• Physical Therapy Rehabilitation Science
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• 제11권1호
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• pp.24-31
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• 2022

Objective: This study attempted to find out if it changes the child's ability to perform daily life activities when visiting the familiar environment and daily living space of children with cerebral palsy and conducting a home activity support program for children and parents. Design: Randomized Controlled Trial Methods: Among 22 children aged 3 to 12 years old, they were assigned to the intervention group and control group. Of these, 12 boys and 10 girls participated in the study. Gross motor function measure and upper extremity function evaluation were used to measure the physical function of children with cerebral palsy, and self-care skills, mobility and social functions were evaluated in the pediatric evaluation of disability inventory. In addition, a parenting sense of competence was used to find out the efficacy of parents in raising children. After the pre-evaluation, basic rehabilitation treatment and intervention programs were applied to the intervention group, and only basic rehabilitation treatment was performed to the control group, and post-evaluation was performed 8 weeks later. Results: As a result of the study, among the items that measured the gross motor function, upper limb function, and daily life performance ability of the intervention group in the difference between the intervention group and the control group, statistically improved in personal processing and movement (p<0.05). In addition, the parenting sense of competence children in the intervention group was statistically significant (p<0.05). Conclusions: The home activity support program will help strengthen the ability of cerebral palsy children to perform daily life as a way to set mutually agreed goals with their families or children and achieve them in a familiar environment.

• 문화기술의 융합
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• 제8권5호
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• pp.341-349
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• 2022

본 연구에서는 아동기 트라우마를 겪은 성인여성 생존자의 트라우마 영향으로 인한 정서경험에 대하여 심층적으로 탐구하고자 하였다. 이를 위해 아동기에 트라우마를 겪은 기혼 성인여성을 대상으로 심층면접을 진행하였다. 수집된 자료는 Colaizzi의 현상학적 연구방법을 통해 분석을 실시하였다. 연구결과, '자신을 지킬 수 없는 아이', '트라우마된 아동기 외상', '불안정애착과 착한아이 증후군', '대인관계의 어려움', '자녀양육의 어려움', '신체화증상', '잃어 버린 나를 찾아서' 의 7개의 범주가 도출되었다. 아울러 본 연구에서는 양육자로부터 직접 학대를 경험한 외상과 동생의 사고를 목격 경험한 가족인 형제의 외상이 트라우마로 진행하는 두 사례를 비교와 대조를 통해 가족내에서 자녀들이 겪어야만 했던 심리 내적인 경험과 부모와 아동기에 형성된 불안정 애착으로 인한 관계외상과 이를 치유해 가는 성장 경험을 이해하려는 것이 목적이다. 아동기 트라우마를 겪은 성인여성들의 삶의 전반에 반영된 부정적 부적응적 정서경험에 대한 연구결과를 통해 건강한 자아 회복과 정서적으로 잘 적응하며 살아갈 수 있는 토대를 마련하였다고 볼 수 있다.

• 디자인융복합연구
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• 제15권3호
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• pp.103-116
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• 2016

본 연구는 사회발전으로 인한 성별분업 체계의 변화와 가사전담 남편의 비율이 증가함에 따라 이들의 육아를 다루는 프로그램에 대한 필요성에 주목하여 가사전담 남편을 주요 대상으로 육아채널 개설 시 필요한 브랜드마크와 스테이션 아이디를 디자인하여 제안하는데 목적이 있다. 선행연구와 현황분석을 통해 브랜드마크와 응용브랜드마크를 제작하여 생후 6개월~37개월까지의 아이를 육아하는 부모 55명을 대상으로 채널 필요성과 선호도 및 인지도 관련 수용자 의식조사를 2차에 나누어 실시하였다. 1차 조사 결과, 부모들의 육아에 대한 걱정과 두려움의 심리와 육아채널의 필요성을 확인하였고, 브랜드마크와 응용브랜드마크 형태와 색채 선호도 및 인지도 평가를 통해 부정적 결과를 얻은 응용브랜드마크의 문제점을 도출하고 이에 대한 개선안을 제안하여 2차 설문조사를 실시하였다. 그 결과, 아이를 연상시킬 수 있는 형태가 인지도와 적합성이 높았으며, 고채도의 남색 계열 색채 사용이 긍정적임을 확인하였다.

