• 제목/요약/키워드: Child Care Environment

검색결과 437건 처리시간 0.026초

재난 시 소아청소년 정신건강 평가 및 치료의 주요 요소: 전문가 델파이 예비 조사 (The Major Elements of Psychological Assessment and Intervention for Children and Adolescents after a Disaster: A Professional Delphi Preliminary Survey)

  • 박장호;이미선;장형윤;황준원;이주현;김지연;이철순;김은지;배승민;방수영
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제27권3호
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    • pp.164-172
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    • 2016
  • Objectives: This study attempted to evaluate the usefulness and direction of development of post-traumatic assessment and interventions based on the opinions of psychiatrics and disaster and trauma-related experts using the Delphi survey technique. Methods: In-depth individual interviews served as the pre-survey and were followed by Delphi primary and secondary surveys. Specialists in child and adolescent mental health, psychological support professionals specialized in disasters and related practitioners with experience of disasters in Korea completed a set of questionnaires and participated in focus group interviews and in-depth individual interviews on post-traumatic assessment and intervention. Results: We found that the following issues have a significant impact on the interventions after disasters: the proper time of the initial interview in the event of a disaster, assessment notices, aged assessment services, mandatory enforcement measures, scale screening and treatment intervention elements, symptoms degree classification, intervention standardization, the use of a levelled program, care unit environment, and operation plan. Conclusion: This study proposed effective mental health intervention measures and has implications for the development of evaluation treatment protocols after disasters.

최근의 출산력과 정책적 함의 (Recent Fertility and its Policy Implications)

  • 박경애
    • 한국인구학
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    • 제30권3호
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    • pp.137-156
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    • 2007
  • 합계출산율이 2005년 1.08이라는 최저치에서 2006년 1.13으로 증가하면서, 이 증가가 각종 정책의 결과이기 때문에 출산력 증가가 지속될 것이라는 주장과 일시적일 것이라는 주장 간 논란이 있다. 이 연구는 인구동태신고 자료를 활용하여 최근의 출산력 변화를 집중적으로 살펴봄으로써 정책 시사점을 찾고자 하였다. 이를 위하여 출산순위별 템포조정합계출산율, 모의 연령 및 출산순위별 출산율, 연령별 유배우 출산율, 연령별 유배우 이혼율 등을 분석하였다. 전년대비 2006년 합계출산율과 출생아수가 증가한 것은 여성의 초혼과 첫째아 출산의 연기가 주춤해지면서 주로 30대 초반의 첫째아 출산 증가에 기인한다. 2006년과 2007년에는 20대 후반 여성인구의 증가(제3차 베이비붐 효과) 및 초혼의 급증으로 2007년과 2008년에는 출생아수가 증가할 것이다. 다만, 20대의 미혼율은 증가하구 유배우 출산율은 감소 추세이어서 장기적 관점의 출생아수 및 출산율 증가는 미지수이다. 또한, 첫째아와 둘째아의 출산율은 급속도로 저하되는데 반해, 셋째아 이상은 변화가 없으며, 둘째아 출산이 출산연령조정의 영향을 많이 받는 것으로 나타났다. 이는 셋째아 이상을 출산하도록 장려하는 것보다는 첫째아, 둘째아를 낳을 수 있는 사회적 환경 조성이 더 필요하고 현실적임을 시사한다. 아울러, 사회적 양육대책 마련, 고령출산에 따른 모자보건문제, 다문화가정지원책 필요성 등을 언급하고 있다.

자녀를 둔 어머니의 출산과정 경험 (An Ethnographic Research Study on Childbearing Process of Mother with Children in Korea)

