• 제목/요약/키워드: mother′s burden

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영유아기 자녀를 둔 다문화가정 어머니의 양육 스트레스 (Mothers' Parenting Stress in Multi-Cultural Families)

  • 최나야;우현경;정현심;박혜준;이순형
    • 가정과삶의질연구
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    • 제27권2호
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    • pp.255-268
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    • 2009
  • The purpose of this study was to deepen our understanding about mothers' parenting stress in multi-cultural families. The study was conducted through in-depth interviews of 6 mothers from Mongolia, Philippines, and Japan who were living in Seoul. The findings of this study were as follows. First, mothers of multi-cultural families had difficulties of giving birth and child rearing, especially in the earliest years of their children. They were not fully adapted to the ways of living in Korea with little social support from family members and neighbors. Second, they were worried about their children's development, particularly language development due to their lack of understanding and fluency in Korean. Third, they were concerned about the cultural and racial discrimination against their children. They expected their children to be treated and respected equally like ordinary Korean children. Fourth, they were anxious about the fact that their children might not acquire the basic academic skills before they enter the elementary schools. Furthermore, they were worried that their children might not get as much educational support as they want. Fifth, despite the burden of mother's role in Korea, they wished to get a job to support their children for better education. In conclusion, the marriage immigrant mothers experienced the stress due to the lack of social support, the discrimination against immigrants, the possibilities of their children's delays in development, the disparity in the level of support for educating their children and the high expectations about their children's education in Korean society. Therefore it is necessary for the policy makers to consider more practical support system for the multi-cultural families in order for the marriage immigrant mothers to build up self-confidence in child rearing and educating their children.

육아지원기관의 특별활동 이용 현황 및 지출 결정요인 분석 (An Analysis of Extra-Curricular Activities in Childcare Facilities and the Factors Affecting on Expenses of Extra-Curricular Activities)

  • 김진미
    • 한국보육지원학회지
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    • 제10권5호
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    • pp.5-23
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    • 2014
  • 본 연구는 정부의 보육료 지원 증가에도 불구하고, 가구에서 체감하는 교육 및 보육료 부담이 감소되지 못한다는 문제점에서 비롯하여 추가비용으로 지출되는 특별활동 비용에 미치는 요인을 살펴보는 것을 목적으로 하였다. 한국아동패널 4차년도 자료를 사용하여 분석한 결과, 기관 내 특별활동 여부는 있음이 68.5%였으며, 평균적으로 2.9개의 특별활동을 이용하는 것으로 나타났다. 월평균 지출비용은 약 50천원이었다. 지역에 따라 특별활동 이용개수 및 지출비용을 살펴본 결과 지역 간의 차이는 통계적으로 유의하였다. 변수를 단계적으로 투입하여 특별활동 비용 지출에 영향을 미치는 요인을 분석한 결과, 모 학력, 모 취업, 육아지원기관 유형, 지역변인이 유의한 것으로 나타났으며, 이중 지역변인이 가장 큰 설명량을 차지하였다. 연구결과를 바탕으로 몇 가지의 정책적 시사점을 도출하였다. 첫째, 특별활동 과목 내용 및 비용에 대한 구체적인 실태파악과 관리감독이 이루어져야 한다. 둘째, 중앙정부차원에서의 필요경비에 대한 구체적인 기준제시가 필요하다. 셋째, 어린이집뿐만 아니라 유치원 등 아동이 이용하는 육아지원기관 전반에 걸쳐 특별활동 과목, 강사, 비용, 강사의 경력 등을 공개하고 주기적으로 모니터링해야 한다. 넷째, 취약계층 아동에 대한 특별활동 지원이 요구된다.

A Case of Successful Treatment of Congenital Syphilis in an Extremely Preterm Baby With Severe Respiratory Distress

  • Yoon Kyung Cho;Yeon Kyung Lee;Sun Young Ko
    • Pediatric Infection and Vaccine
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    • 제29권3호
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    • pp.161-165
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    • 2022
  • We report a case of successful treatment of congenital syphilis in an extremely preterm baby. A 1,395 g female infant was born by emergency Caesarean section due to preterm labor and breech presentation at gestational age at 29 weeks and 3 days with an Apgar score of 2 and 4 at 1 minute and 5 minutes, respectively. The mother of the newborn, an illegal immigrant who did not receive any antenatal care, was diagnosed as active syphilis infection by reactive rapid plasma regain (RPR) (titer 1:128) just before the delivery. Upon birth, the newborn presented with various clinical manifestations, including severe respiratory distress syndrome, persistent pulmonary hypertension of the newborn, disseminated intravascular coagulopathy, desquamation and scaling of the whole body, and osteolytic changes of long bone ends. Results of laboratory tests showed signs of early congenital syphilis, including positive syphilis reagin test (12.7 R.U.), reactive with RPR titer of 1:64, and positive for immunoglobulin (Ig) M and IgG fluorescent treponemal antibody absorption test. However, after completion of penicillin G treatment for two weeks, laboratory results dramatically improved, showing a negative syphilis reagin test (0.5 R.U.) and non-reactive in RPR. In conclusion, the incidence of congenital syphilis is prone to be resurgent in South Korea, neonatologists should be fully aware of the clinical features of congenital syphilis because early diagnosis and prompt treatment are essential in order to reduce the social and economic burden due to congenital syphilis.

