• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제26권2호
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• pp.88-98
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• 2023

Purpose: Children with inflammatory bowel disease (IBD) frequently undergo clinical assessments, involving triadic communication between clinician, parent, and child. During such encounters parents are traditionally the main communicator of information on their child's IBD, including subjective symptom reports. The level of agreement between children and their parents for IBD symptoms is poorly understood, and this study aimed to examine this factor. Methods: This was a cross-sectional study among children with IBD, and one parent. A validated paediatric IBD symptom report tool (IBDnow) enabled children and their parent to rate seven pain, well-being, and stool metrics, with dyads completing the tool concurrently. Results were assessed using: Individual agreement: proportion of identical symptom reports by each dyad (ideal score >0.7); Category agreement: percentage of identical reports for IBDnow metrics for the cohort; Inter-rater reliability: Gwet's AC1 coefficient with higher scores indicating better reliability (maximum=1). Results: Seventy-four parent/child dyads participated; child's mean age 12.2 years (standard deviation [SD] 2.9, range 6-16), mean time since diagnosis 2.8 years (SD 3), 54% female, 73% had Crohn's Disease. Mean individual agreement level was 0.6, with 27% of dyads agreeing on ≥6/7 IBDnow metrics. Category agreement was reported by 61% of dyads, 20% of parents overestimated, and 19% underestimated, their child's symptoms. Inter-rater reliability ranged from fair to good. Conclusion: These results should improve clinician awareness of how IBD symptom reports from parents may introduce bias. Children should be considered the most important source of symptom reports, and tools such as IBDnow utilised to enhance communication.

• 가족자원경영과 정책
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• 제26권2호
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• pp.85-94
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• 2022

본 연구는 이혼·사별을 경험한 중년기 여성 한부모의 주관적 안녕감 예측 변인을 파악하는 것을 목적으로 한다. 이를 위해 여성가족패널조사(KLoWF) 7차 응답자 중 혼인상태가 이혼 혹은 사별인 40세에서 60세 중년기 유자녀 취업 여성 244명을 대상으로 빈도, 평균 등의 기술통계 및 다중회귀분석을 실시하였다. 회귀분석 결과 중년기 여성 한부모의 행복감에 영향을 미치는 인구사회학적 특성, 개인 및 일 관련 변인으로는 결혼지위, 주관적 건강상태, 여가활동만족도, 스트레스, 일 만족도, 일-가족 향상이 유의미한 변인으로 나타났으며, 우울의 경우 주관적 경제상태, 스트레스가 영향을 미쳤다. 중년기 여성 한부모의 주관적 안녕감 향상을 위해 건강한 여가 활동 참여 및 스트레스 관리, 일 만족도 향상이 중요함을 발견하였고 이와 관련한 중년기 여성 한부모 대상 정책 방향을 논의하였다.

• 아동학회지
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• 제35권4호
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• pp.223-247
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• 2014

This study aimed to verify the positive effects of forest activities for children from economically underprivileged households in local children's centers and the effect of such activities on the protective factors of their development. One hundred and eighty five children participated in the Forest Activities Program, which conducted over a total 8 sessions. Pre-post tests of the subjective well-being scale, DAS, multiple life satisfaction scale, ego-resilience scale were conducted and the children then made picture stories during the program itself. The results of the analysis of differences between pre-post tests were as follows: first, the negative emotions of participating children decreased significantly. Second, the school-satisfaction and self-satisfaction levels of the participating children increased. Third the participating children's positive perceptions of self and interpersonal relationships also increased through the forest activities. Finally, there were differences of the change types of picture stories that children created while they were participating in the program; and these divergences were related to the effectiveness of the program. These forest activities had positive effects upon the economically disadvantaged children who participated in this study. However, in order to increase the effects of such forest activities qualitatively, greater support for the active involvement of children is required.

