• 한국IT서비스학회지
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• 제9권4호
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• pp.207-217
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• 2010

This paper is concerned with a protection system for the mentally handicapped, which is utilizing a GPS receiver and mobile communications. The protection system consists of a location notification equipment, a location identification and management server, and a cell phone of guardian. The location notification equipment is made up of a GPS receiver, a CDMA communication module and a microprocessor. The equipment transfers the location of the mentally impaired to the location identification and management server when the handicapped gets out of a certain bound of the designated facility. The server marks the handicapped's location on the map in the server and also notifies the guardian's cell phone of the locations. With applying the proposed protection system to social welfare organizations related to the mentally handicapped, it is expected to efficiently contribute to the promotion of the handicapped's welfare.

• 대한간호학회지
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• 제28권1호
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• pp.7-16
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• 1998

Various difficulties and inconveniences arise from having a mentally handicapped child in a family and these place many demands on mothers. There are few studies in Korea on these demands nor on what mothers go through with their mentally handicapped daughters' menarche and puberty. The purpose of the study was to examine the experiences of mothers of mentally handicapped daughters, as it relates to their daughters' menarche and the beginning of puberty. With indepth interviews, both in person and by telephone and participant observation the study used a qualitative research methodology to attempt to understand the experiences of these mothers. The data were gathered from October 1995 to April 1996. The subjects for the research included nine mothers of mentally handicapped daughters whose ages ranged from 12 to 18 and who attended one of three special schools located in either Inchon or Seoul. The data were recorded and analyzed : meaningful statements were grouped according to subjects raised by the mothers. Content Analysis was also applied to identify similar content and confirm common experiences. and to highlight concepts and categorized them. The results of this study are as follows. Five categories were identified : mothers' emotional responses to their mentally handicapped daughters' menarche and menstration were of severe despair accompanied by anxiety, guilt, fear, anguish, shame and pity because the mothers were afraid their daughters would not be able to use appropriate hygienic measures during menstration and the mothers felt heavily burdened in having to look them. The mothers also had negative feelings about their daughters' physical development. The experience of mothers related to their daughters' possibilities for marriage and pregnancy were of powerlessness, distress, withdrawal, fear. pity and desperation and they were afraid that their daughters might be violated sexually. The mothers rejected the possibility of marriage and pregnancy for their daughters and instead planned very restricting futures for them. The mothers used various coping methods to bring meaning to their lives. Because the negative emotional responses of the mothers. nurses need to work to empower mothers to overcome these negative responses. Sex education can also play an important role especially for the daughters especially through the use of visual aids. Further, nurses should understand the tearing difficulties of mentally handicapped daughters, what mothers need and also what they experience with their mentally handicapped daughters. In conclusion, nurses should understand the negative experiences of the mothers in relation to their mentally handicapped daughters' menarche, help the mothers cope with the negative. emotions through real life education and counselling. In addition, there is a need for nursing interventions and an administrative system which will minimize the prejudices of society towards handicapped people.

• 대한간호학회지
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• 제29권3호
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• pp.494-506
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• 1999

The purpose of this study is to understand the structure of mothers of mentally handicapped daughters' lived experience, to apprehend the connectedness of the structure of the experience with concept of Parse's human becoming theory, and to provide a foundation for nursing research and education. Data collection was conducted from October 1995 to April 1996. Research participants were eight mothers of mentally handicapped daughters whose ages ranged from 12 to 18 attending special schools located in either Inchon or Seoul. The researcher had interviews with them over their lived experience conducted tape recorded, and made an analysis according to Parse's “human becoming research methodoloy.” The data were collected using the dialogical engagement process “I and You,” the participant researcher and the participant subject. The data were analyzed using the extraction-synthesis and heuristic interpretation. The structural integration is illustrated in the following : 1) Realizing the mother's role of mentally handicapped daughters and admitting situation. 2) Concealing a part of their relationship with others is interpreted as revealing-concealing. 3) Living a life kept moving between separating and connecting. 4) Their flight back voluntarily to improve the situation is interpreted as powering. The conceptual integration which emerged was the lived experience of mothers is powering through the revealing-concealing and connecting-separating of valuing.

