• 제목/요약/키워드: the scale of home

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유아교육기관에서의 급식관리 실태에 대한 교사 및 학부모의 인식 연구 (The Different View Point of Child Education Center Food Service Program between the Parents and the Teachers)

  • 이영미
    • 대한지역사회영양학회지
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    • 제10권5호
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    • pp.654-667
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    • 2005
  • To survey the different view points about food service programs among parents and teachers, 2 types of questionnaires, which consisted of attitude, perception, satisfaction and demand of the food service program in child education centers, were used. The data was collected from 2450 parents and 450 teachers who attended a child education center in 16 provinces, nationwide. SPSS was used for descriptive analysis and ANOVA test and $X^2-test$. The frinding results were as follows. 1. The average serving size of meal (lunch) were 80 meals per day and 167 meals per day at large institutions. Mean cost of snacks was 14,709 won per month and mean costs of lunch were 29,319 won per month. The mean price was not significantly different according to the scale of institution. The numbers of servings of lunch, morning snack and afternoon snack were 5, 3.4 and 3.5 times per week each. $56.4\%$ of the institutions served meals to children in classrooms, but the national/public institutions, which were attending elementary school, served meals in a dining place in the elementary school. 2. Teacher controlled serving portion size of snacks $(79.6\%)$ and lunch $(88.8\%)\;and\;30.1\%$ of teacher did not allow leaving lunch food. The ratio of knowing about preserved meals of the teacher who worked at a small institution was significantly higher than the teacher who worked at large institutions (p<0.01). 3. Between parents and teachers, several different view points about school lunch programs were detected. Most parents and teachers wanted that the school lunch to be fully cooked and served at the child education institution itself, but $12.2\%$ of parents and $14.4\%$ of teachers wanted a catering service. The teachers group preferred 'lunch box from home' and 'home partially prepared lunch' as an ideal meal serving type than the parent groups (p<0.01). And there were significantly different view points about price factors in school meals, teachers group highly answered that operating expenses must be added in meal prices. 4. The teacher groups' priorities of education activities during meal time were a significantly lower score than parents group in overall education activities. Teacher and parent groups pointed out that individual sanitation activities were most important of the education activities during meal time, but promoting good eating habits was the lowest score in both groups. 5. 'Improving taste and food quality' was most urgent in food service at child education centers, but there were significantly different view points between parent groups $(64.5\%)$ and teacher groups $(43.8\%)\;(p<0.05)$. They answered at a lower percent in 'employee qualified person' and 'cost control' point to improve food service, but there were also different opinions between the two groups (p<0.01). 6. As to the matter of the advantages and disadvantages of catering services, two group answered that the advantages of a catering service were 'convenience' and 'to solve facilities and labor problems', disadvantages were 'lower in food freshness' and 'sanitation problems'. There were also several different view pionts in catering services, the parents groups were more anxious about food sanitation than teachers. This study found several different view points about school food services among parents and teachers. To improve food services at child education institutions, there is a need to adjust the differences between the two groups through interactive communication channels and education and to employ dietitians as taking charge of adjusting roles between the two groups.

