieved from these dysmenorrhea syndrome at third menstruation. 4) All subjects were classified into five types of physical constitution with abdominal diagnosis of three constitution as follows: 18 cases of left kidney right yang excess, 8 cases of left yin right yang excess, 7 cases of left right kidney excess, 5 cases of left right yang excess, 2 cases of left yang right kidney excess.

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농촌 다문화가정 여성의 남편역할 인식과 경험에 대한 질적연구 (Phenomenological Study on Husband's Role in Rural Multicultural Family)

  • 조해선;류진아
    • 농촌지도와개발
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    • 제20권1호
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    • pp.265-297
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    • 2013
  • 본 연구의 목적은 농촌 다문화가정 여성의 남편역할 인식과 경험을 있는 그대로 탐색함으로써 성공적인 결혼생활과 안정적 농촌사회 적응능력향상을 위한 기초자료를 제공하는 것이다. 이를 위해 농촌 다문화가정 여성 13명을 심층면접한 결과를 현상학적방법을 통하여 분석하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, 농촌 다문화가정 여성의 남편역할에 대한 인식을 분석한 결과 '착하고 따뜻한 남자', '그냥 별 생각 없었음', '깨끗하고 멋있게 보이는 사람', '아내를 고생 안 시키는 남자', '가사는 내 몫이 아닌 남편 몫', '독립된 가정 꾸리기', '자식에 대한 책임감이 강함' 이었다. 농촌 다문화가정 여성들은 국제결혼을 하면서 남편의 역할에 대해 깊이 생각하지는 않았지만 막연하게 잘 사는 한류의 나라 한국에 대한 동경과 함께 그에 대한 기대가 남편에 대한 기대로 이어져 있었음을 알 수 있었다. 또한 한국의 문화에 대한 사전 조사와 이해가 부족하여 자신의 출신국에 존재하는 사회분위기 및 가족과 부부문화가 한국에도 존재할 것이라고 여기고 있었음을 알 수 있었다. 둘째, 농촌 다문화가정 여성의 남편역할에 대한 경험을 분석한 결과 '마음이 좋고 잘 해줌', '나에게 맞춤', '무책임과 무관심', '마음을iv 기댈 수 없음', '집안 일 별로 안함', '시댁과의 중간역할', '아이와 부모, 친척 먼저 챙김', '술과 도박, 폭력을 함'이었다. 농촌 다문화가정 여성의 남편역할에 대한 경험은 남편역할에 대한 인식과는 다소 차이가 있었다. 농촌 다문화가정 여성들이 지각하는 남편역할에 대한 경험은 긍정적인 것과 부정적인 것이 함께 공존하고 있음을 알 수 있었다.

부모 작성용 은둔형 외톨이 선별 도구 개발 (Development of Parental Screening Questionnaire for Hidden Youth)

  • 백형태;김붕년;신민섭;안동현;이영식
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제22권4호
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    • pp.262-270
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    • 2011
  • Objectives : The definition of a hidden youth is a young person who has completely withdrawn from society and shut himself or herself away for more than 3 months. Those pathologically-withdrawn youths have become a burden not only to society but also to the family. However, screening of these hidden youths cannot be done easily. This study focused on developing a primary effective screening tool for these hidden youths. Methods : The 42 participants of this study were parents of hidden youths that are between 8 to 25 years old. They were selected from from mental health centers and psychiatric clinics around Seoul and Gyeonggi Province. We also recruited 239 parents of middle and high school students in the Seoul metropolitan area for a control group. In order to decide the concurrent validity of this questionnaire, we used the Symptom Checklist-90-Revision, Children's Depression Inventory, Beck Depression Inven-tory, Social Anxiety Scale for Children-Revised, Social Anxiety and Distress Scale, Avoidant Personality Disorder Scale, and State-Trait Anxiety Inventory for Children. SPSS version 12.0 was used for statistical analysis. Results : Cronbach's alpha values, the reliability coefficient to represent internal consistency, were between 0.396 and 0.935, which showed relatively high internal consistency for this questionnaire. The test-retest coefficient was between 0.68 and 0.78, which was a statistically significant result. In a factor analysis, 4 factors such as avoidance, withdrawal, isolation, and apathy were extracted. In a concurrent validity test with SCL-90-R, the isolation factor showed a statistically-significant relationship with a phobic-anxiety sub-scale, and avoidance and withdrawal sub-scales were remarkably correlated with the interpersonal sensitivity sub-scale. Conclusion : Since the questionnaire for socially withdrawn youths has achieved statistically-satisfactory reliability and validity, it will be a useful method to screen for hidden youths in educational, community, and clinical settings.

요양시설 치매노인의 치매유형에 따른 행동심리증상 특성과 간호제공자의 업무 부담감 (Different Patterns of Behavioral and Psychological Symptoms of Dementia and Caregiver Burden according to Dementia Type in Nursing Home Residents)