초등아동 대상의 공적 돌봄 서비스 제공이 사교육 참여 및 사교육비에 미치는 영향 (The Effect of Public Care Service for Elementary School Children on Private Education Participation and Private Education Expenses)

  • 배지윤
    • 한국콘텐츠학회논문지
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    • 제22권8호
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    • pp.503-517
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    • 2022
  • 본 연구는 초등아동 대상의 공적 돌봄 서비스 제공이 사교육 참여 및 사교육비에 미치는 영향을 검증하고자 여성가족패널조사 자료를 패널 프로빗 분석과 최소자승더미변수 모형을 활용해 분석하였다. 연구결과는 두 가지로 요약할 수 있다. 첫째, 초등아동 대상의 공적 돌봄 서비스 제공은 자녀의 사교육 참여 경감에 통계적으로 유의한 영향을 미치는 것으로 확인되었다. 둘째, 어머니의 경제활동상태와는 무관하게 공적 돌봄 서비스의 제공은 자녀의 사교육비 경감에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 이를 바탕으로 본 연구는 다음과 같은 정책적 및 실천적 제안을 도출하였다. 첫째, 초등 자녀를 양육하는 '일하는 어머니'의 양육 부담 경감을 위해 공적 돌봄 서비스의 제공 확대가 필요하다. 둘째, 초등아동을 대상으로 하는 공적 돌봄 서비스의 질 제고가 필요하며, 이를 위해 정책적으로는 서비스의 통합적 관리와 서비스 제공자에 대한 처우개선이 수반되어야 한다. 실천적으로는 초등아동을 대상으로 공적 돌봄 서비스를 제공하는 기관에서 서비스 제공자를 대상으로 교육과 슈퍼비전을 제공함으로써 서비스 제공자의 돌봄 서비스 질을 제고해야 한다.

모바일 환경에서의 통합 육아정보관리 앱 프로토타입 시스템 구현 (Development of Integrated Infant Care Management App Prototype System in Mobile Environments)

  • 석윤영;김석훈
    • 한국융합학회논문지
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    • 제7권1호
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    • pp.31-36
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    • 2016
  • 최근들어 스마트 단말의 급속한 보급과 업무 방식의 변화에 따른 재택근무 등 근무형태의 유연화로 인하여 다양한 정보를 제공받고 있다. 아기를 둔 엄마들은 유아가 먹는 음식, 건강, 성장 등에 관심을 갖게 되었고, 육아라는 새로운 환경은 가족을 위해 완벽히 잘 해야 한다는 부담감과 동시에 훌륭한 엄마가 되어야 한다는 강박장애로 이어져 많은 엄마들이 육아 스트레스로 고통을 호소하고 있다. 또한, 모바일 환경에서의 일과 삶의 조화가 중요하게 대두됨에 따라 초보엄마들을 위한 육아관리에 도움을 줄 수 있는 통합적 육아정보 관리 애플리케이션의 필요성이 증대되었다. 본 연구에서는 육아정보 관련 앱의 선호도를 분석하여 실질적으로 필요한 맞춤형 통합 육아정보를 제공할 수 있는 육아정보관리 프로토타입 앱을 개발하였다.

영유아 성장발달 크리닉 운영모형개발 및 시범사업 결과 분석 -서울시 일개 보건소를 중심으로- (The Study on the Model Development and Analysis of 'Child Growth and Developmental Clinic' - Focusing on the public health center -)

  • 한경자;방경숙;윤손녕
    • 지역사회간호학회지
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    • 제12권1호
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    • pp.49-59
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    • 2001
  • Purpose: This study was intended to develop the framework of public health center based 'Child growth and developmental clinic' and analyze the efficiency of services. This was the part of Mother-Child Health Guidance Project by the Public Health Center in Seoul. The purposes of this project were to improve children's health and development with early detection of developmental delay by screening test, and to assist and guide the parent for child care and rearing, so that children can reach their maximum potential. Method: Framework and standards for operation of 'Child growth and development clinic' were developed. We selected screening tool. developed parent education materials, and educated the personnel of public health center. Result: 243 children were enrolled for developmental screening, and we detect the children with developmental delay and referred them for further evaluation. The proportion of developmental delayed children was approximately 2% of the enrolled children. Also, we analyzed the characteristics of enrolled children, and their parental needs and attitude on child rearing. Some problems in operation of developmental clinic were discussed. Conclusion: Though we can found some limitations, we are confident that pubic health center can be charge of important role for improving child development for the majority. This study will be the basis of children's developmental clinic running by public health center.