Lead Pollution and Lead Poisoning among Children in China

  • Zheng, Yuxin
    • 한국환경보건학회:학술대회논문집
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    • 한국환경보건학회 2003년도 Challenges and Achievements in Environmental Health
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    • pp.24-25
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    • 2003
  • Lead is ubiquitous in the human environment as a result of industrialization. China's rapid industrialization and traffic growth have increased the potential for lead emissions. Lead poisoning in children is one of the most common public health problems today, and it is entirely preventable. Children are more vulnerable to lead pollution and lead in their bodies can affect their nervous, circulatory, and digestive systems. Children are exposed to lead from different sources (such as paint, gasoline, and solder) and through different pathways (such as air, food, water, dust, and soil). Although all children are exposed to some lead from food, air, dust, and soil, some children are exposed to high dose sources of lead. Significant sources of lead for China's children include industrial emissions (often close to housing and schools), leaded gasoline, and occupational exposure that occurs when parents wear lead-contaminated clothing home from work, burning of coal for home heat and cooking, contaminated food, and some traditional medicines. To assess the blood lead level in children in China, a large-scale study was conducted in 19 cities among 9 provinces during 1997 to 2000. There were 6502 children, aged 3-5 years, were recruited in the study The result indicates that the mean blood lead level was 8.83ug/dl 3-5 year old living in city area. The mean blood lead level of boys was higher than that of girls (9.1l ug/dl vs 8.73ug/dl). Almost 30 percent childrens blood lead level exceeded 10ug/dl. The average blood lead level was higher than that of in 1985 (8.83ug/dl vs 8.lug/dl). An epidemiological study was carried on the children living around the cottage industries recycling the lead from battery. Nine hundreds fifty nine children, aged 5-12 years, living in lead polluted villages where the lead smelters located near the residential area and 207 control children live in unpolluted area were recruited in the study. The lead levels in air, soil, drinking water and crops were measured. The blood lead and ZnPP level were tested for all subjects. The results show that the local environment was polluted. The lead levels both in the air and crops were much higher than that of in control area. In the polluted area, the average blood level was 49.6ug/dl (rang 19.5-89.3ug/dl). Whereas, in the unpolluted area, the average blood level was 12.4ug/dl (rang 4.6-24.8ug/dl). This study indicates that in some countryside area, some cottage industries induce seriously lead pollution and cause children health problem. For the introducing of unleaded gasoline in some large cities, such as Beijing and Shanghai, the blood lead level showed a declined trend since 1997. By 2000, the use of leaded gasoline in motor vehicles has been prohibited in China. The most recent data available show that levels of lead in blood among children in Shanghai decreased from 8.3ug/dl in 1997 to 7.6ug/dl in 1999. The prevalence rate of children lead poisoning (blood lead >10ug/dl) was also decreased from 37.8% to 24.8%. In children living in downtown area, the blood lead level reduced dramatically. To explore the relationship between gene polymorphisms and individual susceptibility of lead poisoning, a molecular epidemiological study was conducted among children living in lead polluted environment. The result showed that the subjects with ALAD2 allele has higher ZPP level, and the subjects with VDR B allele has larger head circumference than only with b allele. In the present study, we demonstrated that ALAD genotypes modify lead effects on heme metabolism and VDR gene variants influence the skull development in highly exposed children. The polymorphism of ALAD and VDR genes might be the molecular inherited factor modifying the susceptibility of lead poisoning. Recently, Chinese government pays more attention to lead pollution and lead poisoning in children problem. The leaded gasoline was prohibited used in motor vehicles since 2000. The government has decided to have a clampdown on the high-polluted lead smelters for recycling the lead from battery in countryside. It is hopeful that the risk of lead poisoning in children will be decreased in the further

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뇌졸중환자의 일상생활 수행수준과 가족원의 스트레스 (A Study on the Stress of Family-Caregivers and Level of Daily Living Performance with Patients of Cerebra Vascular Accident(CVA))

