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특성화고등학교 학생의 부모지지가 진로결정수준에 미치는 영향 : 회복탄력성의 매개효과 (The Effect of Parent Support of Specialized Technical High School Students on the Level of Career Decision : Mediating effect of resilience)

  • 라기훈;임나영;이창훈
    • 대한공업교육학회지
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    • 제44권1호
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    • pp.1-22
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    • 2019
  • 이 연구는 특성화고등학교 학생의 부모지지와 진로결정수준의 관계에서 회복탄력성의 매개효과를 검증함으로써 가정과 학교가 연계된 바람직한 진로지도 상담의 기초자료를 제공하여 수준을 높일 수 있는 방안을 모색하기 위한 목적으로 수행되었다. 연구문제로는 첫째, 특성화고등학교 학생의 부모지지, 진로결정수준, 회복탄력성의 수준은 어떠한가, 둘째, 특성화고등학교 학생의 부모지지, 진로결정수준, 회복탄력성의 관계는 어떠한가, 셋째, 특성화고등학교 학생의 부모지지와 진로결정수준의 관계에서 회복탄력성은 매개변인의 역할을 하는가로 설정하여 구명하였다. 연구의 목적을 달성하기 위해 특성화고등학교 학생의 부모지지, 진로결정수준, 회복탄력성에 관련된 이론적 배경을 고찰하여 검사도구를 제작하였다. 설문지는 개인특성(1문항), 부모지지(22문항), 진로결정수준(22문항), 회복탄력성(27문항)으로 총 70문항으로 구성하였으며, 전국 공업계열 특성화고등학교 학생 850명을 대상으로 설문조사를 실시하여 무응답이나 불성실한 응답의 설문지를 제외한 689부를 최종 분석에 활용하였다. 연구의 결과는 다음과 같다. 학년별 부모지지, 진로결정수준, 회복탄력성은 모두 유의한 차이가 없었으며 각각 보통수준을 나타냈다. 또한 부모지지, 진로결정수준, 회복탄력성 모두 높은 상관관계를 나타냈다. 하위요인별로는 부모지지와 진로결정수준, 회복탄력성과 진로결정수준이 높은 상관관계를 보였으며, 부모지지의 하위요인 중 정서적 지지와 언어적 격려가 진로결정수준에 50%이상의 설명력을 보였다. 매개효과 측면으로는 부모지지가 진로결정수준에 미치는 영향에 대해서 회복탄력성 전체와 하위요인인 통제성, 긍정성, 사회성이 모두 부분매개효과를 보이는 것으로 나타났다. 따라서 진로지도상담의 질적 향상을 위해서는 가정적요인과 학생 내적요인을 모두 고려한 학교와 가정이 연계된 프로그램이 진행되어야 하며 특히 정서적, 언어적인 측면을 활용하여 학년이 올라갈수록 긍정적인 부모지지와 회복탄력성을 형성할 수 있는 교육이 선행되어야 할 것이다.

전자정부 추진과 기록관리방안 (A Study on the Promotion of Electronic Government and Plans for Archival Management)