• 아동학회지
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• 제36권5호
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• pp.37-58
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• 2015

This study explored the sandplay therapy case of an elementary school-aged boy who was mentally handicapped for the purposes of understanding his psyche. The goal of the therapy was to help him to adjust more appropriately to situations he commonly encountered within the free and protected space made possible during sandplay therapy. Fifty-five therapy sessions were held. The client showed a lack of fundamental care, which was accompanied with regression in the initial phase of therapy (1~14, my situations & regression). In the intermediate phase of therapy (15~52, rebirth), he experienced rebirth and grew psychologically with the death of both a spider and a king snake. In the final phase of therapy (53~55, the acquisition of treasure), he finished his journey with the acquisition of treasure in a free and protected space. By exhibiting a similar psyche with non-handicapped boys, this study confirmed an archetypal pattern existing even in a boy who was mentally handicapped.

• The Journal of Korean Physical Therapy
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• 제6권1호
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• pp.23-35
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• 1994

In this research, the mentally-handicapped children being able to be trained were investigated the actual condition of train function making 40 mentally-handicapped children in Kummi Hyedang Spacial Education School, to exmine the effect of physical exercise function when training the mentally-handicapped children who can be trained as applying exercise education programs, and trains for 10 weeks by assigning to both experiment group and control group according to children who are similar to training functions from pre-examination. The results are in following: First, the results of test in the exercise ability of mentally-handicapped children with the degree of being able to trained are very delayed in comparison with normal mental children through the both top and bottom examination. The developments of 5 exercise functions classified by domain, have the order of eyesight exercise, softness, physical strength, quickness, parallelism, the interaction of both eye and hand, and, have the exercise function being equal to the level of between 6 and 12 years old. In 13 bottom test, throwing bean-bag is equal to the nomal 12 years old boy. the board jump, sitting position / bending forward / closing are equal to the level of 12 years old boy. standing with only leg is the level of 9 years old, threading pearls is 7 years old, transfering the wood building, picking the upper body up, walking board, balancing one leg with opened, eye, fist / opening palm / palm, bending and opening arm with postrating on chair, are the exercise functions of below 6 years old. Second, there are great effects in carrying out the exercise education program to the mentally-handicapped children with the level of being able to trained. In experiment group, it is elevated to the middle level of 12 years old nomal children. Classified by domain of test the board jump, training, the bean-bag are far higher level than 12 years old normal children, and are elevated the level of 11 years old boy. Balancing only leg with closed eye is below the level of 10 years old boys, fist / opening palm / palm are the level of 9 years old boys. There and back running, picking the upper body is the level of 9 years old girls. Walking board is the level of 8 years old boys. Bending and opening arm with postrating on chair is the level of 7 rears old boy. Balancing one leg with opened eye is elevated to the level of f years old girls. These functions have the more balanced exercise function rather than pre-examination. In control group, they have little change by classified the bottom test, but have the exercise function on the time of pre-examination, go backward in physical strength. quickness. Third, the exercise function being learned by exercise education program on the mentally-handicapped children of the level with being able to train is appeared to maintain continuately. Softness, physical strength, quickness, eyesight training are maintained the learned exercise function, the interaction of both eye and hands, parallelism are delayed a little. Classified by the bottom test. threading pearls, transfering the wood building, throwing the bean-bag, sitting position / rolling forward / reaching, the broad jump and picking upper body up, there and bark running, picking upper body up, balancing with only leg as opened eye, bending and opening arm with postrating on chair, etc. are maintained. Fist / opening palm / palm, balancing with only leg as opened eye are delayed a little. The change of body position is elevated. Seeing these results, it is appeared to the mentally-handicapped children that the exercise education programs, which is suitable their actual condition and acomplishes in voluntary participation, have very positive effect. So, to develop the function of body exercise in mentally-handicapped children with the level of being to able to be trained, the measures must be groped so that the exercise education programs can be practiced positively, and the ,body exercise can be experienced more.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제10권1호
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• pp.100-112
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• 1999