• Archives of Plastic Surgery
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• 제50권6호
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• pp.578-585
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• 2023

An artificial sphincter implanted in the bulbous urethra to treat severe postprostatectomy urinary incontinence is effective, but embedding-associated complications can occur. We assessed the feasibility, efficacy, and safety of urethral graciloplasty cross-innervated by the pudendal nerve. A simulation surgery on three male fresh cadavers was performed. Both ends of the gracilis muscle were isolated only on its vascular pedicle with proximal end of the obturator nerve severed and transferred to the perineum. We examined whether the gracilis muscle could be wrapped around the bulbous urethra and whether the obturator nerve was long enough to suture with the pudendal nerve. In addition, surgery was performed on a 71-year-old male patient with severe urinary incontinence. The postoperative 12-month outcomes were assessed using a 24-hour pad test and urodynamic study. In all cadaveric simulations, the gracilis muscles could be wrapped around the bulbous urethra in a γ-loop configuration. The length of the obturator nerve was sufficient for neurorrhaphy with the pudendal nerve. In the clinical case, the postoperative course was uneventful. The mean maximum urethral closure pressure and functional profile length increased from 40.7 to 70 cm H₂O and from 40.1 to 45.3 mm, respectively. Although urinary incontinence was not completely cured, the patient was able to maintain urinary continence at night. Urethral graciloplasty cross-innervated by the pudendal nerve is effective in raising the urethral pressure and reducing urinary incontinence.

• 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.

• 동양고전연구
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• 제50호
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• pp.179-209
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• 2013

"양아록(養兒錄)"은 묵재(默齋) 이문건(李文楗)(1494-1567)이 손자를 양육하면서 남긴 기록물이다. "양아록"의 저자인 이문건은 조선 중기의 문신으로 본관은 성주(星州), 자는 자발(子發), 호는 묵재(默齋), 휴수(休?)이다. 그는 정암(靜庵) 조광조(趙光祖)의 문인으로 기묘사화와 을사사화를 겪었으며, 그 과정에서 경북 성주에 20여 년간 유배되었다가 결국 그곳에서 생을 마쳤다. 16년간의 기록인 "양아록"은 크게 3단 구성을 보인다. 먼저 제1단에서는 묵재 본인의 자서(自序)와 손자 출생 시의 기쁨을 담은 율시 한 수, 출생 당시의 상황과 개명(改名)에 대해 언급한 산문 한 편, 성주 목사와 조카 이섬(李?)이 보내준 축시가 등장하며, 제2단에서는 본격적인 양아의 내용을 35제의 시로 담아냈다. 그리고 마지막 제3단에서는 음주에 대한 경계, 가족에 대한 소개, 세계(世系), 축원문, 자신의 성품에 대해 자책하는 글로 마무리 했다. 본고에서는 "양아록"에 나타난 조부와 손자의 갈등에 대해 살펴보았다. "양아록"의 여러 측면 가운데 유독 조손 간의 갈등에 초점을 둔 것은 서술의 주체인 묵재의 마음에 자리한 애증의 양가감정에 주목했기 때문이다. "양아록"에는 묵재의 심리적 추이가 잘 나타나 있는데, 특히 손자에 대한 사랑과 기대가 갈등과 실망으로 이행되는 모습을 보노라면, 인간관계에 존재하는 애증(愛憎)의 거리에 대해 생각해 보게 된다. 연구 목적에 맞는 정확한 논의를 위해 제2장에서는 조손 갈등의 근본적 발생 요인에 대해 살펴보았으며, 제3장에서는 조손 갈등의 구체적 양상에 대해 고찰했다. 갈등의 원인과 양상에 대한 검토를 바탕으로 제4장에서는 성찰의 자료로서 "양아록"이 현대인들에게 주는 전언에 대해 생각해 보았다.

• 벤처창업연구
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• 제9권4호
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• pp.135-144
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• 2014

본 연구는 어린이집에서의 보육교사 역할의 중요성에 대한 인식 확산 및 시설이 확대되는 시점에서 어린이집에서 근무하는 보육교사들을 대상으로 조직몰입에 대해 스스로 어떻게 평가하고 있는지를 살펴보고, 이에 영향을 미치는 요인이 무엇인지 살펴보았다. 서울지역 어린이집에서 근무하는 보육교사를 대상으로 직무만족 자기인식 요인과 원장의 리더십 자기인식 요인, 인구통계학적 특성, 직장관련 특성 요인들이 조직몰입(정서적 몰입, 규범적 몰입, 지속적 몰입)에 영향을 미치는 요인들을 분석하였다. 분석 결과 직무만족, 개별적 고려, 지적 자극, 동기부여, 연령, 학력, 시설유형, 시설규모, 직급 등이 조직몰입에 대한 자기평가에 통계적으로 유의미한 영향을 미치는 것으로 나타났다. 즉, 보육교사는 원장의 지적 자극을 올리는 리더십, 동기부여를 제공하는 원장의 리더십, 교사 개인별로 배려를 해주는 원장의 리더십을 접할수록, 그리고 보육교사 개인이 인지하는 직무만족 자기평가가 높을수록 조직몰입에 반응정도가 긍정적인 방향으로 영향을 미칠 것이다. 이를 바탕으로 어린이집 원장은 보다 적극적 및 교사 배려적 운영을 위한 리더십을 펼치는 한편, 보육교사들의 직무만족 향상을 위한 다양한 경영서비스 제공 및 개발이 요구된다고 할 것이다.