  • 조영희
    • 지역사회간호학회지
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    • 제10권2호
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    • pp.372-386
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    • 1999
  • The purpose of this study was to explore the degree of stress in caregivers caring for CVA patients and the level of daily living performance of CVA patients. The subjects for the study were caregivers of 112 CVA patients who enter a hospital or out-patient-department (OPD) at two Oriental medical hospital in Jeonbuk province. The survey instruments used in this study were Kang's ADL check list for daily living performance of patients and Choi's 4 sore scale for stress of caregivers. The survey was conducted from July 4th to August 30th in 1999. The survey results were analyzed with the Statistical Package for Social Science(SPSS) program and can be summarized as follows: 1. The level of daily living performance for the CVA patients was: 1) complete dependence (M=14.9, 13.1%), 2) complete independence (M=23.6, 20.9%), 3) incomplete independence (M=23.9, 21.0%), 4) incomplete dependence (M=26.6, 25%), 5) dependence and independence (M=23.0, 20.0%). The items for with there was a high level daily living performance were: 1) drinking (M=3.62), 2) eating(M=3.25). 3) position returning (M=3.18) : and the items for which there was a low level of daily living performance were: 1) ascending and descending stairs (M=2.08), 2) walking (M=2.47), 3) dressing and undressing trousers (M=2.55). 2. Degree of caregiver stress was: Mean=2.39 at 40 score. The items for which was a high level caregiver stress were: 1) medical fee (M=3.25), 2) being handicapped or recurrence (M=3.02) : and the items for which there was a low level of caregiver stress were: 1) discontinuity of patient's treatment (M = 1.98). 2) change of home atmosphere caused by patient's disease (M = 1.98), 3) desire of patient's knowing about disease (M= 1.99). 3. There was statistically significant difference in the degree of caregiver stress according to the following caregiver's demographic characteristics: education level (F=3.52, P=0.03). change of caregiver (F=5.41. P=0.02). 4. There was a statistically signifiant difference in the level of daily living performance according to the CVA patients demographic characteristics: patient's paralytic status (F=4.48, P=0.01), duration of disease (t=2.76, P=0.03). 5. There was significant difference in degree of caregiver stress according to the CVA patient's demographic characteristics: CVA status (F=4.75, P=0.01). 6. There was statistically significant difference in the degree of caregiver stress according to the level of daily living performance in CVA patients(r=-0.482, P<0.00).

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대구 게임산업의 경영위기와 회복력에 대한 분석 (Analysing Management Crises and Resilience of the Game Industry in Daegu)

  • 전지혜;이철우
    • 한국경제지리학회지
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    • 제24권3호
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    • pp.313-329
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    • 2021
  • 본 연구는 대구 게임산업을 대상으로 그 기업들의 자체 평가에 기초하여 경영위기 특성과 회복력 수준 그리고 그 대안을 분석하였다. 1990년대 말 자생적으로 태동한 대구 게임산업은 정부와 지원기관의 지원 하에 2000년대 후반까지 급격히 성장하였지만, 2010년대 중반부터 모바일게임 시장의 포화상태 및 국내외 치열한 경쟁 상황에 대응하지 못한 기업이 속출하면서 침체기에 접어들게 되었다. 이에 대해 일부 게임업체들은 제품 차별성 추구와 새로운 판로 개척을 위한 도전적 전략을 취함으로써 위기 상황을 오히려 경쟁력을 강화시키는 계기로 만든 반면, 위기 대응에 소극적이었던 기업들은 경영위기를 벗어나지 못했다. 또한 회복력 수준을 분석한 결과, 대구 게임업체들은 충격에 즉각적으로 대응(신속성)하고 타격받은 부분을 대체(대체성)하는 수준은 낮지만 내부적으로 충분한 자원을 동원(자원동원성)할 수 있는 수준은 높았다. 하지만 대구 게임산업이 과거에 비해 더욱 복잡한 다중 공간적 스케일의 환경변화에 직면하고 있기 때문에, 앞으로 회복력은 개별기업 차원의 노력을 넘어서 게임산업 생태계 측면에서 약한 부분을 보완할 수 있는 전략을 통해 강화되어야 할 것이다.

농촌지역 노인에 대한 보건의료서비스 개발을 위한 연구 (A Study on Development of Health Care Service for the Elderly - Focus on Rural Community -)