  • 김재훈
    • 기록학연구
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    • 제5호
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    • pp.39-85
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    • 2002
  • This paper is aimed at proposing the policies for managing archives in the process of promoting Electronic Government System. Although there have been many studies of electronic government project and plans for its establishment, this research examines the electronic government system and its problems on the basis of archival science. What I acquired in this paper is as follows. The development of information technology needs great changes ranging from the nation to the individuals. It becomes common that the use of computerized program for business purposes, computerization of information materials and the effective way of search use of electronic documents. Therefore, more and more countries all over the world have been seeking to promote 'Electronic Government', which applies the fruits of the development in information technology to administration process. Recently, Korea has been rapidly entered into the 'Electronic Government' system being against the traditional way of administration. In electronic government system, the 'Life Cycle' of public records will be computerized. Therefore, it is important to change and develop along with the government's policies for 'electronic government project' in the archival management system. This means that the archival management system which have put emphasis on the textual records should be converted to electronic records system. In other words, the records management in electronic government system requires not the transfer and preservation of the records but the consistent management system including the whole process of creating, appraising, arranging, preserving and using the records. So, the systematic management of electronic records plays an important role in realization of electronic government, but it is a subject to be realized by electronic government at the same time. However, the government have overlooked the importance of archival management for long time, especially the importance of electronic records management system. First of all, this research attempts to infer limits and problems through the theoretical considerations of the existing studies for electronic government and to clear up the relations between electronic government and archival management. Based on this, I'll seek to progress the study through reviewing the present condition of archival management in the process of promoting electronic government and suggesting the policies for enhancing the successful electronic government and the construction of scientific archival management system. Since early 1990, many countries in the world have been making every effort to concrete 'Electronic Government'. Using the examples in other nations, it is not difficult to recognize that the embodiment of electronic government is closely connected with the archival management policies. Korea have completed legal and institutional equipments including the new establishment of "Electronic Government Law" to realize electronic government. Also, Korea has been promoting electronic government with the Ministry of Government Administration and Home Affairs and Government Computer Center as a leaders. Though managing records, especially the management of electronic records is essential in electronic government system, we haven't yet discussed this section in Korea. This is disapproved by the fact the Government Archives and Records Service has played little role in promoting electronic government project. There are two problems relating this environment. First, present system can't meet the consistent 'Life Cycle' ranging from the creation to the preservation of electronic records. Second, the 'Life Cycle' of electronic records is divided into two parts and managed separately by GCC and GARS. The life of records is not end with the process raged from creation to distribution. On the other hand, the records are approved their value only whole procedures. Therefore, GARS should play a deading role in designing and establishing the archival management system. The answer to these problems, is as follows. First, we have to complete the electronic records management system through introducing ERMS not EDMS. This means that we should not change and develop towards ERMS simply with supplementing the current electronic records management system. I confirm that it is important and proper to establish ERMS system from the very beginning of the process of promoting electronic government. Second, I suggest the developmental integration of GARS and GCC. At present, the divided operations of GCC and GARS, the former is in charge of the management center for electronic business and the latter is the hub institution of managing nation's records and archives result in many obstacles in establishing electronic government system and accomplishing the duties of systematic archival management. Therefore, I conclude that the expansive movement towards 'National Archives' through the integration among the related agencies will make a great contribution to the realization of electronic government and the establishment of archival management system. In addition to this, it will be of much help to constitute and operate the 'Task Force' regarding the management of electronic records with the two institution as the central figures.

공동주택 태양광발전 시스템의 경제성 평가 (Economic Analysis on a PV System in an Apartment Complex)

  • 김진형
    • 한국기후변화학회지
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    • 제1권2호
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    • pp.163-177
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    • 2010
  • 본 논문은 1,185세대가 거주하고 있는 공동주택을 대상지로 하여 정부지원제도인 '태양광주택보급사업'과 '발전차액지원제도'를 각각 활용하여 PV 시스템 도입을 도입할 경우의 경제성을 비교 분석하였다. 각 시나리오별 분석 결과, 수익으로 전력판매수익 만을 고려한 경우, NPV가 보조금 지원제도는 -560백만원으로 분석되었고, 발전차액지원제도는 -87백만원으로 분석되었다. 전력판매수익과 온실가스 배출권 수익을 함께 고려한 경우에도 NPV가 보조금 지원제도는 -530백만원으로 분석되었고, 발전차액지원제도는 -57백만원으로 분석되어 모두 수익성이 없는 사업으로 나타났다. PV 시스템 도입으로 인해 회피되는 대기오염물질로 인한 사회적 편익을 함께 분석한 결과도 그 편익이 미미하여 여전히 경제성이 없는 것으로 평가된다. 할인율과 초기비용의 변동을 기준으로 민감도 분석을 한 경우, 보조금 지원제도의 경우에는 할인율을 3%까지 낮추고, 초기 설비 투자 비용을 정부 제시기준 단가인 721만원/kW에서 650만원/kW로 낮춘 것에 배출권 수익까지 포함한 경우에도 여전히 사업성이 없는 사업으로 나타났지만, 발전차액 지원 제도의 경우에는 배출권 수익을 포함하지 않고도 할인율 약 7.2%와 초기 설비투자비용 684만원/kW에서 각각 손익분기점이 되면서 수익성이 있는 사업으로 전환되어 발전차액지원제도가 PV 시스템 도입에 훨씬 유리한 것으로 나타났다. 사회적 비용을 고려한 경우에는 보조금제도를 활용한 모든 시나리오는 배출권 수익과 환경편익을 모두 포함하여도 수익성이 없는 사업으로 나타났으나, 발전차액지원제도를 활용한 시나리오의 경우에는 배출권 수입을 제외하고도 할인율 7.2%와 초기비용 686만원/kW가 각각 손익분기점이 되면서 수익성이 있는 사업으로 전환되었다. 본 연구의 결과, 할인율이 7.2% 이하가 되든지 초기 설비투자비용이 정부 제시 기준 단가보다 4.9% 낮아진다면 발전차액지원제도 하에서도 공동주택의 태양광발전시스템이 경제성을 갖는 것으로 분석되었다. 우리나라의 높은 아파트 보급률과 PV 시스템 도입으로 발생하는 긍정적인 사회적 환경적 편익을 고려하면 공동주택의 태양광 시설 설치에 대해 발전차액지원제도를 확대 지원함으로써 화석연료의 사용을 절감하고, 온실가스 배출을 줄여서 에너지자급도 제고와 기후변화에 대한 대응을 통해 녹색성장에 기여할 수 있을 것으로 생각된다.

