• Clinical and Experimental Pediatrics
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• 제60권2호
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• pp.31-37
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• 2017

Steroid 21-hydroxylase deficiency is the most prevalent form of congenital adrenal hyperplasia (CAH), accounting for approximately 95% of cases. With the advent of newborn screening and hormone replacement therapy, most children with CAH survive into adulthood. Adolescents and adults with CAH experience a number of complications, including short stature, obesity, infertility, tumor, osteoporosis, and reduced quality of life. Transition from pediatric to adult care and management of long-term complications are challenging for both patients and health-care providers. Psychosocial issues frequently affect adherence to glucocorticoid treatment. Therefore, the safe transition of adolescents to adult care requires regular follow-up of patients by a multidisciplinary team including pediatric and adult endocrinologists. The major goals for management of adults with 21-hydroxylase deficiency are to minimize the long-term complications of glucocorticoid therapy, reduce hyperandrogenism, prevent adrenal or testicular adrenal rest tumors, maintain fertility, and improve quality of life. Optimized medical or surgical treatment strategies should be developed through coordinated care, both during transition periods and throughout patients' lifetimes. This review will summarize current knowledge on the management of adults with CAH, and suggested appropriate approaches to the transition from pediatric to adult care.

• 가정과삶의질연구
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• 제9권1호통권17호
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• pp.27-44
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• 1991

The purpose of this study is to investigate the relationship between communication pattern and conflict between old parents and their adult children. For this purose, 380 adult children are surveyed therefore the answers of survey are described by adult children only. The number of old parents turn to be 230 old fathers and 301 old mothers respectively, there numbers have included the case both parents are alive. The data were analysed several method with SPSS and the methods used for the analysis are Factor analysis, one way ANOVA, Scheffe-Test, Pearson's Correlation, Multple Regression. The results of this study are summarizd as follows ; 1) Old parents's communication patterns differ each other and under many variables. 2) In the conflicts between old parents and adult children differ each other and under many variables, too. 3) The relationship between communication patterens and conflict between old parent and adult children turn to be as follows : Two communication styles ie, the autoritarian style and insincere style increse conflicts. Frendly style have negatve affect to conflicts and decreses the conflicts. Sacrifice style is turn to have slightly affect the conflict.

• 대한간호학회지
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• 제44권1호
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• pp.41-54
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• 2014

Purpose: The purpose of the study was to explore and describe the experience of adult Korean children who are caregivers for parents institutionalized with dementia. Methods: Participants were fourteen adult children caregivers of elders institutionalized with dementia. Data were collected through in-depth unstructured interviews with individual participants from August to November, 2012. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using Strauss and Corbin's Grounded Theory Method. Results: From open coding, 67 concepts, 29 sub-categories, and 14 categories were identified. Analysis revealed that the core category of the experience of adult children caring for their parents institutionalized with dementia was 'enduring the role of a prop' consisting of four phases: initial turmoil, exploration, role adjustment, and acclimation. To manage the role of a prop, participants utilized various action/interactional strategies such as overcoming the unfamiliarity, overseeing the nursing home care, and counterbalancing the caring roles. As a result, participants experienced ambivalence towards the existence of parents with dementia, changes in family relationships, altered viewpoint towards nursing homes, and restructuring of life. Conclusion: In-depth understanding of the experience will guide nurses to promote effective interventions in order to better support the Korean family caregivers of parents institutionalized with dementia.

• 성인간호학회지
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• 제20권1호
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• pp.176-186
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• 2008

Purpose: The purpose of this study was to analyze the published articles in the Journal of Korean Academy of Adult Nursing from 2004 through 2006. Methods: Two hundreds and ten articles were analyzed focusing on research methodology and key words using descriptive statistics. Results: The proportion of quantitative research was 88.1%, while the proportion of qualitative research was 5.2%. The majority of the qualitative research design was survey(67.1%). Seventy-four percent of the research had verbal consent and 8% had written consent from the participants. Eight percent of the research provided conceptual framework. The prevailing data collection settings were hospitals(50.5%) and community(37.1%). For the data analysis, 95% used parametric analysis methods; descriptive statistics(26.2%), chi-square test(18.3%), t-test(18%) and ANOVA(17.4%). Key words were categorized into four nursing domain: human, health, nursing, and environment. The most frequently used domain was health. Conclusion: The number of the published articles in the Journal of Korean Academy of Adult Nursing has been increased and quality has been improved compared with the articles published before the 2000 year. Varied research methodology and data analysis methods were utilized.