  • 김영희
    • 여성건강간호학회지
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    • 제7권3호
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    • pp.271-283
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    • 2001
  • The childbearing process is a sociocultural phenomenon of a woman who gives birth to a child as well as a biological phenomenon. The purpose of this ethnographic research study was to explore the experience of childbearing process of mothers with children from pregnancy to the 3 months postpartum in Korea and to understand deeply the perspectives of childbearing women reflected on Korean sociocultural values. A convenient sample of 10 childbearing women were observed from January to October 2000 through field work in Seoul, Korea. Data analysis was accomplished under ongoing process. The results of this study were as follows : The mothers with children experienced self-reflection, family relation, and physical adaptation during pregnancy. In self-reflection, all mothers experienced universality and diversity in their self-discovering process. The universal experiences were maturation, life with family and priority on maternal value between being a mother and a woman. The diverse experiences were taking a dual role of working mother, emotional drift of a resigned mother, and disheartened life of a mother who has two daughters. In family relation, the foundation of the new marital relationship were attained during childbearing process and sexual life were changed for the benefit of a healthy mother and a healthy baby. All mothers established friendly relations with their mothers, but established friendly or conflicting or constraining relations with their mother-in-laws due to husband based family culture. In physical adaptation, the informants endured well the physical discomfort and recognized general appearance change. Also maternal-fetal interaction occurred and mothers realistically felt motherhood and accepted themselves as mother-to-be. The mothers prepared for the best delivery, look for a safe childbirth center, newborn goods, endorsed family coping during hospitalization and responded labor pain to make it more endurable, less painful, fast passed owing to labor recognition of the natural process to be a mother. After childbirth, they felt emancipation, satisfaction, accomplishment, more easiness, actually feeling as mother-to-be, emptiness, and showed response to the sex of newborn. Their Sanhujori practice was different according to the Sanhujori environment including provider, place, time in postpartum and reflected on Sanhubyung. The mothers felt actually mother-to-be and happiness during lactation regardless of feeding pattern. These mothers had a different maternal image about rearing subjecthood through their child-rearing experience. But all mothers felt need for family support and social support. The universal rearing response were actual feeling of mother-to-be, a strenuous experience, a pride on child-rearing, confusion, reflecting marital relationship, and wondering rivalry among children. In conclusion, mother of all with children went through self-discovery, self-reflection and made connections with the family as a mother and as a woman simultaneously during the childbearing process. Therefore it is suggested when harmony and balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting the childbearing process from the perspectives of the women with children. Therefore health care providers must understand deeply the childbearing women with children based on this finding of and try a integrative approach with new ideology of maternity with biocultural perspectives in a clinical setting.

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구순 및 구개열 환아 부모의 가족 스트레스와 대처에 관한 연구 (A Study on Family Stress and Coping of the Parents of Child who has a Cleft Lip or / and Cleft Palate)

  • 노난이;탁영란
    • Child Health Nursing Research
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    • 제2권2호
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    • pp.45-57
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    • 1996
  • A serious disease in a family influences the entire family member given the fact that the members closely interact with each other. Especially in terms of pediatric nursing, study on family gains importance as the need to care of families whose children with developmental disabilities and chronic disease This study was done based on The Resiliency Model of Family Adjustment and Adaptation(McCubbin, 1991) is intended to examine the stress of parents whose children suffer from cleft lip or /and cleft palate. It also helps them to cope with the stress and analyze the relationship between the stress and coping This study used Family Inventory of Life Events and Changes (FILE) and Coping Health Inventory for Parents(CHIP) for measuring family stress and coping. The two instruments are revised to fit the social and cultural environment of Korean culture. Data collection was done from April 18, 1996 to May 18, 1996 at 8 University medical centers located in Seoul. Those who answered questionnaires were 84 parents whose children have cleft lip or /and cleft palate. SPSS PC+ was used to analyze the data collotted. Programs used for data analysis were t-test, ANOVA, Pearson correlation coefficient. The study is summarized as follows .1. The average score of family stress is 10.46(percentage of the full score 24.90) and 'finance and business strains'(3.25), and 'intrafamily strains'(2.65) ranked the highest. The average score of family's coping is 1.93, which is close to the answer of' moderately helpful' and they are measured to put their utmost efforts to' intergration and cooperation of family and optimistic definition on the situation'. 2. There is no significant statistical correlation between the family stress and coping. 3. Mothers show more stress than fathers in the parts of 'illness and family care strains' and 'losses'(t〓-2.34, t〓-2.32, p<.05). 4. Fathers show more willingness to cope with the stress than mothers do in the parts of' seeking social support','self-esteem','emotional comfort' 5. Mothers are more stress than fathers in the parts of family stress and its coping with it by usual traits(t〓-2.78, p<.05). Parents with religion are measured to cope more willingly than those who are not 6. Income of a family shows positive correlationship with family coping (r〓.28, p<.05). The study shows that gender difference is significant variable in studying on family stress and coping. Mothers get more stress than fathers, which has much to do with the fact that they are in charge of raising children and keeping houseworks. Accordingly, managing family crisis and its survival can be induced by giving support for the mothers, studying fathers including the rest of the family members and giving nursing care and arbitration ; religious background is also considered to be one of the important factors in family stress , judging from the relationship between family income and family's coping, caring given to suffering children is needed on societal levels. The above considerations bring up the need to have a longitudinal study of children with congenital anomaly including cleft lip or /and cleft palate and their families about family stress and coping. Resiliency programs on family system and their effectiveness and the relationship between the enlarged families with social and cultural values reflecting Korean tradition are also needed to be studied.