심혈관대사질환이 있는 지역사회 거주 환자의 질환경험 및 완화의료 요구 (Illness Experiences and Palliative Care Needs in Community Dwelling Persons with Cardiometabolic Diseases)

  • 차은석;이재환;이강욱;황유진
    • Journal of Hospice and Palliative Care
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    • 제22권1호
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    • pp.8-18
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    • 2019
  • 목적: 본 질적 연구는 비암성 만성 질환이자 중 심혈관대사 질병(심장병, 신장병, 말기 당뇨병)을 가지고 있는 환자들의 "질환 경험"을 이해하고 이들의 완화의료에 대한 요구를 파악하기 위해 수행되었다. 방법: 서술적 질적 연구방법을 통해 환자들의 질환경험 및 자가간호행태, 질병 진행에 대한 준비 등을 알아보았다. 질적 연구 훈련을 받은 연구자가 반구조화된 면담 지침을 통해 연구참여자가 원하는 장소, 시간에 상담을 진행하였다. 면담내용은 필사되었으며, 필사된 내용은 내용분석을 통해 분석되었다. 결과: 연구 참여자는 40대에서 80대의 11명의 만성 질환이자(남성 9명, 여성 2명)였고, 세 개의 범주(같은 질병- 다른 질환경험; 나의 질병, 내 몸의 주체는 나; 질병진행에 대한 준비)가 도출되었다. 연구 참여자들은 자신의 진단명은 알고 있었지만, 의료진으로부터 질병단계 및 진행에 대한 준비, 자가간호 방법, 생애후기계획(돌봄계획) 수립과 관련한 교육을 받은 적이 없었다. 의료진은 질병진행에 따라 처방을 바꿔주는 사람, 약물은 질병치료를 하는 것, 자가간호는 단순 보조적 요법으로 인식되고 있었다. 약복용을 지시대로 규칙적으로 하고 있음에도 불구하고 질병이 진행된다고 느낄 때, 자가간호에 보다 적극적이 되었다. 모든 연구 참여자들이 질병이 진행되고 있다는 것을 느끼고 있었으나, 생애 말기 대비에는 수동적이고 소극적이었다. 많은 환자들이 돌봄계획 수립이나 성년후견인 지정의 필요성에 공감하였으나, 행동으로 옮기지는 못하고 있었다. 결론: 의료진은 비암성 만성질환자의 질환경험을 듣고 질병 관리를 도울 수 있는 치료적 파트너가 되어야 할 것이며, 환자의 건강정보이해능력을 고려한 교육이 제공 되어야 할 것으로 사료된다. 또한 비암성 만성질환자의 웰리빙에 대한 요구와 삶의 질 향상을 지지하는 측면에서 이들을 위한 완화의료 프로그램을 개발, 제공해야 할 것으로 사료된다.

밀양 금시당(今是堂) 12경의 문화경관 해석 (Interpretation of Cultural Landscape at the Geumsidang(今是堂) sibigyung(12 Landscapes) in Miryang, Gyungnam)

