• 제목/요약/키워드: adopted child

검색결과 131건 처리시간 0.024초

부모의 양육지식과 실천 도구 개발 예비연구 (A Pilot Study on Korean Version Development of the Rearing Knowledge and Practice for Infant Parents)

  • 김경운
    • 한국산학기술학회논문지
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    • 제18권12호
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    • pp.485-493
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    • 2017
  • 양육지식은 양육실천에 중요한 관련요인이며 양육지식과 양육실천 정도 사정은 영아기 부모에게 중요하다. 저자는 기 개발된 타당성이 검증된 양육지식 척도(CRKS)와 양육실천 척도(CRPS)의 자국내 도입을 위하여 Saramma와 Thomas가 기 개발한 도구들을 채택하였다. 예비연구가 국제적 언어학적 검증단계에 따라서 수행되었다. 조사대상자는 A의 보건소와 B의 오케타니 마사지실을 방문한 영아 부모 20명이었다. 수집된 자료는 기술통계와 Wilcoxon Rank Sum Test가 도구의 이해도와 일반적 특성에 따른 도구의 평균 정도를 비교하기 위해서 사용되었다. 도구의 신뢰도와 타당도는 Cronbach's alpha, Spearman Correlations을 사용하였다. 대상자의 평균 나이는 33.94(${\pm}2.99$)세였고 영아의 평균 월령은 3.35(${\pm}0.58$)개월였다. CRKS와 CRPS의 이해도는 각각 1.80(${\pm}0.65$)점과 1.33(${\pm}0.54$)점으로 사용하기 쉬웠다. CRKS의 평균점수는 22.50(${\pm}4.89$)점으로 중간점수였고 CRPS의 평균점수는 30.75(${\pm}2.04$)점으로 높았다. CRPS의 Cronbach's alpha는 식이영역이 0.71, 성장과 발달 영역이 0.64, 청결과 보호영역이 0.68, 영아자극 영역이 0.77였다. CRPS의 영아자극과 CRKS의 성장과 발달 영역은 유의한 상관관계가 있었다(r=.530, p=.016). 일반적 특성 중에서 의료인이 비의료인에 비해서 유의하게 CRKS 점수가 높았다(p=0.04). CRKS와 CRPS 척도는 지역사회와 임상실무에서 사용이 간편하고 쉽게 응답할 수 있는 도구로 사용되기를 기대한다.

청소년 소아암 생존자의 슬픔: 상황분석 (Grieving among Adolescent Survivors of Childhood Cancer: A Situational Analysis)

  • 진주혜
    • Child Health Nursing Research
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    • 제20권1호
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    • pp.49-57
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    • 2014
  • 목적 본 연구는 함께 치료를 받았던 암 환우의 죽음이라는 간헐적이나 지속적으로 발생하는 사건에 노출된 청소년 소아암 생존자의 슬픔을 탐색하기 위해 시도되었다. 방법 자료는 만 13-18세의 소아암 청소년 생존자 12명과 반구조화된 면접(일대일면접, 전화면접, 인터넷 채팅), 자조 집단의 참여관찰, 그리고 인터넷 개인 홈페이지나 블로그에 올려 있는 참여자들의 글을 수집하였다. 근거이론방법론 분석의 일환인 Clarke (2005)의 상황분석을 이용하여 자료를 분석하였다. 결과 상황분석에 의거하여 세 가지 수준의 지도를 도식화하였다. 암 환우를 잃은 슬픔에 빠진 청소년 소아암 생존자와 관련된 모든 상황적 구성요소들이 첫 번째 상황적 지도의 두 가지 버전에 의해 마련되었고, 두 번째로 슬픔에 처한 청소년 소아암 생존자를 중심으로 주변 인물들의 관계 및 슬픔이 일어나는 주요 장소에 대한 사회적 세계 지도가 그려졌다. 마지막으로 타인과의 관계 수준에 따른 슬픔의 표출 정도를 위치 지도에 도식화하였다. 청소년 소아암 생존자의 슬픔은 어두운 잔존 기억에 대처하기 위해 내면의 자아와 의사소통하는 동시에 친구 및 가족과의 상호작용 속에서 끊임없이 자신의 생각, 감정, 행동을 협상하였다. 슬픔은 특히 어머니에게 표출하지 않고자 노력하였으며, 슬픔으로 초래되는 정신적 힘듦을 피하기 위해 아무렇지 않은 듯 혼자 시간 보내거나 의식적으로 암을 앓고 있지 않은 건강한 친구와의 관계맺음을 선호하였다. 결론 청소년 소아암 생존자의 슬픔은 다양한 상황적 맥락에 연루된 사회 환경적 요소들에 따라 숨겨지거나 표출되었다. 상황분석은 이러한 요소들 간의 관계를 시각적으로 정렬하며 비교, 분석하는 데 있어서 유용하였다.