• 농촌지도와개발
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• 제20권2호
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• pp.451-484
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• 2013

본 연구는 이주여성의 주관적 안녕감에 영향을 미치는 요인을 개인적, 가정적, 사회적 변인으로 나누어 분석하였다. 개인적 변인으로는 부부나이차, 입국이유, 종교유무, 결혼생활기간, 취업유무, 경제수준, 한국문화적응정도, 한국어능력, 자아탄력성으로 설정하였다. 가정적 변인으로는 결혼방식, 결혼이유, 남편의 아내모국어 이해정도, 남편의 아내모국문화이해정도, 결혼생활만족도, 자녀유무, 재산관리주체, 양육효능감으로 설정하였다. 사회적 변인으로는 복지서비스와 제도의 인지여부, 공공기관과 사회단체의 이용경험정도, 사회적 참여모임의 내용으로 설정하였다. 연구대상은 충청남도 아산시에 거주하고 있는 이주여성 256명이며 중다선형회귀 분석을 하였다. 연구결과는 개인적 변인으로는 자아탄력성, 결혼생활기간, 한국문화적응정도, 경제수준, 가정적 변인으로는 양육효능감, 결혼생활만족도, 결혼방식- 타인의 소개 없이, 사회적 변인으로는 모국여성자조모임참여, 복지서비스와 제도의 인지여부, 취미학습동아리모임참여, 친목 종교모임참여 등이 유의한 영향을 미쳤다. 본 연구의 결과를 바탕으로 이주여성들의 주관적 안녕감에 영향을 미치는 요인들을 찾고 내적자원과 강점을 적극적으로 지원하기 위한 사회적 방안을 마련할 수 있는 기초를 삼고자 하는 것에 그 의의를 둔다.

• 여성건강간호학회지
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• 제30권2호
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• pp.153-163
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• 2024

Purpose: This study aimed to investigate the experiential meaning of child-rearing for marriage immigrant women in Korea in the context of the coronavirus disease 2019 (COVID-19) pandemic. Methods: Using the hermeneutic descriptive phenomenology framework developed by Colaizzi, 10 marriage immigrant women rearing preschool and school-age children were invited through purposive and snowball sampling from two multicultural support centers in Korea. The participants were rearing one or two children, and their original nationalities were Vietnamese, Japanese, Cambodian, and Chinese. Individual in-depth, face-to-face, semi-structured interviews were conducted from September 1 to November 30, 2021. We extracted significant statements from the transcripts, transformed these into abstract formulations, and organized them into theme clusters and themes to authentically capture the essence of the participants' subjective experiences. Results: Four theme clusters with 14 themes were derived. The four theme clusters identified were "navigating child healthcare alone," "guilt for not providing a social experience," "worry about media-dependent parenting," and "feelings of incompleteness and exclusion." This study explored the perspectives of mothers raising children as marriage migrant women who experienced physical and emotional health crises due to the COVID-19 pandemic. Conclusion: The findings underscore that marriage immigrant women encountered heightened challenges in managing their children's health and well-being during the COVID-19 pandemic due to linguistic and cultural barriers limiting access to healthcare and information. Additionally, these women experienced considerable emotional stress from perceived inadequacies in providing a holistic social and developmental environment for their children under extensive social restrictions.

• 아동학회지
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• 제33권1호
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• pp.1-21
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• 2012

The purpose of this study was (1) to examine the impact of chronic diseases and emotional-behavioral problems on school-age children's self-perceived QOL, and (2) to investigate what factors were related to the QOL of children. Participants were 972 Korean 4th, 5th, & 6th grade students and 47 teachers. Children completed a questionnaire to evaluate their self-perceived well-being and subjective health. Also they reported their height/weight and physical health state indicating whether they have chronic diseases or not. Teachers reported each child's psychosocial health problems and also reported whether the child has chronic diseases or not. Major findings were as follows : 1. Physical and psychosocial health status had significant impact on school-age children's QOL. Moreover, physical and psychosocial health status were interrelated. 2. Presence of physical and psychosocial problems contributed to substantial declines in self-perceived QOL of school-age children. Children who have chronic diseases and emotional-behavioral problems reported significantly lower QOL compared with children in a normal state. 3. Peer relationship was found to be the significant factor that contribute to the QOL of all children.