  • 현인숙
    • 한국보건간호학회지
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    • 제11권2호
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    • pp.57-72
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    • 1997
  • The objectives of this study are : 1) To understand self-care ability, living habits, utilization patterns of medical facililties for the elderly in Puk-Cheju county which has the highest percent age of senior citizens among Cheju rural community: 2) To identify factors which influence living quality and long life for the eldely 3) To develop health care service with a view to guaranteering living quality The eldely population of Puk-Cheju county was $10.8\%$ in 1995. It will be increasing and is projeted $23.0\%$ by 2030. The result indicated that utilizations rate by out-patient were 5.89 claims and utilizations rate by in-patient were 0.17 claims per person. The highest disease among respondents were disease of musculoskeletal system and connective tissue. A total of 310 elderlys were responded to analyze self-care ability and health behavior. The most important factors of long life were to have peaceful mind$(50.0\%)$. The common disease of acute and chronic disease was musculoskeletal system disease. $66.8\%$ of respondents went to hospital and local clinic when they got sick. The most needed health care service was home visiting service among public health center, representing $31.4\%$. The repondent's self-care ability and self-efficacy were relatively superiority. A total of 92 elderlys were conducted the intelligence test for the rate of dementia and their average age was 74.3. The result of Minimental State Scale indicated that 25% of respondents were suspected to be dementia. The followings are recommendations based on the survey result. 1) Concidering every conditions of self-care ability and health status for elderly. It is important to embody appopriate health care service. 2) Considering concrete method, it is necessary to establish health service, which match health status and self-care ability, and various planning for sepecial facilities for the elderly. 3) It is desiable to make actual programs for the elderly in each community level. 4) It must be develop the better use of volunteers and programs for prevention of dementia. Finally, Concerning the orgarnization of public health center, community health center need to be reorganized for health service for the elderly. It is important to develop and operate health promotion for the elderly, and it is necessary to form the foundation for the support of facilities equipments. This contribute to promote health status for the rural elderly.

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어머니의 이유식 준비 태도가 유아의 식습관 및 성장 발달에 미치는 영향 (Effect of Mothers' Weaning Attitudes on Their Children's Food Habits and Development)

  • 이주희;김창임
    • 대한지역사회영양학회지
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    • 제11권5호
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    • pp.551-561
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    • 2006
  • This study was carried out to evaluate the effect of mothers' attitudes on preparing baby foods for their children's food habits and development. The subjects were allocated to 419 preschool children, aged 3 - 5 years. This study surveyed by questionnaire, which was answered by the children's mothers. Subjects were classified by two groups, active and passive, based on their mothers' weaning attitudes. In the active group, mothers tried to make a variety of foods for preparing the baby foods, whereas mothers in the passive group didn't try to make it too much. Family income was higher in the active group and the subject' mothers had more jobs than those in the passive group, whereas their parent's education levels showed no differences. According to Rohrer index, 2.6% of subjects were obese in the active group, whereas 7.7% in the passive group. These data were shown significantly different between the groups. There were no differences in mother's food habits and breast-feeding versus formula feeding between the two groups. However, children's food habits were shown statistically different between the two groups. Higher regularity of meals, higher frequencies of snacks at home, higher frequencies of fruit, com, sweet potato as a snacks and less instant foods were revealed in the active group more than in the passive group. The major problem of children's food habits was an unbalanced diet (52.7%) and the major reasons for unbalanced diet were the taste (58.7%) and the texture (23.2%). The active uoup used more fruits and vegetables than the passive group. Also there were significant differences to solve problems of children's unbalanced diets. In the positive group, 14.4% of mothers tried to develop new cooking methods for solving the problem of an unbalanced diet, but 8.2% did in the passive group. furthermore, 2.3% of mothers in the positive group removed unpleasant items of the food, whereas 6.9% did in the passive. The average nutritional knowledge scores on a 10 scale were 7.2 and 6.9 in active and passive groups, respectively, and they were statistically different. Mothers among the active group explained the knowledge for food and nutrition to their children more than those in the passive group. These results suggest that mothers' attitudes for baby food are an important factor for forming their children's food habits. Therefore, it is necessary to develop a nutritional education program, materials and new recipes for a variety of baby foods to mothers.