  • 엄태건;김수진;박정임;강한민;심우경
    • 한국전통조경학회지
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    • 제29권2호
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    • pp.1-18
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    • 2011
  • 본 연구는 조선 중기 밀양의 부호세력이었던 여주이씨 일가의 금시당 이광진 유적을 중심으로 그림, 시문, 기문 등에 나타나고 있는 문화경관으로서의 특성을 파악하고자 하였다. 금시당 이광진은 사회적 혼란기였던 문정왕후의 죽음 이후 중기 벼슬을 버리고 고향으로 돌아와 응천강변의 백곡에 터를 잡고 금시당을 건립하여 별서를 경영하고자 하였는데, 그가 경영한 금시당은 숙부이자 스승인 월연 이태로부터 자연관과 효행, 산수경영 등 많은 영향을 받은 것으로 판단된다. 또한, 금시당십이경도는 이경홍이 병환으로 위중한 아버지 이광진을 위로하고자 금시당 주변의 아름다운 12경관을 그린 것으로 구전되며, 꾀꼬리봉, 용두산, 무봉사, 마암산, 월연대, 사인당 마을, 영남루, 밀양읍성, 배나무 소, 밤나무 숲, 밀양강변, 삼문동들 등 당시 여주이씨 일가가 소유하고 있었던 땅과 관아를 경관 대상으로 하여 소상팔경이나 사시팔경의 관념적인 산수화가 아닌 실경을 담고 있는 산수화이다. 금시당십이경시는 금시당십이경도에 근거하여 작성된 제화시로서 이광진의 11대손 이용구가 지은 것으로 시간과 계절 그리고 기상의 변화를 노래하였다. 시 12수 모두 칠언절구로 글자 수가 모두 28자로 이루어졌으며, 단순히 그림의 외형적인 묘사가 아닌 작자의 개성에 의해 재산출되었기 때문에 그림에서 보이는 요소들과 완전히 일치하지 않는다. 따라서 금시당십이경도는 단순히 효행의 의미뿐만 아니라 밀양의 부호세력으로서 여주이씨 일가 소유의 장원을 나타내고 있으며, 금시당십이경시는 그림을 재산출하여 특정한 명승지로 변화시켜 여주이씨 일가 소유의 영역성을 보다 강화시킬 목적으로 이루어진 것으로 생각된다.

개발도상국 학생들을 위한 블랜디드 IT/STEM교육: 탄자니아에서의 경험 및 시사점 (Blended IT/STEM Education for Students in Developing Countries: Experiences in Tanzania)

  • 이지영;헤리엘 아요;이협승
    • 적정기술학회지
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    • 제6권2호
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    • pp.151-162
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    • 2020
  • 2020년 코로나로 인해 테크놀러지를 사용하는 교육(온라인교육 포함)이 그 가치를 확실히 인정받았다. 교사 위주였던 예전 교습 방법이 완전히 바뀌어졌다. 주어진 교과 과정을 온라인으로 예습하고 클라스에서는 토론을 하는 "flipped 학습"이 자리를 잡아가고있다. 아프리카에서는 온라인 클라스는 현지인들에게는 상상이 되지 않는 옵션이다. 하지만 이제 기술을 통한 교육 가치가 인정받기 시작했다. 먼 학교를 가야하는 학생들을 위해 작은 분교/정보 센타가 많이 세워져야한다. 한꺼번에 모이지 못하고, 정해진 소수의 팀이 와서 거리를 두고 컴퓨터를 통해 학습을 하고, 그후에 다음 팀이 와서 학습한다. 몇대의 컴퓨터를 공유하면서 교사가 없는 상황에서도 각자 인트라넷 전자 도서관을 통해서 학습을 한다. 학생들은 생전 처음 경험하는 힉습방법이지만, 오히려 자유롭게 스스로 주도하여 배우는 것을 경험한다. 학생들뿐 아니라, 교사 훈련도 되며 커뮤니티의 정보 센타가 되어 공동체가 힘을 얻을 것이다. 이렇게 훈련된 교사, 스텝들이 곳곳에 정보센터를 세워 훈련을 확장해 나갈 수 있다. 기술과 문제 파악, 현지 적용의 몇가지 STEM 프로젝트를 통하여 스스로 배울 수 있다는 깨달음으로 학생들은 배움에 대한 기쁨을 얻는다. 지난 2-3년간수행된 3천여명에 대한 STEM/IT교육의 결과가 이를 증명하고 있다. 스스로 배움을 터득해 나가고, 먼저 배운 학생들이 인턴이 되어 다른 학생들을 가르치는 실제적인 새로운 인재상을 통하여 임파워링의 플랫폼과 연속 채널을 구축하는데는 "IT" 가 최적이다. 그동안 탄자니아의 10개 도시에서 진행된 STEM교육의 결과와 앞으로 진행될 유니세프 프로젝트와 코이카 프로젝트를 통하여 Scale-up에 대한 내용도 본 발표에서 소개된다.