• 기본간호학회지
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• 제7권2호
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• pp.271-286
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• 2000

This study is designed to investigate what elders think about the meaning of aging. We have used Q-methods to identify meaning of aging from elders, and developed self-referenced surveys to analyze characteristics In this study, we used a non-structured method to select Q sampling. From 183 Q populations, we selected 36 Q sampling. A total of 32 persons sixty-years or older were randomly selected for P samples, When the Q-sorting was complete, we interviewed the participants at both end of the extremes(agree or disagree), and documented their responses. We used PC QUANL to process the data and used principal component analysis for Q factor analysis. There were five subjective types for the meaning of aging by elders. Of the 32 P-samples of elders, 11 were identified as Type 1, 7 as Type 2, 2 as Type 3, 8 as Type 4, and 4 as Type 5. Type 1 : 'Matured elders' Elders wished the well being of their children, thought older persons should maintain good health, worried about becoming senile, and dependent God believing in life after death. Type 2 : 'Assertive-Rights' Elders categorized as Assertive-Rights insisted on their rights to life as a person. Type 2 elders characterized themselves as people who should keep themselves healthy, become weak and lack sexual desires, act selfish like a child, need to be protected, and be financially independent. Type 3 : 'Passive-Dependents' Elders characterize themselves as those who pray for their children's well being, worry about the children even after their death. and becoming senile. Type 4 : 'Hopeless' The 'Hopeless' type of elders characterized aging as a time to pray for their children, insignificant beings, thoughts were selfish and child-like, poor, worried about going senile, regret their life overall, and preferred to die than to live as an old person. Type 5 : 'Attached-Present' The 'Attached-Present' type of elders thought elderly characterized themselves as acting selfish and child-like, wiser, anxious, regret their life, stand aloof of greed and worldly things, being a model for the society, and deserving to be treated with filial respect. Thus far, Korean elders seemed to have a positive and negative meaning of aging due to the current changes in the society, value system, and family structures. The above five subjective meanings of aging confirm that we need to approach and nurse the elderly differently. Years of aging are a part of and a natural process of life with various physical, psychological, and sociological changes. Nurses need to assist elderly to find the positive meaning of their life by providing appropriate physical, psychological, and social support at an earlier stage in nursing. Based on this study, we could derive the following two implication from the perspectives of science of nursing to care for elders. 1) Based on the studies investigating the type of meaning of aging, we could develop tools to assist in nursing intervention programs for elderly. 2) Based on research on the meaning of aging for different developmental stages of life, we could develop a model for roles for different family members in nursing and caring for the elders.

• 호스피스학술지
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• 제8권1호
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• pp.13-28
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• 2008

목적: 본 연구는 학령기 아동의 죽음인식에 대한 탐색적 연구를 통하여 그들의 죽음인식에 대한 주관적 구조와 유형을 탐색하여 학령기 아동에게 죽음인식을 이해하며 효과적인 죽음준비교육 프로그램을 개발 시행하기 위한 기초자료를 제공하고자 시도하였다. 방법: 학령기 아동의 죽음인식에 관한 주관적인 구조와 유형을 탐색할 수 있는 Q방법론을 사용하였다. Q-모집단은 학령기 아동 20명을 대상으로 중립적 면담과 개방형 질문지를 이용하고 문헌연구를 통하여 총 132개의 진술문을 수집하였으며. Q표본은 비 구조화된 방법을 통해 23개의 진술문(Q-표본)을 도출하였다, P표본은 학령기 아동 31명(8세-13세)이었으며 Q카드를 이용하여 Q-분류를 실시하였으며, 수집된 자료는 PC QUANL 프로그램을 사용하여 분석하였다. 결과: 학령기 아동의 죽음인식 유형은 5개의 유형으로 분류되었다. 제 1 유형은 기능적형으로 죽음의 구성요소인 비역행성, 보편성, 비기능성, 인과성에 대한 주관적 인식이 두드러진 유형이었다. 제 2 유형은 사후 세계형으로 기독교의 종교적 배경을 가진 아동들과 직계가족의 죽음을 경험을 했으며 사후세계에 대하여 강한 내세 중심의 죽음인식이 두드러진 유형이었다. 제 3 유형은 종교형으로 죽어서도 가족과 친구들을 지켜볼 수 있다는 믿음이 강하기 때문에 사후세계에 대한 긍정적인 믿음이 확실한 유형이었다. 제 4 유형은 공포형으로 죽음에 대한 공포가 타 유형에 비하여 강한 유형이었다. 제 5 유형은 현실형으로 좋은 죽음에 대한 인식에 강한 긍정적인 동의를 보이는 유형이었다. 결론: 본 연구결과가 주는 간호학적 의의는 다음과 같다. 간호실무면에서 학령기 아동의 죽음인식의 주관성을 이해하는데 있어서 기존의 문헌이나 연구에서 중점적으로 제시하고 있는 죽음의 구성요소에 대한 이해의 차원에서 좀 더 확대되어 학령기 아동이 인지하는 죽음의 정의, 사후세계, 좋은 죽음에 대한 인지수준을 이해하고 유형별 특성에 따라 학령기 아동들의 효과적인 죽음준비교육 프로그램을 개발하는데 유용한 자료로 사용하여, 청소년기에 나타나는 죽음 경시풍조 및 만연된 자살을 예방하고 올바른 삶을 살아갈 수 있도록 밑거름이 되는 역할을 담당 할 것이다. 간호이론 면에서 학령기 아동의 죽음인식의 주관적 구조와 유형별 특성을 규명하고 탐색함으로써 학령기 아동의 죽음인식 모델 구축과 나아가 생명존중의 유용한 자료로 활용될 수 있다. 간호연구 면에서 학령기 아동에게 유형별로 긍정적인 죽음인식과 더 나아가 생명 존중의 측면에서 심리사회적 간호를 제공하기 위한 도구의 개발과 간호중재 전략의 효과를 규명하는 연구에 기여할 수 있다.