라깡을 통해 본 김수현 작가의 남성 주체 인식 멜로드라마 <사랑과 야망>, <내 남자의 여자>를 중심으로 (Su-Hyeon Kim Through Lacan: Perspective of Male Subject Focused on the Melodrama of the , )

  • 유진희
    • 한국콘텐츠학회논문지
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    • 제14권10호
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    • pp.41-50
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    • 2014
  • 본 연구는 학문적 연구 대상에서 소외돼 온 텔레비전 드라마 작가에 관한 지속 연구로, 멜로드라마 <사랑과 야망>, <내 남자의 여자>의 남자 주인공을 중심으로 김수현 작가의 의식 저변을 확장 탐구하는데 그 목적이 있다. 본고는 자율 통제 의식에 의해 텔레비전 드라마 장르에서는 보기 드물게 홈드라마와 멜로드라마의 장르 선긋기를 명확히 하고 있는 김수현 작가의 차별성을 통해 상대적으로 두드러지게 발화된 작가 의식을 탐구한다. 또 이를 위해서 본고의 연구 방법으로 라깡의 성 구분 이론을 남성 주인공에게 적용함으로써, 라깡의 욕망 이론을 적용한 선행 연구의 여주인공 분석결과를 확장하고 있다. 라깡이 제시한 남성과 여성의 성 차이는 생물학적 기관, 혹은 불평등한 제도나 관습으로 발생, 고착 존재하는 차이가 아니라 심리 문화적 산물에서 발생하는 차이임이 강조되어야 하는 개념이다. 라깡에게 남성이란 상징적 팔루스 질서에 예외 없이 종속되어 존재하지만, 그 질서를 넘어서 예외가 되려는 환상 때문에 역설적으로 팔루스적 질서에 감금되는 '분열'된 주체이다. 분석 결과 김수현 작가에게 남성과 여성은 인간 주체에게 불가능한 팔루스의 향유를 각각 서로 다른 방식으로 획득하려는 '동일'한 '분열'과 '결여'의 인간주체로, 남녀의 성차이를 심리 문화적 산물로 강조한 라깡의 인식과 동일하다. 또한 20년 세월의 간극 속에 팔루스의 향유와 잉여 향유를 동시에 누릴 수 있는 여성에 비해 상대적으로 대상 a를 통한 환상의 팔루스 향유만을 누릴 수 있는 남성에 관해 좀 더 포용적인, 좀 더 중립적인 김수현 작가의 남성 인식의 변화를 가늠해 볼 수 있다.

뇌졸중환자의 음악.동작 프로그램 적용을 위한 예비연구 (The Preliminary Study on Music?Movement Program developed for Stroke Patients)

  • 서문자;정성희
    • 재활간호학회지
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    • 제6권1호
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    • pp.79-89
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    • 2003
  • Purpose: This research with one group pre-post design was carried out to test the practical feasibility to administrate the Music Movement program developed for the stroke patients. Subjects: 12 stroke survivors at "J" Public Health Center in Seoul. were participated in. The average age was 68 years old, the ratio of sex was almost 5.8:4.2, the duration of was almost over 1 year. Method: Music Movement program was conducted for 2 hours ${\times}$ 1day ${\times}$ 6 weeks. The contents of Music Movement program were consisted of the preparatory activities, main activities and the wrap up activities. The preparatory activities are ice braking, greeting, explanation of the aims of music movement program, and introduction of stroke disease and ROM exercise. The main activities are the body motions with singing and playing musical instruments. The wrap up activities are stretching and joints and discussion of home activities. Data Collection: The outcome variables are muscle strength, finger pinch power, ROMs, flexibility, depression, and life satisfaction. Depression was measured by CES-D(Kim, I. J., 1999), life satisfaction by ladder scale(McDowell & Newell, 1996), and ADL state(Holbrook & Skilbeck, 1983). Data Analysis: SPSS/PC 10.0 for Window was used. Wilcoxon Signed Ranks Test was used to analyze outcome measures. The level of statistical significance was set at p<.05. Results: This program was effective to decrease the depression level of subjects(p<.05). The muscle strength, hand grip power, ROMs, life satisfaction, and rehabilitation state of the subjects were slightly increased but no significant differences were found between the pre and post test. Additionally every patient replied that they were very satisfied and expressed their appreciation for this program very much. Of course they strongly want to continue to participate in and meet the peer group again. Conclusion: Considering these results, the practical feasibility of Music Movement program can be supported. Therefore, this Music Movement program can be examined with the quasi-experimental design with control group and ongoing reviews. After that, this program would be applied in public health centers, medical institutes, and welfare centers for the rehabilitation of stroke patients.

