• 아동학회지
• /
• 제30권6호
• /
• pp.405-416
• /
• 2009

Almost 18,000 children were protected in 285 residential facilities all over the country in 2008 in Korea. The recent trends of the residential care include downsizing, and emphasizing independent living programs for aging out youths. Since the 1990s when the active research on the children in residential facilities has begun, the study focus has extended to the issues of developmental status and outcomes of the children, and recently, to the independency of the youths discharged from the facilities. The practical and policy issues are development of therapeutic programs for the children in care, increase of counseling staff, extension of programs for restoring children's relationship with their families, and planning of various policies to support the independence of discharged youths.

• The Journal of Korean Physical Therapy
• /
• 제29권4호
• /
• pp.211-217
• /
• 2017

Purpose: The purpose of this study was to trace the development of premature babies who had undergone neurodevelopmental treatment in the neonatal intensive care unit and to identify the effects of early neurodevelopmental treatment on the development of premature babies. Methods: Fifty-one premature babies, who had been hospitalized in the neonatal intensive care unit and received an infant motor performance test and Bayley scales-III evaluation of their developments during the six months of corrected age were included. They were divided into three groups: the intervention group (n=16), control group (n=23), and comparison group (n=12), depending on the risk of developmental delays and the existence of an intervention. The results of this study were analyzed using SPSS 22.0 for windows. The statistical significance level was set at ${\alpha}=0.05$. Results: Regarding the infant motor performance test scores for each group before the intervention, at two weeks after the start of intervention, and at post-conception of 40 weeks, the intervention group showed a significantly higher improvement than the control or comparison group (p<0.01). With respect to the Bayley scales-III at the corrected age of six months, the intervention group exhibited statistically significant differences from the control group in the domains of language and fine movements (p<0.01). Conclusion: The findings of this study could confirm that the early neurodevelopmental treatment of premature babies in the neonatal intensive care unit has continuous effects on the development of premature babies even after being discharged from the hospital.

• 한국산학기술학회논문지
• /
• 제19권8호
• /
• pp.283-294
• /
• 2018

본 연구의 목적은 현상학적인 방법을 통해 발달장애 아동이 있는 어머니의 양육 경험의 의미가 무엇인지 이해하여 본질을 추구하고 그 현상의 의미를 심층적으로 기술하고자 함이다. 본 연구의 대상자는 C 시에 있는 장애인복지관에서 치료를 받고 있는 발달장애 아동을 돌보고 있는 어머니 11명을 편의표본 추출하여 선정하였다. 연구방법은 심층 인터뷰와 녹음 테이프를 사용하여 2018년 2월에서 2018년 4월까지 자료를 수집하였다. 인터뷰 자료는 Giorgi의 현상학적 분석방법으로 분석하였다. 분석결과는 다음과 같은 일곱 가지 구성요소가 도출되었다: 장애진단이 늦어짐을 후회함, 장애자녀 수용이 어려움, 주변의 참기 어려운 시선, 장애자녀로 인한 가족 간의 불화, 장애자녀 양육을 수용하고 전념함, 장애자녀 양육에 지쳐감, 장애자녀를 받아들임. 결론으로 발달장애 아동 어머니의 양육태도는 발달장애 아동뿐만 아니라 어머니의 정서적 안정을 포함한 일상생활과 대인관계의 사회적 접촉기회, 사회적 고립 여부까지도 영향을 줄 수 있기 때문에 발달장애자녀를 돌보는 어머니들을 위한 신체적, 심리적, 정서적인 지원을 위한 의료나 복지가 체계적으로 도입되어야 할 것으로 사료된다.

• 한국보육학회지
• /
• 제19권2호
• /
• pp.145-163
• /
• 2019

본 연구는 유아 놀이에 대한 발달적 효과가 어떠한가를 메타분석을 통해 체계적으로 정리하는데 목적이 있다. 이를 위해 2005년부터 2006년까지 11년간 국내에서 발행된 연구논문을 수집하였으며, 학위논문 90편과 학술논문 20편 등 총 110편의 논문을 최종 분석하였다. 연구결과 첫째, 유아 놀이에 의한 유아발달 전체효과크기는 1.21로 통제집단에 비해서 실험집단의 효과크기가 38.7% 높게 나타났다. 하지만 삽입된 효과크기를 계산한 결과 .81로 나타나 결측 연구들을 포함할 때는 현재 효과크기보다는 낮아질 수 있는 것으로 나타났다. 둘째, 유아발달 하위요인에서는 신체발달 1.28은 .95으로, 정서발달 1.42에서 .86로, 사회성 발달 1.13은 .85로, 인지발달 1.19는 1.07로, 언어발달 1.30은 1.30으로, 창의성 발달 1.00은 .69로 실제 효과크기는 대체적으로 낮아지는 경향을 보였으나 모든 발달영역에서 효과크기가 있는 것으로 나타났다. 셋째, 조절변인에 의한 효과크기를 살펴본 결과 측정방법, 연령, 훈련, 총 횟수, 놀이유형에서 집단 간에 통계적으로 유의한 차이가 나타났다. 본 연구의 결과는 유아 놀이가 발달적 측면에 효과가 있다는 것을 밝힘으로써 놀이가 유아의 발달을 반영하고, 발달을 촉진하며 발달적 변화를 위한 도구로서의 기능을 한다는 것을 확인하였다는데 의의가 있다.