이 연구는 정신지체와 자폐장애 아동의 장기적인 치료와 그 가족의 삶의 질을 향상시키는, 보다 효과적인 개입방향을 모색하고자, 1998년 9월부터 1999년 1월까지 인천광역시에 위치한 가천의대 길병원 소아정신과에 내원하여 DSM-IV에 의거한 자폐 장애 또는 정신지체 진단 기준을 만족시키며 KEDI-WISC full-scale score에 의해 장애진단서를 발급받은 만5세에서 12세 아동 41명과 그들의 어머니를 대상으로 하여, 어머니의 삶의 질과 정서적 우울에 영향을 주는 장애아동의 행동 특성과 가족환경 특성을 조사하였다. 정상대조군은 연령과 성별, 그리고 사회경제상태를 고려한 37명을 선정하였다. 어머니의 삶의 질과 정서적 우울은 한국판 스미스클라인 비챰 삶의 질 척도(K-SBQOL)와 K-BDI에 의해, 아동의 행동 특성은 KCBCL, 그리고 가정환경특성은 한국판 가정환경척도(K-FES)에 의해 각각 측정하였다. 그 결과, 어머니의 삶의 질 척도(K-SBQOL) 총점은 장애아동군이 $127.51{\pm}42.90$, 정상대조군이 $167.20{\pm}31.07$으로 통계적으로 유의한 차이를 보였다(p＝.000). 어머니의 K-BDI 점수는 장애아동군이 $15.29{\pm}10.67$, 정상대조군이 $8.71{\pm}6.91$로 유의한 차이가 있었다(p＝.003). 가정환경척도에서는 장애아동군이 정상대조군에 비하여 자립성, 지적/문화적 지향성, 그리고 능동적-여가 활동이 통계적으로 유의하게 낮았다(p<.05). 장애아동 어머니의 삶의 질은 아동의 주의집중력 문제와 가장 높은 관련성이 있었고, 가정환경척도의 응집력 소척도와 K-CBCL의 사회성 소척도가 유의한 관련성을 보였다. 장애아동 어머니의 우울은 아동의 내향화 증상과 사고장애, 그리고 가족환경척도의 응집력 소척도와 유의한 관련성을 보였다. 이상의 결과들은 장애아동의 진료에서, 아동의 주의집중력 장애와 정서적 불안정에 대한 지속적인 치료와 가정에 대한 조정이 장기적으로 부모의 삶의 질과 장애아동의 예후에 중요하다는 것을 시사한다.

• 대한간호학회지
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• 제22권4호
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• pp.476-490
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• 1992

This study was designed to develop and test a structural model for maternal adaptation and family stress in families with mentally handicapped children. A hypothetical model was constructed on the basis of the family stress theory developed by McCubbin etc. The model included 6 theoretical concepts and 11 paths. For the purpose of the model testing, empirical data were collected from May to August, 1992. The subjects of the study constituted 190 mothers of children in five special schools and one private institute in Seoul and Choong Nam. An SPSS PC＋ and PC－LISREL 7.13 computer programs were used for descriptive and covariance structure analysis. The results of the study were as follows. (1) The hypothetical model showed itself a good fit to the empirical data ［Chi - square＝18.35(df＝7, P＝0.005), Goodness of Fit Index＝0.991, Adjusted Goodness of Fit Index＝0.959, Root Mean Square Residual＝0.042), Non Normed Fit Index＝0.90, Normed Fit Index＝0.96］. (2) The results of Hypothesis testing indicated : 1) Social support(${\gamma}$$_{11}$＝.238, T＝2.352), Family functioning(${\gamma}$$_{12}$＝.729, T＝5.957) and Family life event stress(${\gamma}$$_{13}$＝.125) had direct effects on situational definition. 2) Life event stress(${\gamma}$$_{23}$＝.319, T＝3.872) had direct effects on the effect of the handicapped child on the family. Family functioning(${\gamma}$$_{22}$＝-.245) and situational definition($\beta$$_{21}$＝-.335, T＝3.227) had direct effects on the effect of the handicapped child on the family. 3) Situational definition($\beta$$_{31}$＝-.273, T＝3.493), family life event stress (${\gamma}$$_{33}$＝.124, T＝2.169) and the effect of the handicapped child on the family($\beta$$_{32}$＝.264, T＝-3.227) showed the direct effect on the maternal adaptation. The model was supported by the empirical data. Thus it was suggested that the model could be applied to family nursing care with the families with the mentally handicapped. The construction and testing of the comprehensive model seem to be the first trial in Korea.a.a.a.

