• 제목/요약/키워드: child group

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스마트폰을 이용한 개별화된 관심전환 중재가 수술 전 환아의 불안에 미치는 영향 (Effects of a Smart Phone Individualized Distraction Intervention on Anxiety in Pre-Op Pediatric Patients)

  • 이경아;권미경;김혜원;임지은;표창옥;박찬숙
    • Child Health Nursing Research
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    • 제21권2호
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    • pp.168-175
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    • 2015
  • Purpose: The purpose of this study was to identify whether individualized distraction intervention using a smart phone affected pre-op anxiety of children. Methods: This was a nonequivalent control group pre-post test quasi-experimental design. The participants were 30 children in the experimental group and 30 in the control group. In experimental group, a smart phone individualized distraction intervention was given to children from the reception area to the operation room. Results: For heart rate, there were no statistically significant differences between the experimental group and control group. In the behavioral anxiety response, there were statistically significant differences between the experimental group and control group (t=-3.11, p=.003). Conclusion: The finding suggest that, for pre-op children, the individualized distraction intervention using a smart phone had some significance as a nursing intervention having a positive impact. Such interventions can help pediatric nurses to relieve pre-op anxiety and improve health of children in their care.

유.소아를 위한 포괄적 간호가 그들의 병원생활 적응에 미치는 영향에 관한 연구 (STUDY OF THE EFFECT OF COMPREHENSIVE NURSING CARE ON THE ADJUSTMENT OF CHILDREN TO HOSPITALIZATION)

  • 이자형
    • 대한간호학회지
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    • 제3권3호
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    • pp.97-110
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    • 1973
  • The goal of modern nursing is to provide comprehensive nursing care to patients. If comprehensive nursing care to children (within the hospital setting) is to be provided, consideration of the stage of growth and development of the child is especially important. From clinical observation, it appeared that nurses often disregarded individual requirements of children in giving nursing care. Therefore, the purpose of this study is to show that comprehensive nursing care which is based on an understanding of the growth and development of the child contributes to both the child and the mother's adaptability to the child's hospitalization. Method: Sixty children, three to three year of age, hospitalized at the Yonsei University Pediatric Ward ware studied. From April 1, 1973 to May 5, 1973, children admitted to the hospital were assigned to either an experimental or a compare groups. There were 30 children in each group. The sex and age of the children in each group was similar. In both groups were more male than female children. In the experimental group, each mother stayed with hot child continuously during his hospitalization. In the compare groups, the mother or some other member of the family stayed with the child. Each day on the child's admission the investigator visited the ward from 1-2 P.M. to 9-10 P.M., in order to provide comprehensive care for the experimental -group. The assistance given the nurses by the investigator was in the form of conferences regarding care and in giving direct care to the child and his mother. The compare group of children received nursing care as usually provided by the hospital. The instruments used to obtain the data for analysis were as follows: 1. The fear and anxiety reaction of the child was recorded by observation of the investigator for four areas: 1) separation from parent and relatives 2) reaction to Doctor and Nurse with white gowns 3) reaction to nursing care 4) reaction to injection and tests, etc. 2. Regression in area of eating, sleeping, and elimination were recorded by the investigator by questioning the mother and by observation. 3. Adaptability to the hospitalization was recorded by direct questioning of the children for areas of emotional and social adjustment. For children older than 3 years of age or children not seriously ill, using the simple I. Q. test this was possible for only 35 of the total 60 children. Result: 1. 55 percents of the total 60 children had been prepared by their parents for hospitalization. The children who had received prior preparation accepted hospitalization more readily than those who had received no preparation. (χ²=4.6 Ρ<0.05) 2. On admission 31.7 percent of the children expressed verbal fear of their discase or treatment. 25 percent felt that the disease was due to their mistake. 3. There was a significant difference in the reaction of the child to separation from the parent or relatives between the two groups. The experimental groups showed less anxiety due to separation than the compare group. (χ²=4.34 Ρ<0.05) In both groups there was less anxiety due to separation among school age (6-12 years) children than among preschool age (3-5 years) children. (χ²=9.22 Ρ<0.05) 4. More than half of the children in both groups reacted with fear and avoidance to doctor and/or nurses wearing white gowns. (χ²=0.06 Ρ<0.05) 5. The experimental group reacted more favorably to nursing in general than the compare group. (χ²=4.8 Ρ<0.05) 6. There was no difference in the fear and refused reaction to special tests and/or such as X-rays and injections, etc. between the groups. (χ²=3.77 Ρ<0.05) 7. More children in the compare group showed regressive tendencies in eating, sleeping, and elimination habits than in experimental groups. (χ²=2.3 Ρ<0.05 χ²=3.88 Ρ<0.05 χ²=4.9 Ρ<0.05) 8. There was a significant difference in the adaptability to hospitalization between the two groups. The experimental groups adapted more readily. (χ²=2.02 Ρ<0.05) 9. For children who had higher I.Q. s the adaptability to hospitalization was better regardless of the group. (χ²=5.03 Ρ<0.05) However, because of the small number of cases (60), this finding cannot be extrapolated without further verification. The date demonstrates that there was a greater adaptability to hospitalization by the child when comprehensive nursing care was given. By planning care and applying knowledge of growth and development to meet, nurses are in a position to prevent some of the psychological trauma associated with hospitalization.