• 대한소아치과학회지
• /
• 제36권4호
• /
• pp.607-612
• /
• 2009

소아기의 악성 종양은 질병으로 인한 소아 사망의 가장 흔한 원인이다. 이에 대한 대표적인 치료 방법으로 항암 화학 요법과 방사선 요법의 단독 사용 혹은 이들의 병용을 들 수 있다. 그러나 이러한 치료 방법은 다양한 구강 내 합병증을 동반한다. 성인과 달리 소아 환자는 항암치료 시기에 일부 영구치가 활발한 발육단계에 있으므로 발육중인 치아에 치과적 합병증이 예상된다. 치과적 합병증의 정도는 화학약물의 종류, 용량 및 방사선 조사 빈도와 치료 당시 환자의 나이에 따라 달라진다. 본 증례들에서는 특정 영구치의 발육단계에 있는 만 1-4세경에 종양의 치료를 위해 항암 화학 요법과 방사선 치료를 받은 어린이 3명을 대상으로 치료 내용과 치아 발육 상황을 검토해 보았다. 이환된 치아의 수나 그 정도에 차이는 있으나, 각각의 환자에서 영구치 치배의 선천 결손, 왜소치, 치근 저형성 등 발육장애 관련 소견이 관찰되었다. 항암치료를 받은 병력이 있는 소아에 있어서 항암치료 이후에 나타날 수 있는 일반적인 구강 합병증 이외에 발육시기 동안 치아에 미치는 영향을 고려하여, 공간 문제를 포함하여 향후 발생 할 수 있는 다앙한 문제점 예방을 위한 장기적인 관찰과 관리가 필요할 것으로 생각된다.

• 대한간호학회지
• /
• 제13권3호
• /
• pp.51-60
• /
• 1983

Currently changing trends of child health care is demand total health assessment of child including growth and development. This study concentrates on the growth & developmental status of low birth weight infant for help their growth & development. Thus it can be provide a direction for scientific health education and counseling materials by investigating factor of growth & development. The subjects for this study were made up of 40 low birth weight infant who attended the well baby clinic of E university Hospital. The study method used was a questionnaire ＆ anthropometric assessment and DDST for normative data of development. The period for data collection was from July 1st to August 31th, 1982. Analysis of the data was done using percentages, $\chi$$^2$-test Stepwise Multiple Regression. The results of study were as follows. 1. The mean weight of birth was 2,068gm and mean of gestational period was 35.65 weeks. 2. The age at which weight ; 32.5%, head circumference : 67,5% chest circumference : 55.0%, height : 50. 0％ was normal range of physical growth. 3. The reverse age at which social development ; 87.5%, fine motor & adaptive development ; 70.0%, gross motor development ; 72.5% of children Passed by DDST to determine of normal range of development. 4. In the among variables, it was found that the infant who were the higher emotional & verbal response of mother and stimulus environment was the more normal range of weight & development than who was not. 5. The stepwise Multiple Regression between developmental status and predictors-birth order, weight at birth, sex, antenatal care, gestational period-are accounts for 34.1%.