신생아의 행동반응에 대한 실무교육이 간호사와 신생아와의 유희적 상호작용에 미치는 영향 (The Effects of In-service Education of Newborn's Behavior Response on the Nurse-Newborn Play Interaction)

  • 양영옥
    • 부모자녀건강학회지
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    • 제5권1호
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    • pp.1-23
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    • 2002
  • The purpose of this study was to find out the effect of in-service education on the nurse-newborn play interaction. The research design adopted the pre-experimental design applied only for one pretest-posttest group and Barnard's mother-infant interaction model was used as a conceptual framework. The subjects were 26 nurses who were selected from 2 nurseries in general hospital in Pusan, and 52 healthy newborns who were after 4 days from birth during data collection period at the same hospital. The data were collected from June 1st to October 5th in 2001, by video-taping for the interactive behaviors between the nurse and the newborn, played for 5 minutes in nurseries 2 weeks before and after in-service education. The in-service education consisted of the newborn's behavior responses focused on the newborn baby's states, behavior, cues and state modulation, 3 times per 1 week, 90 minutes per 1 time, lecture, demonstration and hand out project. The experimental tool used for this research was Ha Young-Soo's Korean translation of the Maternal-Infant Play Interaction Scale by Thompson, Jody Baird, Sara Gordman, Bryant(1982), some parts of which were adapted to be suitable for the purpose of this research. Mother and baby scale by Wolke & James-Roberts(1987) was also modified and used as the criterion of nurse's perception of a newborn baby. The results of this study were as follows: 1. This result supported the major hypothesis : After the intervention of in-service education, the nurse and newborn play interaction was promoted. 2. After intervention of in-service education, the nurse perception of newborn, especially the criteria of newborn's reaction was promoted., The results of this research confirm that in-service education on the newborn's behavior responses such as states, behavior, cues and state modulation is an effective way to improve the interaction between the nurse and the baby. It elevated the nurse's sensitivities to the baby's needs. Therefore, in-service education can change the conditions of current nursing practice mostly centered on physical care into a better one in which nurses consider the emotional, social, and intellectual development stages of babies. Accordingly, in-service education contributed to promoting the effective nurse-newborn play interaction so positively.

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통합적 신체표현활동이 유아의 창의성에 미치는 영향 (Effects of Physical Expressive Activities on Creativity in Young Children)

  • 김태주;신나리
    • 한국보육지원학회지
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    • 제9권6호
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    • pp.289-307
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    • 2013
  • 본 연구는 동작의 기본영역이 강조된 통합적 신체표현활동 프로그램을 개발, 실행하여, 본 프로그램 참여가 유아의 창의성 증진에 미치는 효과를 검증하고자 하였다. 이를 위해 충청북도소재 A 병설유치원의 단일연령으로 구성된 2개의 만4세반을 실험집단과 통제집단으로 각각 선정하였으며, 10주간 30회에 걸쳐 통합적 신체표현활동 프로그램을 실시하였다. 창의성은 프로그램 실시 전후에 Torrance의 'Torrance Test of Creative Thinking(TTCT)'를 김영채(2010)가 한국판으로 표준화한 유아 창의성 검사 중 도형검사 A형을 사용하여 측정하였다. 수집된 자료를 대응표본 t-test를 사용하여 분석한 결과, 실험집단의 경우 프로그램 참여 이후 창의성 총점과 유창성 및 개방성 점수가 유의미하게 증가한 것으로 나타났다. 반면 공분산 분석을 사용하여 분석한 결과, 창의성 하위차원 중 개방성, 제목의 추상성 및 정교성 점수에서만 실험집단과 통제집단 간의 의미 있는 수준의 차이가 나타났다. 결과적으로 통합적 신체표현활동은 유아의 전반적인 창의성 증진에 효과가 있었으나, 창의성 하위차원에 따라 그 영향은 차별화되는 것으로 밝혀졌다.