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유아교사의 전문성 인식 수준 및 민감성 수준에 따른 교사-유아 상호작용의 차이 : 만 3~5세 담임교사를 중심으로 (A Study on Difference of Teacher-Child Interaction in Relation to Professionalism Awareness Level and Sensitivity Level of Early Childhood Teacher's : With a Focus on 3~5 year old Homeroom Teacher's)

  • 장윤정;황윤숙
    • 한국보육학회지
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    • 제17권2호
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    • pp.181-203
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    • 2017
  • 본 연구는 유아교사의 전문성 인식 수준 및 민감성 수준에 따른 교사-유아 상호작용의 차이는 어떠한지 밝히는 것을 목적으로 한다. 이를 위해 전북지역 유아교사 226명을 대상으로 전문성 인식, 민감성, 교사-유아 상호작용에 대한 평정척도를 활용하였으며, 본 연구의 결과는 다음과 같다. 첫째, 유아교사의 배경변인에 따른 전문성 인식, 민감성, 교사-유아 상호작용의 차이를 살펴 본 결과, 연령, 경력, 학력에 따른 차이가 나타났다. 둘째, 교사 전문성 인식 수준에 따른 교사-유아 상호작용의 차이는 어떠한지를 살펴보기 위해 집단별 평균을 비교한 결과, 전문성 인식이 높은 수준의 교사는 낮은 수준의 교사에 비해 정서적, 언어적, 행동적 상호작용의 평균이 높아 유의미한 차이가 있는 것으로 나타났다. 셋째, 민감성 수준에 따른 교사-유아 상호작용의 차이는 어떠한지를 살펴보기 위해 집단별 평균을 비교한 결과, 민감성이 높은 수준의 교사는 낮은 수준의 교사에 비해 정서적, 언어적 상호작용의 평균이 높아 유의미한 차이가 있는 것으로 나타났다. 이러한 결과는 교사와 유아의 관계에서 나타나는 상호작용의 질을 높이기 위한 기초자료가 될 수 있으며, 교사의 전문성과 민감성의 수준 향상은 교사의 전문적인 역할수행능력에 기여할 수 있음을 시사한다.

보육시설종사자의 직위와 전문성 발달수준 및 보육교사의 자격에 따른 보육시설 조력활동에 대한 평가의 차이 (The Study on the Assistance Program for Evaluative Accreditation in terms of Child Care Teacher's and Principal's Position, Certificate Level, Expertise Level)