초등학교 아동과 보호자에게 적용한 삶의 질 평가도구의 동시타당도 연구: 표적집단 파일럿연구 (Concurrent Validity of the Self-Report and Proxy-Report Versions of a Health-Related Quality of Life Measure: A Focus Group Study)

  • 최봉삼
    • 대한감각통합치료학회지
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    • 제21권2호
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    • pp.45-57
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    • 2023
  • 목적 : 이 연구의 목적은 학령기아동의 바른 자세유지를 위한 학교기반 웰니스 프로그램 적용 후, 아동의 자기보고식(self-report) 및 보호자의 대리보고식(proxy-report) 삶의 질 평가도구의 동시타당도를 검증하고자 하였다. 연구방법 : 학령기 아동 및 아동의 보호자 각 9명씩 총 18명을 표적집단으로 선정하여 연구대상으로 하였다. 초등학교 아동의 바른자세 유지하기 위한 웰니스 프로그램을 실시한 후 변화된 아동의 삶의 질에 대한 평가를 위해 한글판 KIDSCREEN-10 평가도구(아동용 및 보호자용)를 적용하였다. 라쉬 평정척도 모형을 적용하여, 문항의 적합도 및 난이도, 문항-대상자 도표 비교를 통하여 아동의 자기보고식 평가와 보호자 대리보고식 평가의 동시타당도를 검증하였다. 결과 : 아동의 자기보고식 평가에서는 자율성, 가정생활, 집중/배움, 또래집단/사회적 지지 4개문항, 보호자의 대리보고식 평가에서는 자아 인지적, 기분/정서적인 2개 문항이 적합도 기준을 벗어났다. 아동의 자기보고식 평가는 20점부터 50점 후반대에 분포하였고, 보호자의 대리보고식 평가는 30점 중반부터 50점 후반 영역에 주로 분포하여 비슷한 난이도 분포를 보였다. 아동과 보호자 평가의 상관관계분석결과, 스페어만 상관계수 p=.533(p>.05)으로 중간정도의 관련성을 보였으나 통계학적으로 유의하지 않았다. 아동은 자아인지적 문항을 비교적 쉬운 난이도로 인지하였으나(난이도 13.01), 보호자는 비교적 어려운 난이도 문항으로 인지하였다(난이도 46.21). 아동은 심리적, 신체적인 문항을 보호자보다 어렵게 인지하였고(난이도 각각 50.78, 50.78), 보호자는 아동보다 보다 쉽게 인지하는 반응을 보였다(난이도 각각 38.25, 34.88). 결론 : 향후 아동을 대상으로 하는 삶의 질 연구에서 신체적, 심리적, 자아인지 문항에서 아동과 보호자 평가의 차이점을 고려하여 아동의 삶의 질 평가가 이루어 져야 하겠다.

초산모의 분만유형별 분만경험에 대한 지각과 모아상호작용 과정에 관한 연구 (Primiparas만 Perceptions of Their Delivery Experience and Their Maternal-Infant Interaction : Compared According to Delivery Method)