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우리나라 보건의료법령에 명시된 간호에 관한 연구 (A Study on the Nursing Profession as Stipulated by Health & Medical Laws of Korea)

  • 김은영
    • 지역사회간호학회지
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    • 제8권1호
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    • pp.116-132
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    • 1997
  • The purpose of the study is to find out how laws related to the nursing profession can be improved by analyzing the rules and regulations concerning nursing. Furthermore, to help settle legal matters in the process of doing nursing work. The data used for the study are the Health and Medical Act, the Maternal and Child Health Act, the School Health Act, the Special Act for Health and Medical Service in Rural Areas, the Industrial Health & Safety Act and the Notice on Nursing Professional Courses analyzed by age and content. The results of the study are as follows : First, basic nursing practice includes 'nursing care for recuperation and assistance in medical treatment and in special areas including the pre-vention of disease, maintenance of health, control of environment, and other therapeutic activities. It is suggested that the phrase 'assistance in medical treatment' should be eliminated as it limits the basic nursing practice to the assistance of the medical treatment. Second, Article 56 of the Health & Medical Act prescribes a special nurse but it does not prescribe a specific job. Accordingly, the new provison concerning the specific jobs of a special nurse should be added or a job guide should be inseated. Third, it is prescribed that those who have completed the training course after obtaining a license are qualified to be a midwife, a special nurse and a nurse practitioner working in special areas. However, school nurses, occupational health nurses and maternal and health workers are required to obtain a nurse license, but not to take an additional training course. Nurses working in special areas should be legally recognized as nurse specialists. The regulations to control various qualification standards consistently should be established. Fourth, the qualifications and types of nurses by area prescribed by Article 54 of the Health and Medical Act are not consistent with those of special nurses as recognized by affiliated organizations of the Korean Nurse Association and some hospitals. Accordingly, the qualifications and types of special nurses should be adjusted in consideration of special nurses. Fifth, as Article 16, Paragraph 2 of the Health and Medical Act does not prescribe the type and scope of first - aid treatment that nurses can provide, the first-aid treatment of nurses might be considered as an unlicensed practice. The specific regulations regarding these matters should be established. Sixth, the contents of the nursing record, which are prescribed by Article 21 of the Health and Medical Act as a duty, include 1) matters concerning body temperature, pulse, breath and blood pressure 2) matters concerning drug prescription 3) matters concerning input and output 4) matters concerning the treatment and nursing care (Article 17 of the Enforcement Regulations, Health and Medical Act). However, these matters are limited to basic nursing care and assistance in medical treatment. The new recording methods on nursing process are suggested to be adopted legally. Seventh, the prescription right entrusted to nurses which are prescribed by the School Health Act, the Special Act on Health and Medical Service for Rural Areas, and the Industrial Health and Safety Act are not consistent with the rights of nurses as prescribed by the Health and Medical Act. New regulations prescribing the partial right for medical treatment entrusted to nurses in consideration of the restraint of time and place in emergency situations should be established.