• 한국산학기술학회논문지
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• 제21권5호
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• pp.320-326
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• 2020

본 연구는 2018년 아동 구강건강실태조사자료를 활용하여 아동의 치아우식증에 영향을 미치는 위험 요인을 알아보고자 시행하였다. 연구 대상은 만 12세 아동 20,235명을 대상으로 시행하였다. 조사항목으로 일반적인 특성, 치아우식 식이 행태, 구강 상태, 구강건강 관련 행태 요인을 조사하였다. 그 결과 성별, 지역, 경제수준, 주관적 구강건강 상태, 치아우식 식이 행태, 구강상태, 구강건강 관련 행태 모두 위험요인으로 나타났다. 특히 구강 상태는 치석, 치은 출혈, 치아 통증, 반점치 증상을 나타내는 학생에서 치아우식증 위험도가 더 높게 나타났다. 구강건강 관련 행태는 잇솔질 횟수 2회 이하, 치실과 손잡이 치실 미사용 학생에서 치아우식증 위험도가 높게 나타났다. 이상의 결과로 볼 때 치아우식증의 감수성이 가장 높은 아동을 대상으로 국가나 지역사회는 치아우식을 초기에 진단하여 관리할 수 있고 계속 구강건강관리를 위한 치아우식 관리사업체계를 구축함이 필요하다. 또한 아동·청소년기의 구강건강관리 습관을 개선시킬 수 있는 구강보건교육을 확대하고 치아우식증 예방 프로그램 개선 및 지역사회 활용의 구강보건정책의 체계가 필요하다.

• 대한가정학회지
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• 제51권1호
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• pp.1-16
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• 2013

The purpose of this study is to examine the relative influence of various characteristics that affect the happiness and family strength of pre-elderly and the elderly. This study also shows the differences between the two age groups. The National Survey of Korean Families has been done by the Ministry of Equality and Family on 2010. Respondents selected from national survey were 1016 pre-elderly and 629 elderly. The results of this study are as follows; first, 66% of the respondents chose health as the condition is being the important elements of their happiness following money, work (job), children, spouse and family life. Second, the group of people considering work and health as important elements of their happiness is happiest, but the group considering money and health as the important elements of their happiness feels a lower level of happiness. Third, the pre-elderly chose health as the most important condition, but the elderly chose subjective economic condition, among the factors affecting family strength. Fourth, family strength affects most on in regard to the happiness of pre-elderly and the elderly. Next, the more they are financially stable, physically healthier and living in rural areas, they feel the happier they feel. Based on the results of this study, further studies are needed to determine components of family strength that both pre-elderly and the elderly consider as important elements of their happiness. Support programs for the elderly without a spouse will increase the well-being of the elderly.