• 대한간호학회지
• /
• 제15권3호
• /
• pp.62-73
• /
• 1985

The problems of growth & development due to maladjustment are gradually increasing while need for the treatment of children's diseases is decreasing. The level of developmental deficiency or delay correlates with neonatal birth weight and also with gestational age, i.e. degrees of prematurity. There-fore, developmental defects and potential risk factors' are more Common in premature infants than in full term infants. The purpose of this study is to define the difference in the growth at developmental status between premature and full term infants, and to define the relation between the developmental status and the physical growth during the first 3 years' Data were collected from January 10, 1985 to April 6, 1985 at 3 hospitals including St. Mary's Hospital, and through home visiting. The subjects of this study consisted of 79 Premature infants (G.A. <37wks. & B.W. <2.5kg) and 94 full term infants (G.A.≥37 wks. & B.W.≥2.5kg). The study method used was a questionnaire, anthropometric assessment and DDST for normative data of growth & development. The collected data were analyzed using descriptive statistics, chi-square test and t-test. The results of the study were as follows: Hypothesis: 1 : That the prematures will differ from the full term infants in the physical growth status during the first 3 years was partially supported (p＜0.02) : The prematures reached up the full term infants in the physical growth status in the first 6 months. And, the first hypothesis was supported (P<0.01) : There are more cases which is below‘the Korean children's physical. growth standards’in prematures than in full term infants. Hypothesis 2 : That the prematures will differ from the full term infants in the developmental status during the first 3 years was supported (P< 0.001)；‘Normal’developmental status due to DDST was less in prematures than in full term infants. And, the second hypothesis was Partially supported (P<0.02) : The developmental status of the pre-matures was different from that of the full term infants within the first 3 months by analysis of passed items in DDST, Hypothesis 3 : That the prematures' developmental status will relate to their physical growth during the first 3 years was supported (P<0.001) : If the prematures' developmental status is in delayed status, then, their physical growth status is also in delayed status. This study shows that the prematures differed significantly from the full term infants in the growth at developmental status during their infancy. This means that the nurse can foster the growth & development of the prematures by supportive care during their infancy. Further longitudinal study is needed to verify these findings for the environmental factors.

• 한국실내디자인학회논문집
• /
• 제33호
• /
• pp.27-35
• /
• 2002

The qualify of preschool education is related to the qualify of the physical environment, This research is aiming to develop and validate the set of scales for the measurement of physical quality of the interior spaces in child care facilities. The research has been in three major phases: (1)the development of indicative sub-scales for the description, measurement and evaluation of the physical designed quality of early childhood environments (2)two rounds of iterative phases of reliability and validity testing of the scales through expert panels and observational field-testing and (3)implications for future research to be done. 13 sub-scales were developed, which are based on Moore's 15 design principal for child care environments. And each sub-scale includes several evaluation items based upon developmental theory, existing empirical literature, and Korean, Australian and American child care standards. This set of scales will (1)aid research on the effects of environmental variables on quality of child care facilities for infants, toddlers, and preschoolers; (2)permit evaluation of such environments to identify areas of needed improvement; and (3)provide information for policy makers, parents, administrators, and designers/architects.

• 융합정보논문지
• /
• 제10권3호
• /
• pp.176-184
• /
• 2020

본 연구는 집단놀이치료가 발달장애아동의 문제행동 감소에 효과가 있는지 알아보고 위하여 연구를 실시하였다. 연구대상은 특수학교에 재학 중이며 장애인 단기보호센터를 이용하는 장애아동 5명이다. 연구기간은 2018.1. 2. - 2. 28. 까지 겨울방학을 활용하여 매주 2회 40분씩 총 12회기를 실시하였으며 측정도구는 문제행동 진단척도(K-CBCL)로 매 회기마다 행동변화를 질적으로 관찰하였다. 본 연구결과를 요약하면 다음과 같다. 첫째, 회기별 과정에서 장애아동들은 공격성, 위축, 우울, 불안 등이 유의미하게 감소하고 활동적이 모습이 증가하였다. 둘째, 집단놀이치료 개입 후 문제행동이 감소하고 외현화 문제보다 내재화 문제에서 더 많은 감소를 보였다. 본 연구의 결과는 집단놀이치료는 장애아동의 개별적인 특성에 따라 문제행동을 감소시키는데 의미가 있으므로 실천현장에 적용하고자 한다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제32권1호
• /
• pp.35-40
• /
• 2021

Objectives: Among the many intervention programs for children with autism spectrum disorder (ASD), the Early Start Denver Model (ESDM) is one of the few approaches that has succeeded in demonstrating clinical efficacy in randomized control trials. Here, we investigate the clinical efficacy of ESDM intervention in young children with ASD in a community setting within Japan. Methods: All subjects were children with ASD who received ESDM intervention during the study period. Each ESDM session lasted 75 min and occurred once per week for at least 12 weeks. The outcome measures consisted of the Kyoto Scale of Psychological Development (K-test), Aberrant Behavior Checklist-Japanese version (ABC-J), and the Clinical Global Impression-Severity scale (CGI-S). Results: Twenty-seven subjects (29.4±6.4 months old) received ESDM intervention that lasted for 8.0±2.6 months on average. The score on Language and Social developmental quotient on the K-test increased significantly after the intervention. The total scores on the ABC-J and CGI-S significantly decreased after completion of the ESDM intervention. Conclusion: Our results suggest that ESDM intervention could reduce the severity of distinct clinical features of ASD, such as impairments in social interaction and communication assessed by the K-test, and maladaptive behavior rated by the ABC-J and CGI-S. We believe that the ESDM adapted to each institution might become one of the standard options for children with ASD in Japan.