• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제9권1호
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• pp.13-25
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• 1998

본 논문에서는 부모학대의 주이유가 무엇보다도 가족내 역동과 정신병리에 있다고 생각되어, 부모학대를 주소로 입원한 청소년들을 대상으로 임상적인 소견과 병력을 심도 있게 알아보고, 그 저변에 있는 정신병리와 가족역동, 특히 모자관계를 중심으로 알아보았다. 국립서울정신병원내의 1987년부터 1997년까지 입원한 환자중 부모에게 신체 공격 또는 신체적 위해를 가하겠다는 언어적, 비언어적인 위협을 가한 환자중 정신증, 기질적인 뇌질환, 자폐아, 정신지체아동을 제외한 21명 환자의 면담과 병록지 검토를 통하여 대상 청소년들에 대한 고찰을 하였다. 부모학대로 입원한 21명의 환자중 남자 14명, 여자 7명으로 진단은 품행장애, 경계선 인격장애가 가장 많았으며, 평균 연령은 10대 중반이었다. 가족역동과 발달병리상 4개의 소집단으로 나눌 수 있었다. 1) 어머니와의 공생적인 관계군；(1) 어머니와 공생적인 관계에서 분리되지 않은 상태로 청소년 시기를 맞이하였고, 아버지의 정서적. 실제적 부재상태에서 어머니의 가정내 유일한 남자인 환자에 대한 과도한 밀착이 두드러졌다. 제2차 분리개별화시기인 청소년을 맞이하여 어머니와의 갈등적 관계에서 오는 내적 긴장감과 분노를 표현함과 동시에 나름대로 분리를 획득하고자하는 시도로서 어머니를 향한 신체적 공격을 이해할 수 있겠다. (2) 이 환자들은 탄생 이후부터 중한 질환과 발육부진으로 부모의 과잉보호로 공생적 관계에 머물며 유아적인 전지전능감, 힘에 대한 환상의 비현실적인 감각을 제대로 처리하지 못하고 현실적응을 못하고 부모에게 과도하게 의존하고, 자신의 요구가 충족되지 않으면 쉽게 과격행동으로 표출하였다. 2) 경계선 인격장애군：이들은 양육상의 적절한 모성의 결핍과 부모자체의 성격상의 문제와 미숙함으로 의존성이 조장되고 분리가 방해받아 발달상 재접근시기에 머물고 있었다. 제2차 분리개별화시기인 청소년기를 맞이하여 의존과 독립에 관한 그들의 위기 갈등이 되살아나고, 이 갈등의 표현으로 부모학대가 일어났다. 3) 품행장애군：이들은 부모와 기본적인 애착관계를 형성하지 못하였고, 부모의 존재는 이들에게 단지 자신의 필요 충족의 대상이었다. 환자 자신의 전지전능한 요구가 충족되지 못하고 갈등 상황에 빠졌을 때 공격성과 충동 조절 능력의 결여 상태에서 부모를 향한 폭력을 행사하게 된 것으로 이해된다.

• 여성건강간호학회지
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• 제2권2호
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• pp.253-269
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• 1996

This descriptive study was done to investigate the proportion of mothers breast feeding and identify factors which influence breast feeding. The subjects were 320 mother who child under five years of age, living in WonJu and their children who numbered 530. Data collection was conducted at various places in the WonJu area using survey questionnaire. The results were as follows : 1. The proportion of children receiving breast feeding was 23.3%, mixed feeding 31.7%, milk feeding 45.1%. The most frequent duration for breast feeding was one month, the mean duration was six months. 2. The major reasons for breast feeding were for the health of the child 52.5%, for emotional attachment with the child 34.2%, and as the expected way of feeding 29.5%. 3. The major reasons for interrupting breast feeding were jobs 26.1%, illness of the child or mother 16.1% abnormality of the breast of nipple 12.7% others 31%. 4. The major reasons for quitting breast feeding were insufficient breast milk 34.5%, job 19.6%, diarrhea in the child 9.9%. 5. The factors influencing breast feeding were educational status and the presence of a job. 6. The husband's attitude to breast feeding was very positive 82.3% and the subjects were supported by their mothers and husbands. But the major information sources about breast feeding were the mass media 30.4% and relatives 22.0%. 7. The breast feeding mother reported experiencing positive and satisfactory feelings, but the milk feeding mother reported experiencing negative and guilt feelings. Also the breast feeding mothers perceived their children as very healthy with a stable emotional status. The results showed the breast feeding ratio in WonJu to be very low and problematic and the subject mothers strongly need information about breast feeding and support while breast feeding. Therefore it is recommended that an education program for community women and other people, like husbands, and grandmothers, be developed along with an education program for university students and other young people to provide them with preparatory information as they begin to think about marriage and families.