• 여성건강간호학회지
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• 제7권1호
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• pp.56-66
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• 2001

This study examines the factors that are associated with the choice of the Sanhujoriwon utilization among the Korean postpartal women. Data were collected from 140 postpartal women in 9 hospitals around Seoul. Data were analyzed based on descriptive statistics and chi-square test. The results were as follows: 1. Forty percent of the respondents chose to go to a Sanhujoriwon while they were in a hospital after having given birth to a child. 2. The number of persons who could help a respondent beside her husband showed a statistically significant association with the choice of the Sanhujoriwon utilization. In addition, burden from multiple roles expected after the birth was positively associated with the choice of the Sanhujoriwon utilization. Recommendations by husbands or friends to use the Sanhujoriwon also increased the proportion of the choice of the Sanhujoriwon utilization. 3. Knowledge about the Sanhujoriwon appeared to be an important factor. Having heard about the Sanhujoriwon, an appropriateness of the price, and a positive image of the Sanhujoriwon were positively associated with the choice of the Sanhujoriwon utilization. It was expected that the degree of depressive symptoms and confidence of raising a newborn baby would affect the Sanhujoriwon utilization. This was not the case in this study. Intimacy developed between the postpartal women, their husbands and their relatives as well as parents in-law did not show a statistically significant relationship to the choice of the utilization. Implication of these findings and major findings of this study were discussed.

• 한국보육지원학회지
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• 제10권4호
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• pp.133-158
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• 2014

본 연구는 유아기 자녀를 둔 어머니들의 부모존경-자녀존중 부모교육 프로그램에 참가한 경험을 분석하여 참가과정에서의 의미, 반응 및 변화들을 구체적으로 살펴봄으로써, 어머니들의 체험의 본질에 대해 연구하였다. 이를 위해 9명의 어머니들을 대상으로 총 8회기의 부모존경-자녀존중 부모교육을 실시한 후, 현상학적 이론에 기초하여 프로그램 실시 전후의 면담내용과 프로그램 진행 중에 작성된 저널, 관찰노트의 자료들을 분석하였다. 그 결과, 264개의 의미단위로 묶여 16개의 하위구성요소를 도출하여 분석하였고, 이 가운데 최종 7개의 구성요소가 도출되었다: (1) 부모교육 참가의 내재적 동기, (2) 변화의 시작: 어머니, (3) 변화의 시작: 자녀, (4) 지속되는 갈등, (5) 긍정적인 부모역할모델의 부재와 양육행동의 세대 간 전이, (6) 죄책감에서 벗어나 양육효능감 높이기, (7) 부모교육을 통한 정서적 지원 경험 및 지속적인 교육과정에 대한 기대. 마지막으로 이와 같은 연구결과에 기초하여 향후 과제와 제언을 제시하였다.

• 여성건강간호학회지
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• 제1권2호
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• pp.222-243
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• 1995

The purpose of this study was to develop concrete and in-depth knowledge about menarche and to raise the need of menstrual education. The data were collected from purposively sample 34 women from twenties to forties from April 27 to October 10, 1994. Semi-structured intensive interviews were done and these qualitative data were analysed with "Ethnograph" computer program. The results of the study were as follows : 1. The experience of menarche could be classified into two main groups, which were positive and negative response to menarche. The negative experiences were to be shameful, tearful, scared of the phenomena and thought as a kind of punishment for guilt or confused menarche with other symptoms of diseases. On the contrary, the positive experiences were to be proud of physical maturity and to think that is was wonderful, miraculous and to perceive it as a warm experience. 2. The experience of menarche was influenced by various factors. They were the knowledge about menstruation, the quality and amount of informations, the time of menarche, the environmental factors, the response of significant others toward menarche. The experience of menarche could be positive or negative according to these factors. 3. The previous information sources about menstruation could be significant others, school education and mass-media. The significant others were mothers, sisters, friends and the person in charge of school sex education such as school nurses, home economics, military drill and athletics of teachers. And mass-media included sex education booklets, nursery tales, TV programs, and publicity activities of sanitary napkin companies. 4. The opinions of the subjects about the proper time of menarcheal education could be grossly classified into two groups. The first was active approach toward children when they were in elementary school. The second was passive approach which postponed the time until the child ask about it, because it would be awkward for them to discuss about the topic. 5. The participants thought that the ideal methods of menarche education would be systematic school education programs, open discussion with daughters, audio-visual teachings, or practical education in everyday life. 6. The contents of the menarche education based on the participants' opinions, would be positive details about meanings and functions of menstruation. And it would be desirable if the attitudes of the person in charge of education could be positive, open-hearted, and favorable toward menstruation.