  • 조미영
    • 대한간호학회지
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    • 제20권2호
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    • pp.153-173
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    • 1990
  • One of the important tasks for new parents. especially mothers, is to establish warm, mutually affirming interpersonal relationships with the new baby in the family, with the purpose of promoting the healthy development of the child and the wellbeing of the whole family. Nurses assess the quality of the behavioral characteristics of the maternal-infant interaction. This study examined the relationships between primiparas pereptions of their delivery experience and their maternal infant interaction. It compared to delivery experience of mothers having a normal vaginal delivery with those having a casearean section. The purpose was to explore the relationships between the mother's perceptions of her delivery experience with her maternal infant interaction. The aim was to contribute to the development of theoretical understanding on which to base care toward promoting the quality of maternal-infant interaction. Data were collected directly by the investigator and a trained associate from Dec. 1, 1987 to March 8, 1988. Subjects were 3 random sample of 62 mothers, 32 who had a normal vaginal delivery and 30 who had a non-elective cesarean section (but without other perinatal complications) at three general hospitals in Seoul. Instruments used were the Stainton Parent -infant Interaction Scale(1981) and the Marut and Mercer Perception of Birth Scale(1979). The first observations were made in the delivery room (for vaginally delivered mothers only), followed by day 1, day 2, day 3, and 2 weeks, 4 weeks, 6 weeks and 8 weeks after birth, for a total of 7-8 contacts(Cesarean section mothers were observed on days 4 and 5 but the data not used for analysis). Observations in the hospital were made during the hour prior to scheduled feedings. The infant was placed beside the mother. Later contacts were made at home. Data analysis was done by computer using as SPSS program and indulded X² test, paired t-test, t-test, and Pearson Correlation coefficient ; the results were as follows. 1. Mothers who had a normal vaginal delivery tended to perceive the delivery experience more positively than cesarean section mothers(p=0.002). The finding supported the hypothesis I that perception of delivery would vary according to the method of delivery. Mothers' perceptions of birth were classified into three dimensions, labor, delivery and the bady. There was a significantly different and positive perception by the vaginally delivered mothers to the delivery experience(p=0.000) but no differences for labor or the bady according to the delivery method(p=0.096, p=0.389), 2. Mothers who had a normal vaginal delivery had higher average maternal-infant interaction scores(p=0.029) than mothers who had a cesarean section. There were similar higher scores for the 1st day(p=0.042), 2nd day (p=0.009), and the 3rd day(p=0.006) after delivery but not for later times. The findings supported the hypothesis Ⅱ that there would be differences in maternal-infant interaction for mothers having vaginal and cesarean section deliveries. However these differences deccreased section deliveries. However these differences decreased over time . by eight weeks the scores for vaginal delivery mothers averaged 8.1 and for cesarean section mothers, 7.9. 3. The more highly positive the pereption of the delivery experience, the higher the maternal-infant interaction score for all subjects(F=.3206, p=.006). The findings supported the hypothesis Ⅲ that there would be correlations between perceptions of delivery and maternal-infant interaction. The maternal infant interaction was highest when the perception of the bady and deliery was positive(r=.4363, p=.000, r=.2881, p=.012). No correlations between perceptions of labor and maternal-infant interaction were found(p=0.062). 4. The daily maternal-infant interaction score for the initial contact after birth to 8 weeks postpartum had the lowest average score 5.20 and the highest 7.98(in a range of 0-10). This subjects group of mothers needed nursing intervention to promote their maternal- infant interaction. The daily scores for the maternal-infant over the period of eight weeks. However, there were significantly different increases in maternal-infant interaction only from the first to second day(p=0.000) and from the fourth to sixth weeks after birth(P=0.000). 5. When the eight items of maternal-infant interaction were evaluated separately, “Expresses feelings about her role as mother” had the highest average score, 1.64(ina range of 0-3)and “Speaks to baby” the lowest, 0.9. All items, with the possible exception of “Expresses feelings about her role as mother”, suggested the subjects' need of nursing intervention to promote maternal-infant interaction. 6. There were positive correlations between certain general charateristis, namely, both a higher economic status(p=0.002) and breast feeding(p=0.202) and maternal - infant interaction. There were positive correlations between a mother's confidence in her role as a mother and the perception of the birth experience(p=0.004). For mothers who had a cesarean section, a positive perception of the birth experience was related to the duration of her marriage(p=0.010), a wanted pregnancy (P=0.030) and her confidence in her role as a mother(p=0.000). Pereptions of birth for mothers who had a normal vaginal delivery were positive than those for mothers who had a cesarean section. The level of maternalinfant interaction for mothers delivered vaginally was higher than for cesarean section mothers. The relationship between perception of birth and materanalinfant interaction was confirmed. Cesarean section has an impact on the mother's perceived experience of birth which, in turn, is positively related to maternal-infant in turn, is positively related to maternal-infant interaction. Nursing intervention to enhance maternal-infant interaction should begin in prenatal classes with an exploration of the potential impact of cesarean section on the perceptions of the birth experience and continue throughout the perinatal and post-natal periods to promote the mother's ability to control with this crisis experience and to mobilize social support. Nursing should help transform a relatively negatively perceived experience into an accepted, positively perceived and self affirming experience which enhances the maternal-infant relationship.

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농촌(農村)에 있어서 분만개조요원(分娩介助要員)의 봉사(奉仕)에 의(依)한 모자보건(母子保健)rhk 가족계획(家族計劃)에 관(關) 연구(硏究) (A Study on Maternity Aids Utilization in the Maternal and Child Health and Family Planning)