  • 남미경
    • 한국보육지원학회지
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    • 제7권2호
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    • pp.43-60
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    • 2011
  • 본 연구는 보육시설 평가인증과정에서 이루어지는 조력활동에 대한 평가결과가 보육시설종사자의 직위와 전문성 발달수준 및 보육교사의 자격에 따라 차이가 있는지를 알아봄으로써 보다 수요자 중심적이고 현장적합적인 조력활동을 계획, 운영하는데 기초자료를 제공하는 것이었다. 본 연구를 위해 D,G시 소재 민간(가정)보육시설에 근무하는 시설장과 보육교사 138명을 대상으로 '보육시설 평가인증 조력활동평가척도'(남미경, 2010)와 '유치원 교사의 전문성 발달수준 자기평가 도구'(백은주, 조부경, 2004)를 보육교사와 시설장에 적합하도록 수정한 것을 사용하여 설문조사를 실시하였다. 연구결과, 첫째, 보육시설 조력활동에 대한 평가점수는 보육교사가 시설장에 비해 통계적으로 높게 평가한 것으로 나타났다. 둘째, 보육시설 조력활동에 대한 평가결과는 보육교사와 시설장의 전문성 발달수준에 따라 '조력활동내용영역'에서 차이가 있는 것으로 나타났다. 즉, 전문성 발달수준이 높은 집단이 낮은 집단에 비해 조력활동내용에 대해 긍정적으로 평가하였다. 셋째, 보육시설 조력활동에 대한 평가결과는 보육교사 2급 자격자와 보육교사 1급 자격자 간에 '조력활동내용영역'의 조력영역 부분에서만 차이가 있는 것으로 나타났다.

절기에 따른 생태유아교육 활동이 자연친화적 태도와 정서지능에 미치는 효과 (The Effect of Eco-Centered Early Childhood Education by Seasonal Divisions on Child Nature-Friendly Attitudes and Emotional Intelligence)

  • 박재옥;정혜진
    • 아동학회지
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    • 제37권5호
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    • pp.101-116
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    • 2016
  • Objective: This study aimed to investigate how the eco-centered early childhood education by seasonal divisions influences the child's nature-friendly attitude and emotional intelligence. Methods: Forty 5-year-olds from 2 preschools in Gyeonggi were selected through convenience sampling and were divided into the experimental group (21) and the comparative group (19). The experimental group received eco-centered childhood education by seasonal divisions 2 or 3 times a week (33 in total). Pre-post data were collected on both groups and analyzed via t-test and ANCOVAs. Results: The key result was as follows: eco-centered childhood education by seasonal divisions influenced positively the nature-friendly attitude and emotional intelligence of children. Conclusion: Based on the result, it is recommended that eco-centered early childhood education be applied in childhood education and that relevant program be developed. Eco-centered education by seasonal divisions is meaningful in early childhood so that children can be harmonious with the nature. Furthermore, the study should be continued for the development of qualified eco-centered education.

어린이집 만 4세 유아의 순수 놀이공간 및 놀이성과 놀이행동 간의 관계 (The Relationships among Play Space, Play Behaviors and Playfulness of 4-Year Old Children in Childcare Centers)

  • 남진경;김명순
    • 아동학회지
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    • 제35권2호
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    • pp.25-41
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    • 2014
  • The purpose of this study was to investigate the relationships between play behaviors and young children's playfulness in a variety of play space environments. The subjects were 150 4-year old children of 29 mixed-age classes in childcare centers of Seoul and Gyeonggi area. The results were as follows; (1) Their play behaviors differed according to their play environment in terms of classroom spaces. Solitary-active play behaviors were more frequently observed in large play spaces than small. (2) Leading participation, cognitive flexibility, voluntary full immersion, and total playfulness scores correlated negatively with reticent behavior. Leading participation, voluntary full immersion, and total playfulness scores, on the other hand, correlated positively with group play behavior. (3) In small play spaces, leading participation, voluntary full immersion correlated negatively with reticent behavior, but leading participation correlated positively with group play. In middle play spaces, cognitive flexibility correlated negatively with reticent behavior. In large play spaces, voluntary full immersion correlated negatively with parallel play, but leading participation, cognitive flexibility, expressions of joy, voluntary full immersion, and total playfulness score correlated positively with group play.

한국무용을 활용한 신체활동과 유아의 운동능력 (Physical Activities Using Korean Dance and Motor Ability in Young Children)