• Journal of Periodontal and Implant Science
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• 제42권6호
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• pp.212-216
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• 2012

Purpose: The aim of this study was to evaluate the relationship between maternal periodontal disease and the health status of newborns using Apgar scores. Methods: One hundred pregnant women with periodontal disease were included in the case series and 100 pregnant women without periodontal disease were placed in the control group, respectively. The periodontal parameters of bleeding on probing (BOP), clinical attachment loss (CAL), probing depth (PD), birth weight, and Apgar scores were recorded in both groups. T-tests and Pearson's correlation coefficient were used to determine the birth weight odds ratio to analyze the relationship between the periodontal parameters of BOP, CAL, and PD on the one hand and an Apgar score of less than 7. An unpaired Student's t-test was used to analyze differences in means between the case and control groups using SPSS ver. 13. Results: The means of the ages, periodontal pocket depths, attachment loss, areas with BOP, Apgar score in the first 5 minutes and infant birth weight exhibited statistically significant differences between the case and control groups. The ratio of an Apgar score of <7 to periodontal disease was 3.14; the ratio of low birth weight risk in mothers with periodontal disease to that in mothers without periodontal disease was 2.74. Pearson's correlation coefficient revealed a significant correlation between the infant birth weight and BOP, CAL, and PD of the mother. In addition, there was a significant correlation between the Apgar score and BOP, CAL, and PD and also between the Apgar score and infant birth weight. Conclusions: The results of this study showed a significant relationship between periodontal disease and infant birth weight; in addition, there was a significant relationship between the periodontal indexes of BOP, CAL, and PD on the one hand and the Apgar score on the other.

• 한국보육지원학회지
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• 제10권5호
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• pp.273-298
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• 2014

본 연구는 영유아기 자녀를 둔 어머니들의 전통육아에 대한 이미지 유형과 그 특성을 Q-방법으로 분석하였다. 이를 위해 전통육아를 경험한 어머니들을 중심으로 심층면담을 실시하고 어머니들에게 전통육아에 대한 브레인스토밍을 실시하여 Q-모집단을 마련하였다. 그 중 40개의 진술문을 추출하여 Q-표본을 만들고, 40명의 어머니들에게 진술문의 동의수준을 9단계로 분류하도록 하여, 그 결과를 QUANL 프로그램으로 분석하였다. 연구결과 영유아기 자녀를 둔 어머니들의 전통육아에 대한 인식 유형은 네 가지로 구분되었으며, 각 유형 '조화로움을 통한 관계 지향적 육아', '한국 고유의 전승가치를 담은 원형적 육아', '생명을 존중하는 실천 중심적 육아', '현대적 변형이 필요한 애착육아'로 명명되었다. 이 연구는 어머니들이 가지는 전통육아에 대한 이미지를 살펴봄으로써 전통육아의 전승과 효과적 실천을 위한 실제적 시사점을 도출하는 계기가 되었다.

• 가정과삶의질연구
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• 제25권4호
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• pp.43-55
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• 2007

The Purpose of this study was to investigate the ecological variables on adolescent's sociometric popularity. Independent variables were organism(sex, age, aggression, self-esteem, impulsiveness, prosocial behavior, dominance), microsystem(parenting style, family support, friends relationship, teacher support), mesosystem(family-peer relationship, family-school relationship), and exosystem(positive community environment, social support of extended family, school's policy). The subjects were 835 - 1st and 2nd graders of two middle and two high schools in Daegu. Adolescent's sociometric popularity and ecological variables were measured with questionnaire. Adolescent's sociometric popularity was measured with sociometric popularity questionnaire. Organism variables were measured with sex, age, aggression, self-esteem, impulsiveness, prosocial behavior and dominance questionnaire. Microsystem variables were measured with parenting style, family support, friends relationship and teacher support questionnaire. Mesosystem variables were measured with family-peer relationship and family-school relationship questionnaire. Exosystem variables were measured with positive community environment, social support of extended family and school's policy questionnaire. The data analyzed by frequency, percentage, mean, cronbach's $\alpha$, and multiple regression. The major findings were as follows: First, adolescent's sociometric popularity was affected by age, overt aggression, academic self-esteem, social self-esteem, and impulsiveness of organism variables. Second, adolescent's sociometric popularity was affected by mother's affectional parenting, mother's control parenting, and attachment to friends of microsystem variables. Third, adolescent's sociometric popularity was affected by family - peer relationship and family - school relationship of mesosystem variables. Fourth, adolescent's sociometric popularity was affected by appraisal support of extended family, after-school activity, and circle activity of exosystem variables.

• 한국보육학회지
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• 제18권2호
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• pp.203-215
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• 2018

본 연구의 목적은 구조방정식모델을 이용하여 유아 기질과 애착이 어떠한 경로로 유아 놀이성에 영향을 주는가를 살펴보고자 하는 것이었다. 이를 위해 U시에 소재한 유치원에 재원중인 만 5세 유아 275명을 연구대상으로 유아 놀이성(CPS), 기질(DOST-R) 및 애착(IPPA)을 측정하였다. 수집된 자료는 SPSS와 AMOS 프로그램을 통하여 기술통계, Pearson 상관계수 및 구조모형분석을 실시하였다. 모형의 적합도는 ${\chi}^2$, RMSEA, NNFI, CFI 및 SRMR로 평가되었다. 연구결과를 살펴보면 첫째, 유아 기질과 유아 놀이성 간에 정적상관관계가 나타났으며 유아 애착과 유아 놀이성간에도 정적상관관계가 나타났다. 둘째, 유아 애착은 유아 놀이성에 직접효과가 있는 것으로 나타났고 유아 기질은 유아 애착을 거쳐 유아 놀이성에 간접효과가 있는 것으로 나타났다.