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학령기 어머니의 가계소득과 교육소비욕구에 따른 사교육비와 경제적 노후준비 (The Expenses of Private Educations and Economic Preparations for Old Age According to Household Income and Consumption Wants for Education in Mothers with School-aged Children)

  • 장윤옥
    • 가정과삶의질연구
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    • 제31권5호
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    • pp.211-231
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    • 2013
  • The purpose of this study was to analyze the differences in the expenses of private education and the economic preparations for old age according to household income and consumption wants for education in mothers with school-aged children. The data used in this study were collected from 416 mothers with school-aged children aged 8 to 19 years old living in Daegu. The data analysis methods adopted for the study were two-way ANOVA and Scheff$\acute{e}$ test. The results of this study were as follows: First, there were differences in the private education expenditure according to the household income and the consumption wants for education in mothers with school-aged children. In the group of mothers of low household income, the mothers with high consumption wants for education spent more money on academic education and music, fine arts or physical education than the mother's with low consumption wants for education. On the other hand, in the group of mothers of high household income, the mothers with low consumption wants for education spent more money on academic education and spent less money on music, fine arts or physical education than the mothers with high consumption wants for education. There were no meaningful differences in the group of mothers of middle household income. Second, there were differences in the perceived burden of private education expenditure according to the household income and the consumption wants for education in mothers with school-aged children. In the group of mothers of middle household income, the mothers with low consumption wants for education perceived there was a higher burden for private education expenditure than the mothers with high consumption wants for education. Third, there were differences in the expenditure preparation for old age and the economic preparation behavior for old age according to the level of household income. The mothers with high household income spent more money on preparation for old age and did well in economic preparation behavior for old age than the mothers with middle and low household income.

소아 및 청소년의 실손형 민간의료보험 가입 결정요인 (Determinants of Purchasing Indemnity Private Health Insurance among Adolescents and Children)

  • 유창훈;강성욱;최지헌;권영대
    • 한국콘텐츠학회논문지
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    • 제18권10호
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    • pp.99-110
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    • 2018
  • 최근 자녀의 건강위험에 대한 관심이 높아지면서 소아 및 청소년의 실손형 민간의료보험 가입이 급증하고 있다. 본 연구는 한국의료패널 2009-2015년 자료를 이용하여 소아 및 청소년 4,567명을 대상으로 실손형 민간의료보험 가입의 영향 요인을 분석하였다. 패널로짓을 활용한 분석 결과, 소아 및 청소년의 특성에서는 연령, 출생 순서, 거주지, 장애 여부가, 아버지의 특성에서는 실손형 의료보험 가입, 만성질환 및 장애, 어머니의 특성에서는 자녀와의 연령 차이, 실손형 의료보험 가입, 미충족의료, 가구 특성에서는 1인당 가구소득이 가입에 영향을 미치는 유의한 요인이었다. 만혼과 고령출산, 저출산으로 인한 자녀의 건강위험에 대한 불안감과 의료비 부담을 완화할 수 있도록 소아 및 청소년의 의료보장성 강화정책이 지속적으로 시행될 필요가 있다. 특히 다자녀 가구, 취약계층에 대한 정책적 배려가 필요하다.

사고로 남편을 잃은 여성의 경험 (A Study on Woman's Experience of Being Bereaved of Her Husband by an Accident)