  • 최지연;이주리
    • 아동학회지
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    • 제33권6호
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    • pp.21-34
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    • 2012
  • This study examined the effects of physical activities using Korean dance upon the motor abilities of young children. The subjects of this study were divided into 2 groups. The first group was an experimental group (boy=12, girl=13) who participated in the Korean dance class and the other group was a comparative group (boy=11, girl=14). Experiments were performed during 18 sessions for 9 weeks. The study findings are as follows. First, physical activities using Korean dance had positive effects upon the development of basic motor abilities in young children. In terms of these basic motor abilities, movement motor ability and whole muscle operation motor ability showed significant differences between the pre-test and post-test stage in the experiment group and between the experimental and comparative groups in the post-test stage. On the other hand, in terms of non-movement motor abilities, there was a significant difference between the pre- and post-test stages for the experimental group, but no significant difference in the post-test stage for the experimental or comparative groups. Second, physical activities using Korean dance had positive effects upon the development of perceptive motor abilities in young children. In other words, in the sub-variables of perceptive motor abilities, there were significant differences between the pre- and post-test stages of the experimental group which experienced physical activities using Korean dance. In conclusion, the study findings showed that physical activities using Korean dance had positive effects upon the increase of both basic motor abilities and perceptive motor abilities in young children. Additionally, the experimental group exhibited more positive effects in the various areas of motor abilities than the comparative group.

치료놀이를 활용한 집단프로그램이 만 2세 영아의 친사회적 행동에 미치는 영향과 영아의 친사회적 행동 변화 과정 (The Effect of a Group Program Using Theraplay on Prosocial Behavior of 2-year-old Infants and Process of Infants' Prosocial Behavior Change)

  • 김태은;전아정
    • 한국보육학회지
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    • 제19권3호
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    • pp.183-197
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    • 2019
  • 본 연구는 치료놀이를 활용한 집단프로그램이 만 2세 영아의 친사회적 행동에 미치는 영향과 프로그램 과정에서 영아의 친사회적 행동 변화 양상을 알아보기 위해 실시되었다. W시의 한 어린이집에 재원 중인 영아 12명을 실험집단과 통제집단에 배정하였고 실험집단에 주 2회씩, 총 11회의 집단프로그램을 실시하였다. 적응적 사회적 행동 척도(Hogan et al., 1992)로 사전-사후검사를 실시하고 Wilcoxon rank-sum test로자료를 분석해 프로그램의 효과를 알아보았다. 실험집단을 대상으로 한 프로그램의 전 회기를 녹화하고 Padgett(2001)의 제안을 따라 분석해 친사회적 행동이 어떻게 변화하는지를 살펴보았다. 연구결과, 실험집단의 친사회적 행동이 유의미하게 향상되었다. 또한 친사회적 행동은 프로그램의 전 과정에 걸쳐 점진적으로 개선되었다. 본 연구의 결과는 치료놀이를 활용한 집단프로그램이 만 2세 영아의 친사회적 행동 증진에 효과적임을 의미한다.

유아교육기관에서의 '이야기나누기시간'의 의미 - 현상학적 접근의 방법으로 - (A Study on the Meaning of Large-group Discussion Activities in the Kindergarten through Phenomenological Approach)

  • 유수경
    • 아동학회지
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    • 제28권3호
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    • pp.267-285
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    • 2007
  • This study was a phenomenological approach to the substance and meaning of large-group discussion activities in the kindergarten. Results of this study showed phenomena of the management of large-group discussion to be : 1) interchange in the natural fields of knowledge, 2) the fields of shared laughter and humor, 3) the exchange of glances individually between a teacher and children as well as children to children, 4) a bridge to connect one activity to another, 5) the guarantee of freedom in the limited space while keeping order, 6) the making of a way to connect individual children's inner self with the world, 7) conflicts between standardized themes and generated themes.

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게임을 이용한 행동적 집단상담이 ADHD 아동의 행동변화에 미치는 효과 (Effectiveness of Behavior Group Counseling Utilizing the Games of Children with Attention Deficit Hyperactivity Disorder)

  • 조붕환;임경희
    • 아동학회지
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    • 제23권5호
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    • pp.167-182
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    • 2002
  • The effectiveness of behavior group counseling using the games of children with Attention Deficit Hyperactivity Disorder(ADHD) was studied with 24 primary school children (12 each in the experimental and in the control groups). The subjects were selected on the basis of the Abbreviated Conners Teacher Rating Scale-Revised. The counseling program consisted of 12 sessions over a 6-week period. Effectiveness of the training was evaluated with the Conners Teacher Rating Scale-Revised, the ADHD teacher's rating scale, and the Korea-Child Behavior Checklist. Findings were that the group receiving counseling exhibited improved attention, social relationships, and self control. They also exhibited decreased carelessness-passivity, hyperactivity, hostility and fewer behavior problems.

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