  • 강민숙;최현아;현진숙
    • 한국산학기술학회논문지
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    • 제17권5호
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    • pp.459-469
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    • 2016
  • 본 연구는 요양시설 치매노인의 치매유형에 따른 행동심리증상 특성과 간호제공자의 업무 부담감 정도 차이를 파악하고자 시도되었으며, 자료 수집은 2014년 6월 1일부터 12월 31일까지 5개 노인요양시설에서 실시하였다. 총 214명(알츠하이머형 치매노인 131명, 혈관성 치매노인 83명)이 연구에 참여하였으며, 행동심리증상 특성과 간호제공자의 업무 부담감은 NPI-NH (Neuropsychiatric Inventory Nursing Home Version)를 활용하여 측정하였다. 연구 결과, 알츠하이머형 치매군과 혈관성 치매군 모두에서 무감동/무관심의 발생빈도가 가장 높았으며, 알츠하이머형 치매군이 혈관성 치매군에 비하여 불안, 들뜬 기분/다행감, 과민/불안정의 발생빈도가 유의하게 높았다. 전체 행동심리증상 점수는 알츠하이머형 치매군과 혈관성 치매군에서 유의한 차이가 없었으나, 세부영역에서 초조/공격성 점수는 알츠하이머형 치매군이 혈관성 치매군보다 유의하게 높았다. 전체 간호제공자의 업무 부담감은 알츠하이머형 치매군이 혈관성 치매군보다 유의하게 높았고, 특히, 알츠하이머형 치매군에서 초조/공격성의 업무 부담감 부분이 의미 있게 높았다. 결론적으로 요양시설 치매노인은 치매유형에 따라 행동심리증상정도에 차이가 있으므로 차별화된 간호가 필요하며, 간호제공자의 업무 부담감 감소를 위한 다양한 프로그램 개발 및 전략이 필요한 것으로 사료된다.

"旧邦新命" : 儒教传统与现代中国的新探索 ("An Old Country with New Missions" : A New Exploration on the Combination of Confucian Tradition and Modern China)

  • 소영명;왕지화
    • 철학연구
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    • 제148권
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    • pp.29-47
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    • 2018
  • 20세기부터 학계에서는 유교전통과 현대 중국의 관계에 대하여 탐구해왔다. 그러나 대부분의 논의는 서양을 본보기로 삼았다. 더구나 그때의 중국은 현대화의 길을 밟지 못하였다. 이로 인하여 이와 관련한 연구들은 문제의식이 떨어졌으며 여전히 전근대의 측면에 머물고 있었다. 따라서 중국의 현대화가 이루어지고 있는 중에 이 주제를 다시 논의하는 것은 큰 의미를 지닐수밖에 없다. 다시 말해 이와 관련한 연구의 새로운 탐색은 현재 중국이 당면하고 있는 곤경을 해결하기 위한 것이다. 구체적으로 그 곤경에 대해 말하자면, 시장경제에서 이익을 중시하는 행위로 인해, 따뜻한 인정이 담겨있는 농업사회의 풍속이 파괴되었으며 사람들 간의 사이가 냉담해졌다. 그 결과, 윤리질서가 파괴되었고 도덕은 생활에서 퇴장하였으며, 정신적인 존재로서의 인간은 소홀해졌다. 그리고 집단 국가 지역 등 족군(族群) 사이에 균형을 잃은 근린궁핍의 국면이 형성되었다. 공자 이래의 유교전통은 예악교화를 통하여 풍속을 순박하게 하였다. 한편 이러한 과정에서 유교 전통은 인륜질서도 정돈함으로써 족군 내부 구성원들 간에 감정의 소통이 이루어지게 했다. 다른 한편으로는 자기 수양을 강화시켜 자아의 정신을 일정한 경지로 승화시켰으며, 예악을 적극 활용하여 일종의 문명 형태로 만듦으로써 천하의 평화와 안녕을 실현하고자 하였다. 이상의 유교전통에서의 3가지 측면은 현재 중국이 당면하고 있는 제 문제를 해결하는 데에 참고할 만한 것이 된다.

노동정보처리와 정보인권보호 (The information process on labor and the protection of information human rights)

  • 하우영
    • 정보보호학회논문지
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    • 제13권6호
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    • pp.17-32
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    • 2003
  • 기업의 정보화 추진은 첨단의 정보처리기술이 기업영역으로 흡수되면서 기업사회에 기업의 효율성 제고라는 효과와 함께 노동자의 정보인권보호라는 문제가 서로 충돌하는 위험성도 확대되고 있어 대책마련이 요구되고 있다. 그럼에도 불구하고 정보보호에 대한 무감각은 경영의 효율성을 요구하는 왜곡된 사회구조에 의해 뒷받침된다. 자본과 언론이 경제위기의 심각성을 경고하게 되면 이 불안감에 정치권은 정보보호의 측면을 외면하고 경영의 효율성에 지향된 법정책을 채택하게 된다. 이러한 일련의 과정을 통하여 정보보호의 중요성은 경영의 효율성보다 작은 이익으로 평가되기 마련이며, 결과적으로 노동자의 인권침해가 발생하게 되는 것이다. 정보처리기술의 발전과 함께 기업의 정보화는 노동자의 행동을 보다 더 철저히 감시 $.$통제하는 것이 가능해졌다. 산업현장에 새로이 파생된 정보인권 침해문제는 한편으로 정보보안의 확립과 함께 정보처리기술을 이용한 노동통제를 규제하기 위한 법적 $.$제도적 장치의 마련을 촉구하고 있다. 정보의 활용이 많은 효율성을 가진다 해도 인권의 침해가 없는 기업생활의 보장은 국민의 기본권을 보장하고 있는 헌법정신의 구현이며 시대적 요청이기도 하다. 무엇보다도 정보인권 시대에 걸맞은 관련 법률의 제정과 개정 등의 정비가 이루어져야 한다. 산재된 정보보호 관련규정을 통합하고 온-오프라인의 접목 등 다양한 영역을 포괄할 수 있는 공통원리를 적용하여 '개인정보보호기본법'(가칭)을 제정할 것을 제안한다. 그 기반 위에 노동법상으로 산업현장이라는 특수영역에서의 정보인권을 보호하기 위하여 노동조합의 주도적 참여를 보장하는 등의 직접적이고 구체적인 정보인권보호 방안을 구축해 나가야 할 것이다.