서울 시내 일부 학령 전 아동들의 비만 유병률과 이에 영향을 주는 요인 (Overweight among Preschool Children in Seoul ; Prevalence and Associated Factors)

  • 김미경;김희정;김영옥;이진희;이원철
    • 대한지역사회영양학회지
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    • 제6권2호
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    • pp.121-129
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    • 2001
  • The purpose of this study was to estimate the prevalence and to identify risk factors of overweight among preschool children in Korea. The study subjects were 750 children, aged 2-6, attending child care centers in Korea. A measurement of the height and weight of the children, as well as collection of wide range of variables including general characteristics, and potential factors related with dietary habit for children and their parents, were conducted. Overweight was defined based on more than 110% of ideal body weight. A logistic regression analysis was adopted to identify the factors associated with overweight. Subjects were classified into three categories according to the obesity index : underweight(PIBW〈90%, n=34), normal(90%$\leq$PIBW〈110%, n=577), and overweight(PIBW$\geq$110%, n=139). The overall prevalence of overweight and underweight of the subjects were 21.3% and 4.0% of the boys and 15.5% and 5.1% of the girls respectively. Parent's obesity was associated with a higher risk of overweight on girls. Subjects o the third quartile(girls) and fourth quartile(boys) of income level had a substantially higher risk of overweight than did those in the first quartile. Fast eating, overeating, and food prejudice were also associated with an increased risk of overweight. The results of a logistic regression analysis showed that the eating habits and food preferences of the children were the most influencial factors on overweight. These finding may imply the importance of early stage nutrition education on rational dietary habit to prevent prevailing obesity of preschool in Korea.

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ICD 연계 한의질병분류를 위한 전제로서의 공통개념어 연구 (Study on Common Conceptual Terms as a Premise for Korean Classification of Disease in Oriental Medicine in Connection with ICD-10)

  • 지규용
    • 동의생리병리학회지
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    • 제22권4호
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    • pp.718-724
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    • 2008
  • In order to classify diseases of oriental medicine in liaison with International Classification of Diseases, there should be intermediation and sharing concepts between the two in addition to proper classification. Classification units were settled for differentiation of diseases or syndromes first. And second, the standard forms of disease classification system were proposed. Third, this classification system was made of serial groupings of syndrome under the traditional disease name. Fourth, the location of disease and the interrelation between different syndromes were depicted with diagram in order to define more clearly. As the results and conclusion, The classification units were composed of 2 categories; topology, organ, meridian, somatic structure, body fluid units for description and various regulatory unit terms of western and traditional medicine for explanation. The mixed classification model of western diseases and traditional syndromes(證) was adopted as a fundamental classification system containing disease by exterior pathogen, systemic internal diseases, psychoneuronal diseases, metabolic diseases, diseases of sense organs, supportive structure diseases, obstetric-gynecology diseases, child diseases, 4-type constitutional diseases. And those were differentiated with generalized, localized, functional, oncogenic, environmental features in detail. The cause, site, condition, dispositions must be expressed in each disease name too. The types of diagnosis using classification system are principal and final diagnosis, principal procedure, main conditions, and these are applied to this Korean classification system equally. For more clarification of differentiation, a plane topological map and three dimensional coordinates were proposed to manifest the location, features and relation of disease itself or each other.

공공기관 의무기록부에서 관찰된 기아(棄兒)에 관한 고찰 (A Study on Abandoned Children through the Analysis of Medical Records in a Public Hospital)

  • 장정자
    • 한국보건간호학회지
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    • 제12권1호
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    • pp.75-89
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    • 1998
  • It is the purpose of this study to provide the basic data to stimulate the social understanding of an abandoned child from the medical viewpoint and the viewpoint of administrative management. The data are based on the medical dossier of 305 patients which were hospitalized in 'A' hospital (of Seoul municipal hospital) between 1992 and 1996. The method of analysis is SPSS statistical package and the following results can be obtained 1. The abandoned children were frequently found in the Spring by season, in April by month, on Friday by day, and especially in the night and before an individual home and an medical institution in many cases. 2. The children found in an individual home were younger, handicapped smaller, and hospitalized for shorter period. As they were healthy relatively, parents might hope that they were accepted as foundling foster children. Contrary to above case, the children found in an medical institution were worse, handicapped more, and hospitalized for longer period. Accordingly, parents might hope that they were protected in an public institution. 3. The $69.8\%$ of abandoned children had caught a disease at that time and the $53.8\%$ of them had been handicapped. The most serious disease and handicap were the heart-lung trouble and the cerebral palsy, respectively. 4. The only $60.8\%$ of them were adopted and the most of them were healthy relatively. The $10.2\%$ which have been dead had caught four diseases on the average. As the results of above, the followings can be proposed : 1) It is required that the system connected to administrative management, which can provide the abandoned children turned for the better with the family relations to voluntary servants, be developed. 2) It is required that the system of registration management and plan for support economy, which can support the handicapped birth as the congenital malformation in national aspect, be developed. 3) It is required that to protect abandoned children, the health educational program for childbirth-people be prepared in the unit of a public health center.