• 한국산학기술학회논문지
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• 제15권3호
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• pp.1548-1556
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• 2014

본 이 연구는 S시 지적장애인센터의 지적장애인 19명(남12명, 여7명)에게 10주 동안 주 1회(120분), 놀이운동프로그램 처치가 기간별(사전·사후검사) 신체구성(체중, 체지방량, 체지방률, 근육량, 세포량)과 건강관련체력[심폐지구력, 근력(악력, 배근력), 유연성(좌전굴)〕요소에 어떠한 영향을 미치는지를 알아보는데 그 목적이 있다. 자료 분석은 SPSS 18.0 프로그램을 이용하여 기술통계치를 산출하였고, 놀이운동프로그램 참여에 따른 기간별 신체구성 및 건강관련체력의 변화에 대해 paired t-test를 실시하였다. 가설검증을 위한 유의수준은 ${\alpha}=.05$로 설정하였다. 연구결과 신체구성 변화 중 유일하게 근육량에서 유의한 차이가 나타났고, 건강관련체력은 배근력, 좌악력, 우악력, 좌전굴, 심폐지구력 모두에서 유의한 차이가 나타났다. 따라서 지적장애인들의 놀이운동프로그램이 신체구성 및 건강관련체력에 긍정적인 영향을 미친 것으로 나타났으며, 이러한 결과는 성인병 예방에도 기여 할 수 있는 에너지 소비적 활동으로 활용가능하다고 본다.

• 보건교육건강증진학회지
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• 제3권1호
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• pp.63-73
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• 1985

Ratio of physically and mentally handicapped people among the total population is about 3∼4%. Regardless of the extent of seriousness of handicaps, they have to sustain various difficulties in their life time and pose challenging problems to their homes, community and nation. In the spectrum of their problems, measures such as treatment, rehabilitation and welfare work all occupied important part but most significant measure is the prevention. Such handicaps items from health care of maternal and child, mostly causes throughout the process of pregnancy, delivery and upbringing. And then this study is focused on the pregnant history of the mothers with handicapped children. The objective of this study is to identify the basic factors which can create a handicapped child during pregnancy and is to prevent the birth of such a child. For this study, 301 mothers who have handicapped children were selected, now receiving various training at 5 rehabilitation and educational facilities. And questionnaires distributed to them during the period of Oct, 1983 to Dec, 14. The collected responses have been analized in terms of significant numbers, percentage and metic average. Their related results are as follows: 1. The sexual ratio between the male and female was 58.5% compare 41.5%. The average age of the handicapped children was 10.1 years old and that of mothers at the time of the children's birth was 28.9 old years. They were born as 2.14th in their family, the ratio of antenatal care for pregnant mothers was 36.2% and 22.9% were abnormally delivered. 37.9% out of the total were born from mothers with ages above 35 years and as their first baby. 2. The time of confirming the handicapped nature of children was during babyhood by 97.1% and discovery of these misfortunes were made by chance. As for causes of those-handicapped status 20.9% disease from complication, 15.3% from difficulties experience at the time of delivery, 11.3% from heredity and 10% were results of drug abuse during pregnancy, and 49.8% of the handicapped children were mentally retarded.

• 대한간호학회지
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• 제24권4호
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• pp.666-677
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• 1994

In comparison with the long and continuous his-tory of research in the general area of stress and coping, theoretical and clinical interest in family stress and adaptation is a recent phenomenon. To understand the phenomena of family behavior, a comprehensive theoretical framework is needed to us provide an adequate background to for research. This study was designed to develop and test a hypothetical model for family stress and adaptation in families with handicapped children. A hypothetical model was constructed on the basis of the family stress theory developed by McCubbin etc. The model included six paths. For the purpose of model testing, empirical data was collected from May to August, 1992. The subjects of the study were 190 parents of chidren in five special schools and one private institute in Seoul and Choong Nam. An SPSS P $C^{+}$ and PC-LISREL 7.13 computer programs were used for descriptive and covariance structure analysis. The results of the study are as follows. (1) Family Stress(${\gamma}$$_{3l}$=-.288, T=-4.942) had a direct effect on Family Adaptation. (2) Family Functioning ($\beta$$_{21}$=-.373, T=5.595) had a direct effect on Situational Definition. (3) Family Functioning ($\beta$$_{31}$ =.334, T=5.375) had a direct effect on Family Adaptation. (4) Situational Definition( a2=.270, T=4.285) had a direct effect on Family Adaptation The model was supported by the empirical data. Thus it is suggested that the model could be adequately applied to family nursing care of families with a mentally handicapped child. In particular, the nursing interventions that enhance family functioning and the situational definition would improve family adaptation in families with mentally handicapped children.n.n.