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유아의 기질과 부모의 양육 행동 관련 유아의 문제행동 변화 연구 추이 및 유형에 대한 종단적 탐색 연구 -1970~2015년까지의 연대별 문제행동 범주와 내용분석을 중심으로- (A Longitudinal Exploratory Study on Change Research Trends and Patterns of Children's Problem Behaviors for Their Temperament and Parenting Behaviors -Focured on the Category and Content Analysis of Chronological Problem Behaviors from 1970 to 2015-)

  • 김정겸;강영식
    • 한국산학기술학회논문지
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    • 제16권10호
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    • pp.6722-6742
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    • 2015
  • 본 연구는 유아의 기질과 부모의 양육행동과 관련하여 유아의 문제행동변화를 종단적 탐색연구를 통해 그 시사점을 모색하고자 연구하였는데 결과를 보면 1970~1990년도 전체 41개 요인에서 1990~2000년대 62개요인 2000~2010년에 93개 요인으로 나타내 초기 연구에 비해 관련 영향요인이 2000년대 이후 두 배 이상 증가된 것으로 나타내 그만큼 세분화되고 있음을 알 수 있다. 관련요인의 비중에 있어서도 부모의 도덕적 사고관이 가장 높고 그리고 유아에 대한 부정적 사고나 정서가 더 높아 유아자신의 기질이나 태도보다 부모의 유아에 대한 양육 태도에 따른 영향을 많이 받는 것으로 나타났다. 이는 유아의 문제행동 영향요인과 원인 규명에 있어 초기연구들은 유아 개인에 정신 건강적 측면에서 문제행동의 원인을 찾으려는 경향이 높았으나 2000년대 이후 들어 유아 개인뿐만 아니라 가족, 관계, 가정환경, 어린이집 이용환경이 급격히 증가하면서 사회적 환경과 또래, 교사관계 등의 비중이 높아져 이에 따른 대체 자원 또한 시대적 환경에 따라 달리 적용되어야 할 것을 시사한 것으로 평가할 수 있다.

할머니의 양육경험 이야기 : 자녀 세대와 손자녀 세대 양육을 중심으로 (The Story of Grandmothers' Experience Raising Children)

  • 김윤숙;전연우;조희숙
    • 한국보육지원학회지
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    • 제8권3호
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    • pp.185-208
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    • 2012
  • 본 연구는 할머니의 양육경험을 자녀 세대와 손자녀 세대 중심으로 살펴보고자 하였다. 이를 위해 자녀 세대와 손자녀 세대의 양육을 경험한 세 할머니를 대상으로 심층면담을 통하여 분석하였다. 연구결과 할머니의 양육경험은 양육 환경의 변화, 양육 문화의 변화, 양육가치관의 변화로 크게 3가지 범주로 나타났다. 구체적으로는 양육 환경의 변화는 '혼자 하는 양육에서 성인 자녀와 함께 하는 양육으로', '체력으로 이겨낸 양육에서 체력이 달리는 양육으로' 으로 나타났다. 양육문화의 변화에서는 '전통을 답습하는 양육에서 시대의 흐름을 따라가는 양육으로', '보편적인 양육에서 차별화된 양육으로', '계획되지 않은 양육에서 계획된 양육으로' 으로 나타났다. 마지막으로 양육가치관의 변화에서는 '무조건적 사랑의 양육에서 사랑과 훈육이 조화된 양육으로', '학습최우선의 양육에서 건강최우선의 양육으로', '조바심 내는 양육에서 기다려주는 양육으로' 으로 나타났다. 이러한 결과는 양육 환경, 양육 문화, 양육 가치관에 따라 과거와 현재를 양육하는 할머니의 양육경험이 변화되고 있음을 시사해준다.

만 2세 영아반의 교실문화에 관한 질적연구 (A Qualitative Study on Classroom Culture in a Toddler Class of 2 year olds)

  • 홍성희;조은래
    • 한국보육지원학회지
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    • 제9권6호
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    • pp.171-196
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    • 2013
  • 영아에게 어린이집 교실은 물리적 환경을 넘어서 영아와 교사가 서로 상호작용하며 관계를 형성해 가는 공간이며, 사회적 삶을 시작하는 공간이다. 영아가 교실 속에서 어떠한 문화를 경험하고 형성해 가는가를 이해하는 것은 영아의 바람직한 성격형성과 사회성 발달을 위한 기초 자료를 제공할 것이다. 이에 본 연구는 만2세 영아반 교실문화의 특성에 대하여 살펴보고자 하였다. 자료수집은 H어린이집 만 2세반 영아들을 대상으로 16회기 동안 비 참여 관찰, 교사면담을 통하여 이루어졌으며, 수집된 자료는 질적 연구의 주제 분석에 따라 주의 깊게 읽고 범주화 하는 과정을 거쳤다. 그 결과 만 2세 영아반의 교실문화는 '함께하기'로 나아가는 과도기적 문화, 몸을 통한 의사소통 문화, 교사를 향한 절대적 의지와 반응의 문화, 해체와 통합이 공존하는 문화의 4가지로 나타났다. 본 연구의 결과는 영아의 교실에서의 생활과 사회관계의 경향성에 대한 이해를 높이는데 도움이 되고, 교실문화의 주체자로서의 영아에 대한 재인식, 교사의 적절한 지도방향의 모색, 보육환경을 마련할 필요가 있음을 시사한다.