• 대한구강악안면병리학회지
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• 제42권5호
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• pp.125-128
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• 2018

Myofibroma is a benign tumor composed of fibroblasts and myofibroblasts, occasionally occurring most commonly as a solitary lesion of soft tissue, skin, or bone in children younger than 3 years of age. Solitary lesion of myofibroma is exceedingly rare in adult jaws. This report describes a rare case of myofibroma in the mandible that occurred in a 41-year-old Korean woman.

• 가정과삶의질연구
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• 제19권1호
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• pp.63-75
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• 2001

The purpose of this study was to investigate those factors which are related to parent-adult child coresidence of Korean elderly. The data of 2,464 elderly over 65 from $\boxDr$National survey of elderlys life and welfare desires in 1998$\boxUl$collected by Korean Institute for Health and Social Affairs were used for this study. The major results of the study were summarized as follows: First, the elderly who live with their children were different from those who live independently from their children in socio-demographic characteristics, residential area, economic or physical abilities, and the value of elder care. Second, residential area, economic abilities, and the value of elder care were found to have an influence on the parent-adult child coresidence among Korean elderly. Third, the determinants of the parent-adult child coresidence for the elderly were different according to their value of elder care.

• 한국보육학회지
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• 제19권1호
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• pp.75-86
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• 2019

본 연구는 어머니의 성인애착, 유아의 문제행동 및 어머니의 양육태도간의 관계를 살펴보고, 어머니의 성인애착이 유아의 문제행동에 미치는 영향에서 어머니의 양육태도가 조절역할을 하는지를 밝히고자 하였다. 이를 위해 어린이집에 재원중인 만3~5세 유아의 어머니 352명을 대상으로 설문조사를 실시 하였다. 연구결과, 어머니의 성인애착 중 회피가 유아의 내재화 문제행동의 위축에 미치는 영향을 자율적 양육태도가 조절하는 효과를 나타냈으며, 성인애착 중 불안이 문제행동의 위축에 미치는 영향을 자율적 양육태도와 통제적 양육태도가 조절하는 효과를 보였다. 또한, 자율적 양육태도는 성인애착의 불안이 유아의 불안/우울 문제행동에 미치는 영향을 조절하는 것으로 나타났다. 성인애착이 유아의 문제행동 중 외현화 문제행동에 미치는 영향에 대하여 양육태도는 조절효과를 나타내지 않았다. 본 연구를 통해 불안정한 성인애착을 보유한 어머니들이 유아의 문제행동에 있어서 어머니의 양육태도에 따라 유아의 문제행동의 형태가 달라진다는 것을 확인할 수 있었다.

• 한국심리학회지:학교
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• 제18권2호
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• pp.197-220
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• 2021