  • 예민해;이성관
    • Journal of Preventive Medicine and Public Health
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    • 제5권1호
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    • pp.57-95
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    • 1972
  • This study was conducted to assess the effectiveness of service by maternity aids concerning maternal and child health in improving simultaneously infant mortality, contraception and vital registration among expectant mothers in rural Korea, where there is less apportunity for maternal and child health care. It is unrealistic to expect to solve this problem in rural Korea through professional persons considering the situation of medical facilities and the socioeconomic condition of residents. So, we intended to adopt a system of services by maternity aids who were educated formally among indigenous women. After the women were trained in maternal and child health, contraception, and registration for a short period, they were assigned as a maternity aids to each village to help with various activities concerning maternal and child health, for example, registration of pregnant women, home visiting to check for complications, supplying of delivery kits, attendance at delivery, persuasion of contraception, and invitation for registration and so on. Mean-while, four researchers called on the maternity aids to collect materials concerning vital events, maternal child health, contraception and registration, and to give further instruction and supervision as the program proceeded. A. Changes of women's attitude by services of maternity aid. Now, we examined to what extent' such a service system to expectant mothers affected a change in attitude of women residing in the study area as compared to women of the control area. 1) In the birth and death places, there were no changes between last and present infants, in study or control area. 2) In regard to attendants at delivery, there were no changes except for a small percentage of attendance (8%) by maternity aid in study area. But, I expect that more maternity sids could be used as attendants at delivery if they would be trained further and if there was more explanation to the residents about such a service. 3) Considering the rate of utilization of sterilized delivery kit, I am sure that more than 90 percent would be used if the delivery kit were supplied in the proper time. There were significant differences in rates between the study and the control areas. 4) Taking into consideration the utilization rate of the clinic for prenatal care and well baby care, if suck facilities were installed, it would probably be well utilized. 5) In the contraception, the rate of approval was as high as 89 percent in study area as compared to 82 percent in the control area. 6) Considering the rate of pre-and post-partum acceptance on contraception were as much as 70 percent or more, if motivation to use contraception was given to them adequately, the government could reach the goals for family planning as planned. 7) In the vital registration, the rate of birth registration in the study area was some what improved compared to that of the control area, while the rate of death registration was not changed at all. Taking into account the fact that the rate of confirmation of vital events by maternity aids was remarkably high, if the registration system changed to a 'notification' system instead of formal registration ststem, it would be improved significantly compared to present system. B. Effect of the project Thus, with changes in the residents' attitude, was there a reduction in the infant death rate? 1) It is very difficult problem to compare the mortality of infants between last and present infants, because many women don't want to answer accurately about their dead children especially the infants that died within a few days after birth. In this study the data of present death comes from the maternity aides who followed up every pregnancy they had recorded to see what had happened. They seem to have very reliable information on what happened in first few weeks with follow up visitits to check out later changes. From these calculaton, when we compared the rate of infant death between last and present infant, there was remarkable reduction of death rate for present infant compare to that of last children, namely, the former was 30, while the latter 42. The figure is the lowest rate that I have ever heard. As the quality of data we could assess by comparing the causes of death. In the current death rate by communicable disease was much lower compare to the last child especially, tetanus cases and pneumonia. 2) Next, how many respondents used contraception after birth because of frequent contact with the maternity aid. In the registered cases, the respondents showed a tendency to practice contraception at an earlier age and with a small number of children. In a comparison of the rate of contraception between the study and the control area, the rate in the former was significantly higher than that of the latter. What is more, the proportion favoring smaller numbers of children and younger women rose in the study area as compared to the control area. 3) Regarding vital registration, though the rate of registration was gradually improved by efforts of maternity aid, it would be better to change the registration system. 4) In the crude birth rate, the rate in the study area was 22.2 while in the control area was 26.5. Natural increase rate showed 15.4 in the study area, while control area was 19.1. 5) In assessment of the efficiency of the maternity aids judging by the cost-effect viewpoint, the workers in the Medium area seemed to be more efficiency than those of other areas.

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초등학생의 우울성향, 비합리적 신념, 학교적응의 관계 (Relationship of Depression, Irrational Faith and the School Adaptation of Elementary School Students)