청소년의 개인요인, 가족요인 및 또래요인이 내면화·외현화 문제행동에 미치는 영향 (The Effects of Individual, Family, and Peer Factors on the Internalizing and Externalizing Problem Behavior of Adolescents)

  • 김연화
    • Human Ecology Research
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    • 제52권4호
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    • pp.371-382
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    • 2014
  • This study investigated the relationships among individual factors, family factors, peer relationships and the internalizing and externalizing behaviors of adolescents. The data were obtained from a sample of 417 7th and 8th grade students. These data were collected with questionnaires and analyzed by using a t-test, Pearson's correlation, and a multiple regression analysis with SPSS ver. 18.0. The results can be summarized as follows. There is a significant difference in an adolescent's self-control, their father's rejective rearing, peer pressure, and the peer relationship between boys and girls. The results showed that boys had higher self-esteem and father's rejective rearing than girls. On the other hand, girls had higher peer pressure and more intimate peer relationships than boys. The results revealed that the 7th grade students had higher self-esteem and mother's warmth rearing than the 8th graders. Furthermore, the 8th grade students showed higher shame, mother's rejective rearing, marital conflict, internalizing behavior, and externalizing behavior than the 7th graders. The internalizing behavior in boys was influenced by shame, marital conflict, and peer pressure. In the case of girls, the internalizing behavior was affected by shame, mother's warmth rearing, and peer pressure. The externalizing behavior in boys was influenced by self-control and shame. In the case of girls, the externalizing behavior was affected by self-control, shame, marital conflict, and peer pressure. Adolescents who exhibited higher levels of shame than others and higher peer pressure showed internalizing problem behaviors. Adolescents who had less self-control and more shame, experienced more externalizing behavior problems.

북한이탈주민의 정보요구와 정보행태에 관한 연구 - 부산지역 거주자를 중심으로 - (Information Needs and Behavior of North Korean Refugees)

  • 조용완
    • 한국문헌정보학회지
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    • 제40권3호
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    • pp.121-149
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    • 2006
  • 최근 우리사회에 급증하고 있는 북한이탈주민들이 성공적으로 정착하지 못하고 부적응 현상을 보이고 있는 현실에서, 이 연구는 북한이탈주민들이 봉착해 있는 적응과 정착의 문제를 "정보"의 관점으로 접근해 보고자 하였다. 이 연구에 의하면 북한이탈주민들은 남한사회의 정착을 위해 다양한 정보요구를 가지고 있었는데, 그 중에서 취업/사업에 대한 정보요구가 가장 높았으며, 이어서 복지혜택. 건강/안전, 육아/교육, 북한소식, 언어/억양 등의 순으로 정보요구가 높은 것으로 나타났다. 하지만 안타깝게도 이러한 정보요구를 충족하기 위한 방법에서는 많은 한계가 존재하고 있었다. 그들은 남한사회 정착에 필수적인 정보를 입수하기 위해 공식적인 기관이나 단체를 활용하기보다는 자신과 같은 처지에 있는 북한이탈주민 가족, 친구, 이웃을 통해 폐쇄적으로 정보를 입수하는 경향을 보이고 있었다. 그리고 TV와 신문, 인터넷 등 대중매체 정보원을 적극적으로 활용하려는 모습은 나타났으나 현재 그들의 정보환경이 상대적으로 열악한 상태에 있어 필요한 정보를 제대로 입수하여 삶의 문제 해결에 활용하는데 어려움을 겪고 있었다.