  • 박성학;최미혜;정연강
    • 지역사회간호학회지
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    • 제7권2호
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    • pp.294-312
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    • 1996
  • Relatively young widows, who are left with young children by a sudden death of their husbands, will be faced with not only psychological troubles such as individual anxiety and frustration but also the dual burden of playing both father and mother roles in a family, Also, family members have difficulty in adapting themselves to new circumstances of the family system, the training and raising of family members, and management of the family economy. In this study, the realistic resources on the experience of middle-aged women who are bereaved of their husbands by accidents were explored. The purpose of this study is to help widows adapt to life in society and live a more positive life by setting a new goals and recovering from a lost and twisted life. 11 women, who have experienced the loss their husbands and live in the Seoul metropolitan area were studied. The research took 116 days from December 15, 1995 to April 8, 1996. The method of research was direct interviews. While having interviews with them, the contents were recorded with their consent. The ground theory was that used by Strauss & Corbin(1990) in the analysis of the data. 81 concepts were analyzed and they were subdirided into 22 subordinate categories through the course of the analysis. These were then classified into 9 general categories. In the course of being categorized, 'absurdity' was showed as a core category. The subordinate categories 'surprise', 'gloom', 'grudge', 'helplessness', 'emptiness', and 'loss' were united in the core category 'absurdity'. Ominous presentiment, belated notice, death, surprise, gloom, grudge, helplessness, emptiness, loss, the situation of the children, lack of support from neighbors, support from neighbors, mulling over ways to live, choosing a job, strengthening, reinforcement, burden, sadness, smoldering, yearning, overcoming these 22 subordinate categories were re-composed into 9 general ones the husband's death, absurdity, presence of children, existence of support, self-support ability, preparation of countermeasures, self-reinforcement, toilsomeness, and overcoming. 'Absurdity' widows experience was shown in the results of 'toilsomeness' and 'overcoming' through reaction, confrontation, and adaptation. According to the analysis the central phenomenon was absurdity, the causal condition of the death of a husband, the presence of children and the existence of support, and the meditated situation of self-support. To solve absurdity, the preparation of countermeasures and self-reinforcements were shown resulting in toilsomeness and overcoming. Through the contrast in the data, the following statements were deduced: (1) If the death of the husband is expected, the more a widow will feel absurdity. (2) The more children she has and the younger she is, the more a widow will feel absurdity. (3) The lower support she is given, the more a widow will feel absurdity. (4) The larger self-ability she has, the more actively she will prepare countermeasures. (5) The smaller self-ability she has, the more passively she will prepare countermeasures. (6) The larger self-ability she has, the weaker self-reinforcement she will preform. (7) The smaller self-ability she has, the stronger self-reinforcement she will perform. (8) The more actively she prepares countermeasures for absurdity, the better she will overcome. (9) The more passively she prepares counter measure for absurdity, the worse she will overcome. (10) The stronger self-reinforcement for absurdity she performs, the better she will overcome. (11) The weaker self-reinforcement for absurdity she performs, the worse she will overcome. Through the results in this study, the following suggested: 1) A study whose object is all family members, and a comparative study on the case of a husband who has lost his wife should be done. These studies can be expected to develop a more refined theory. 2) Because of the collapse of the extended family system and the changes of family culture in Korea, a widow's status and position are apt to be ambiguous between her husband's home and her parent's. Therefore a new study on family culture should be made. 3) A continuous study on growing social Self Help Groups should be requested for the widows of this study to re-establish and recover from their twisted and scattered lives.

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미숙아 어머니의 퇴원교육 프로그램 강화활동 (Discharge education reinforcement activities for mother of premature infants)

  • 이희정;설현아;이경남;서경옥;문수미;김기휘
    • 한국의료질향상학회지
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    • 제20권1호
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    • pp.76-88
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    • 2014
  • Objectives: Parents of a premature baby feel a pressure on their baby's growth and they are highly in need for proper education. However, the lack of proper education can cause the difficulty of follow-up care and rehospitalization. Currently, methods of education among each nurse are based on verbal explanation and can be often different. Therfore, it is true that the psychological burden is great during education. Hence, by enforcing discharge education activities, we intend to provide information; induce participation of parents; promote the level of performance; standardize education program; and increase the job satisfaction of nurses. Methods: NICU conducted a questionnaire survey of the demand and satisfaction for discharge education among mothers that left hospital. And before and after the improvement activity, the satisfaction level of mothers and nurses were studied, and rehospitalization rate were analyzed. Results 1)The survey results of the satisfaction level of mothers towards education program as followes: The level of understanding of content, general babysitting, special situation, education method, and educator attitude showed statistically significant increase. 2)The survey results of the satisfaction level of nurses towards education program as followes: While, the need for education program decreased, the adequacy of education content and method, consistency of education, understanding of learner, and learner's performance increased. All the factors except for the need for education program and the adequacy of education content showed statistically significant difference. 3)Rehospitalization rate of premature babies decreased. According to analysis of the cause of rehospitalization, breast-feeding related apnea turned out to be the highest. Conclusion: Through QI, satisfaction of mothers and nurses improved more than 10%. And rehospitalization rate of premature babies decreased by the same amount as well. Therefore, with the help of the standardized discharge education program, mothers who is not easy to take care of after leaving hospital can be seen to significantly affect their healthy growth and development.