  • 이태현
    • 한국초등상담교육학회:학술대회논문집
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    • 한국초등상담교육학회 2004년도 학술대회
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    • pp.223-245
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    • 2004
  • The purpose of this study was to investigate the differences in depression, irrational faith and the school adaptation of elementary school students by their sex and region, to provide basic materials to teach children with the likelihood to be depressed by analyzing the correlation of depression, irrational faith and school adaptation, and help them to have healthy emotion and behaviors. To achieve these goals, following agenda were set. First, what are the differences in the depression, the irrational faith and the school adaptation of elementary school students by their sex and region? Second, what is the relationship between the depression characteristics and the irrational faith of elementary school students? Third, what is the relationship between the irrational faith and the school adaptation of elementary school students? Fourth, what is the relationship between the depression characteristics and school adaptation of elementary school students? : To resolve these agenda, the subjects were selected from Grade 6 students from the elementary schools locatec in Suwon and Hwaseong. The jubjects were selected from the two schools in Suwon and three schools in Hwaseong which were randomly chosen. The subjects were 670 in total. 70 insincere answers were excluded from the analysis. Therefore the subjects used in the analysis were 600 in total(150 male and female students in city respectively and 150 male and female students in rural area respectively). The tools used for this study were Children's Depression Inventory (CDI), Irrational Faith Test (over-self-reliance, dichotomy, determinism, over-concern, evasive faith, over dependent faith), School Adaptation Test (Attitudes to teachers and school environments, hobbies and specialties, academic achievements, peer relationship). Materials were processed with the SPSS program for ANOVA and correlation analysis. All the statistical values were verified at .05 level. The followings are the results of the analysis of the collected data. First, in the analysis of depression, there was significant difference between male and female students (F=4.75, p<.05). Female students (X =56.93) showed a little higher value than male students (X =53.83). There was significant difference between regions (F=13.02, p<.001), too. Rural area students (X =57.93) showed higher value than city area students (X =52.82). When analyzing irrational faith, there was significant difference between male and female students (F=S.60, p<.05). Female students (X =81.32) showed a little higher value than male students (X =77.72). There was no significant difference according to regions. When analyzing the school adaptation, there was no significant difference according to either sex or region. Second, depression and irrational faith showed highly positive correlations in all areas. In particular, over concern and evasive faith showed the highest correlation with depression inclination (r=.68, p<.001). When looking into the results by sex and by region, female students (r=.70, p<.001) and the rural area students (r=.69, p<.001) showed higher correlation between depression and irrational faith than male students and city area students (r=.63, p<.001). Additionally, in all areas including by sex and by region, a positive correlation was shown. In all variables such as male students (r=.63, p<.001), female students (r=.72, p<.001), city area students (r=.66, p<.001), and rural area students (r=.69, p<.001), over concern and evasive faith showed the highest correlation with depression inclinations. Third, irrational faith (overall) and its sub factors such as over-self-reliance, dichotomy, determinism, over-concern and evasive faith had significant negative correlations with school adaptation (overall) and its sub factors in the scope of $r=-.27{\sim}-.52$. Determinism out of the sub factors of the irrational faith had the highest negative correlation with school adaptation (overall) and sub factors at the scope of $r=-.37{\sim}-.51$. However, over-self-reliance showed the negative correlation with school adaptation (overall) and its sub factors only partially. When looking into the results by gender, both genders showed significant negative correlation between irrational faith (overall) and its sub factors with school adaptation. Male students showed highly negative correlations with school adaptation (overall) and its sub factors in determinism ($r=-.35{\sim}-52$) and over-concern and evasive faith($r=-.31{\sim}-.51$), and fern ale students showed in over-self-reliance ($r=-.27{\sim}-.45$). However over-self-reliance showed negative correlation with school adaptation and its sub factors only partially. When looking into by region, both city and rural areas showed significant negative correlation between irrational faith (overall) and it sub factors, and school adaptation. Rural areas showed higher negative correlation in irrational faith (overall) ($r=-.39{\sim}-.53$) and over-self-reliance ($r=-.32{\sim}-.44$) and dichotomy ($r=-.28{\sim}-.39$) than city areas. However over-self-reliance showed negative correlation with school adaptation and its sub factors only partially. Fourth, depression and school adaptation showed the negative correlation in all areas. In particular, academic achievements and peer relationship showed the highest negative correlation with depression (r=-.53 p<.001). When looking into the results by sex and by region, female students (r=-.62, p<.001) and rural area students (r=-.61, p<.001) showed higher negative correlation with depression and school adaptation than female students (r=-.56, p<.001) and city area students (r=-.57, p<.001). Although there was negative correlation in all areas by sex and by region, male students (r=-.52, p<.001) and rural area students (r=-.56, p<.001) showed the highest negative correlation in peer relationship and female students (r=-.57, p<.001) and city area students (r=-.56, p<.001) showed the highest negative correlation in academic records. Based on the results of the study, it is proposed to provide elementary school students sho are likely to be depressed very easily with careful counselling and teaching based on the attention and love in school fields so that they can adapt themselves to home, school and society with positive and reasonable thinking.

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