• 여성건강간호학회지
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• 제4권2호
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• pp.271-285
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• 1998

The purpose of this study is to explore and describe the experiences of postpartal woman, Korean postpatal care that Korean women experience afterbirth, to find the meaning of their lived experiences and to contribute to the base Korean maternal nursing. The method is to phenomenological through participant in depth interview. The subjects of this study were 8 women who are 1 week to less or over 100 days afterbirth. Their age rang from 22 to 33. All available data was collected from 26th of March 1988 to 10 of July 1998. A tape recorder was used with the permission of the subjects to prevent the loss of spoken information. The analysis of the data was made through Colaizzi's. The result of the study was as follow: There were eleven themes and 8 structures, Structure 1 : Acceptance to the traditional Sanhujori, Structure 2 : Powerlessness, Structure 3 : Disappointment and Being sorry, Structure 4 : Attachment as mother, Structure 5 : Anxiety on bring up, Structure 6 : Praying the well being of baby. Structure 7 : Negative body image 8 : Information seeking, Structure. In conclusion, nurses have to help Korean women afterbirth who are in difficulties physically, emotionally, socio-psychologically as direct caregivers and educators. As continually finding out the Korean postpartal care. Sanhujori, we can build the our original maternal nursing.

• Child Health Nursing Research
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• 제15권1호
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• pp.24-33
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• 2009

Purpose: The purpose of this study was to explore the parent related factors that influence internet game addiction among elementary school students. Method: Data was collected through self-administered questionnaires and descriptive statistics, t-test, ANOVA, correlation and stepwise multiple regression were used to analyze the data. Data survey was conducted with 739 conveniently selected students who were in grades 4, 5, and 6 of elementary schools in Seoul or Gyung-gi province. Results: The addiction groups were classified as general user group (84.3%), potential risk group (10.0%) and high risk group (5.7%). There were significant internet game addiction differences by gender, grade, expense of internet cafe, religion, school record, place where child played, economic status, and duration and frequency of game play. The addiction was negatively correlated to parents' attachment, supervision, attitude to child nurturing, and expectations regarding school study. The most significant variables were both parents' attitude to child nurturing, and mother's supervision. These three variables explained 20.7% of internet game addiction in elementary school students. Conclusion: These findings are expected to make a contribution to the creation of ideal interventions at school, home, and counselling centers to prevent internet game addiction.

• 동서간호학연구지
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• 제26권2호
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• pp.109-117
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• 2020

Purpose: We aimed to develop domains for the resilience improvement of unmarried mothers to prevent child abuse based on a nursing model of resilience. Methods: We conducted a literature review and in-depth interviews with unmarried mothers. Results: Based on Polk's nursing model of resilience, we derived 4 patterns, 10 domains, and 24 sub-domains for improving the resilience of unmarried mothers. Philosophical pattern includes the domain of parenthood preparation and dispositional pattern includes the domains of emotional support, control of emotions, and child abuse awareness correction. Situational pattern includes the domains of maternal health promotion, understanding of child development and improvement of parenting skills, and assessment of the domestic environment and modification of risk factors. Relational pattern includes the domains of enhancement of mother-infant attachment, family support, and social support. Conclusion: We identified domains for enhancing resilience based on the situational and personal characteristics of unmarried mothers. The results of this study may contribute to child abuse precention by promoting the resilience of unmarried mothers.

• 여성건강간호학회지
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• 제19권3호
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• pp.129-141
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• 2013

Purpose: The purpose of this study was to determine the current state of nursing intervention for maternal adaptation and its' effectiveness in Korea by utilizing a systematic review. Methods: The PICO(Population-Intervention-Compar ator-Outcome) strategy was established, and 1,720 pieces of literature published during the last ten-year period from four electronic databases were reviewed. Eighteen references that met inclusion and exclusion criteria were finally selected for systematic review. The quality of references using critical appraisal checklist for experimental studies were evaluated, and then systematic review and meta-analysis were conducted. Results: All 18 references were quasi-experimental research design. Most interventions were provided at the hospital and postpartum care center. Maternal adaptation interventions appeared to be of many types, and particularly maternal role education programs were the most common. Confidence in maternal role was used as the most common variable for the maternal adaptati on. Various interventions for helping maternal adaptation in the postnatal period improved maternal confidence, moth er-infant attachment, maternal satisfaction and mother-infant interaction effectively. Conclusion: A diversity of nursin g interventions in postnatal period improved various aspects of maternal adaptation. Randomized controlled trials and longitudinal studies are needed in order to verify the effect of interventions for maternal adaptation more clearly.