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Evaluation of an Educational Program on Cervical Cancer for Rural Women in Mangalore, Southern India

  • Mary, Bright;D'Sa, Juliana Linnette
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권16호
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    • pp.6603-6608
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    • 2014
  • Cervical cancer is one of the leading causes of cancer in women worldwide. One way by which the incidence of this malignant disease can be minimized is by imparting knowledge through health education. This study aimed at developing an educational package on cervical cancer (EPCC) and determining its effectiveness in terms of significant increase in knowledge of rural women regarding cervical cancer. A one group pre-test, post-test design was adopted. Thirty rural women were selected using a convenient sampling method. Data were collected using a demographic questionnaire and a structured knowledge questionnaire developed by the researchers. The EPCC was designed for a duration of one hour and 10 minutes. The structured knowledge questionnaire was first administered as the pre-test, following which knowledge on cervical cancer was imparted using the EPCC. On the 8th day, the post-test was administered. Data were analyzed using descriptive and inferential statistics. The mean post-test knowledge score of the women regarding cervical cancer was significantly higher than that of their mean pre-test score, indicating that the EPCC was effective in improving the knowledge of rural women on cervical cancer. The association between pre-test knowledge scores and selected demo-graphic variables were computed using chi-square test showed that pre-test knowledge score of the women regarding cervical cancer was independent of all the socio-demographic variables. It was concluded that the EPCC is effective in improving the knowledge of women, regarding cervical cancer. Since the prevalence of cervical cancer is high, there is an immediate need to educate women on prevention of cervical cancer.

IT 시대 장애아동 아버지의 양육 스트레스에 관한 연구 (A Study on Parenting Stress of Disabled Children's Fathers in IT era)

  • 김정자;정복희;오명화
    • 한국전자통신학회논문지
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    • 제8권2호
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    • pp.363-370
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    • 2013
  • 본 연구는 장애아 아버지의 양육스트레스를 알아보기 위해 실시되었다. 연구의 대상은 G광역시에서 재활치료를 받고 있는 13세 미만의 장애아들 둔 아버지 50명을 대상으로 설문조사를 하여 응답이 불충분한 자료를 제외한 38부를 활용하였다. 설문지의 구성은 장애아동과 아버지의 일반적 특성, 그리고 부모의 양육스트레스(K-PSI-SF)로 하였으며 그 결과는 다음과 같다. 첫째, 장애아 아버지의 양육스트레스는 K-PSI-SF 하위 항목 가운데 부모의 고통이 가장 높았고 다음은 까다로운 아동, 그리고 역기능적 상호작용 순이었다. 둘째, 아동의 특성에 따른 아버지의 스트레스는 진단명과 마비부위에 따라 유의한 차이를 보였다. 셋째, 아버지의 특성에 따른 스트레스는 아버지의 교육수준과 연령에 따라서 유의한 차이를 보였다.

가정복지 실현을 위한 가정생활교육 확산 기초연구 - 가정복지서비스 수혜 가정을 중심으로 - (Family Life Education for The Actualization Family Welfare - Focus on Recipients of Family Welfare Service -)

  • 박미석
    • 가족자원경영과 정책
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    • 제9권1호
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    • pp.75-93
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    • 2005
  • It was quite an achievement to actualize family welfare, announcing' Healthy Family Basic Acts(2004)', which enabled to pursue comprehensive welfare policy including family life as a unit. This has enhanced family function, converting into consolidated family-centered service system, creating a new paradigm. The family life education must be spreaded and activated in the way of family welfare service, as to improve the quality of life, while reducing social problems regarding to the boundary of family. So This study aims at investigating the level of aspiration out from the family life education and the fact-revealing of training program within the family life. To examine these matters, 356 married women living in Seoul were selected. The results are as follows family life education and the training program each other showed little relevance that merely $45{\%}$ attended the program. Life planning program for Elderly was mostly asked in the research of the degree of family life education program. Besides, many of them demanded for the family care program for those who have divorced, remarried or adopted the child, showing their active will to solve them which have been dealt quite privately. Family life education is dealing with the current problem solving and future life planning. In this regard, it is strongly needed to experience and learn the dynamics of family life for lifetimes. Systemic family life education must be accomplished to solve, prevent and to cope with family problems.

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