본 연구에서는 초등교사의 성인애착이 교사가 지각한 교사-학생 관계에 미치는 영향에서 인지적 유연성과 적극적 대처가 매개하는지 검증하였다. 경기도에서 근무하는 203명의 초등교사를 대상으로 자기보고식 설문을 실시하였으며, 측정도구로 성인애착, 인지적 유연성, 적극적 대처, 교사-학생 관계 척도를 사용하였고, 수집된 자료는 SPSS 23.0과 SPSS Macro를 이용하여 분석하였다. 본 연구의 결과는 다음과 같다. 첫째, 초등교사의 성인애착과 교사가 지각한 교사-학생 관계를 인지적 유연성이 매개하는 것으로 나타났다. 이는 초등교사의 성인애착이 안정적일수록 인지적 유연성이 증가하여 교사-학생 관계가 향상됨을 의미한다. 둘째, 인지적 유연성과 적극적 대처의 매개효과를 함께 고려할 때, 초등교사의 성인애착과 교사가 지각한 교사- 학생 관계를 적극적 대처가 매개하지 않는 것으로 나타났다. 성인애착이 적극적 대처로 가는 직접경로가 유의미하지 않음을 의미한다. 셋째, 초등교사의 성인애착과 교사가 지각한 교사-학생 관계를 인지적 유연성과 적극적 대처가 순차적으로 매개함을 확인하였다. 즉, 초등교사의 애착이 안정적일수록 인지적 유연성이 높아져 적극적 대처를 하게 되므로 교사가 학생과의 관계를 더욱 긍정적으로 지각하게 된다는 것이다. 이러한 연구결과를 바탕으로 본 연구의 의의와 제한점을 밝히고, 후속 연구를 위한 제언을 논의하였다.

• 한국노년학
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• 제31권4호
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• pp.905-923
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• 2011

본 연구는 손자녀 양육 조부모와 그들의 자녀 사이에서 손자녀 양육으로부터 비롯되는 갈등 요인을 밝히고자 하였다. 이를 위해 제3차 국민노후보장패널자료를 분석 데이터로 사용하여 손자녀 양육 조부모와 그들의 성인 자녀와의 갈등에 영향을 미칠 수 있는 요인을 손자녀 양육 조부모의 인구사회학적 요인과 경제적 요인, 돌봄 관련 요인, 건강 요인, 가족관계 요인을 중심으로 분석하였다. 분석결과 첫째, 조부모가 남성일수록, 연령이 높을수록, 학력이 높을수록, 종교가 없을수록, 비취업자인 경우에 자녀와의 갈등이 높은 것으로 나타났다. 둘째, 조부모의 근로소득과 금융소득이 없는 경우, 사적이전소득이 있을 경우, 즉 경제적으로 어려운 경우에 자녀와의 갈등이 높은 것으로 나타났다. 셋째, 손자녀의 연령이 낮을수록, 손자녀 양육 대가가 없는 경우, 손자녀 양육으로 인해 근로나 소득활동을 중단 또는 단축한 경우에 자녀와의 갈등이 높았으며, 조부모의 신체적 건강상태가 좋을수록, 정신적 건강상태가 나쁠수록 자녀와의 갈등이 높았다. 마지막으로 조부모의 가족관계 만족도와 배우자관계 만족도가 낮을수록, 자녀와의 관계 만족도가 높을수록 자녀와의 갈등이 높은 것으로 나타났다. 이는 자식을 위해 대가 없이 희생하는 전통노인과는 다른 양상으로서 손자녀 양육 대가 부재와 갈등에 대한 이해가 필요함을 시사한다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제30권4호
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• pp.178-184
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• 2019

Objectives: The aim of this study was to measure the effect of a group-based parent education program on parenting stress and attitude and comparing the same according to adult attachment styles. Methods: Twenty-two mothers who enrolled in the parent education program participated in our study. The participants filled in the Korean version of the Experience in Close Relationship Revised (ECR-R), Korean-Parenting Stress Index-Short Form (K-PSI-SF), Maternal Behavior Research Instrument (MBRI), and Symptom Checklist-90-Revised (SCL-90-R) before and after the program. We compared the pre - and post-scores of the groups and compared the differences in effect according to adult attachment styles. Results: For all study participants, the Parent Distress (p=0.023) and Total Parenting Stress (p=0.018) significantly declined after the parent education program. There were no differences in other variables. Within the secure attachment group, the Total Parenting Stress (p=0.008), Parent Distress (p=0.015), and Difficult Child (p=0.011) scores in the K-PSI-SF significantly decreased after participating in the program. The Difficult Child scores (p=0.040) significantly dropped in the K-PSI-SF post program within the secure attachment group, compared to the insecure attachment group. Conclusion: The group-based parent education program impacted parenting stress. Depending on the adult attachment styles, the effect of the program varied.