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대구시내 중학생들의 식습관 및 기호에 관한 조사 연구 (A Study on the Food habits and Tastes of the Middle School Students in Taegu)

  • 이원희;김미향;한재숙
    • 한국식품영양과학회지
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    • 제17권4호
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    • pp.290-304
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    • 1988
  • 대구시내 남 녀 중학생을 대상으로 식습관 및 식품에 대한 기호도를 질문지를 통해 조사한 결과 간식내용은 과자류가 18.9%로 가장 많았으며 다음이 과일, 과즙, 아이스크림의 순이었고 간식비는 1일 300원미만이 75.5%였다. 간식비와 간식횟수는 가정의 월수입과 어머니의 학력이 높을수록 높았다. 간식 장소는 집과 학교 매점이 약 80%로서 거의가 건전한 장소에서 행해지고 있음을 알 수 있다. 아침 식사의 결식율은 21.8%로서 비교적 높은편이어서 아침 식사가 전체 영양섭취에 미치는 영향을 고려할 때 식습관의 중요한 문제점으로 지적될 수 있었다. 아침 식사의 형태는 94.2%가 밥이었고 이것은 다른 지역에서의 결과보다 높게 나타났다. 영양제 복용에 대해서는 ‘복용한 적이 있다’와 ‘복용하고 있다’가 50.5%로서 대상자의 약 반수가 영양제 복용을 선호하고 있으며 식사시 영양에 대한 고려 정도는 ‘전혀 고려하지 않는다’가 24.0%가 비교적 높아 부모 및 지도자를 통한 영양교육이 필요하다고 본다. 인스턴트식품의 이용에 관한 조사에서 ‘전혀 먹지 않는다’는 2.8% 뿐으로 대부분의 중학생이 인스턴트식품을 이용하고 있었으며 기호경향은 좋아하는 경우가 72.9%였다 식품섭취 상태진단의 조사에서는 식품섭취 내용점수가 평균 8.3으로 양호한 편이었다. 남자보다 여자가, 가정의 월수입과 어머니의 학력이 높을수록 점수가 높았다. 70가지 식품에 대한 기호도를 5단계 척도법으로 집계한 결과 대상자의 기호경향은 ‘ 대단히 좋아한다’가 전체 식품의 37.3%로서 식품에 대한 수용성이 높았다. 식품별 기호도 순위는 남녀 모두 딸기가 가장 높았으며 마늘이 가장 낮았다. 식품군별로는 과일류가 가장 높았고 어패류가 가장 낮았다.

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뇌성마비아 부모의 부담감 및 가족기능에 관한 연구 (A Study on Family Functioning and Burden of Parents with Cerebral Palsy Children)

  • 이화자;어용숙
    • Child Health Nursing Research
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    • 제6권2호
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    • pp.199-211
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    • 2000
  • Today, more chronically ill and handicapped children are being cared for at home by a family member caregiver. The task of caring for a family member may feel burden that the caregiver has less time and money and more work. Family functioning and their burden have influence on coping and adaptation of families with chronically-ill children. This study attempted to identify the levels of burden and family functioning in families of children with cerebral palsy and to examine their relationships. The instruments were burden scale developed by Suh and Oh(1993), and a modified Feetham Family Functioning Survey based on Roberts and Feetham.(1982). The subjects were 98 parents of children, under 15 years, who have cerebral palsy and being treated and living in Pusan. Data were collected through a self-administered question- aire from April 26 to May 29. The collected data were tested using frequencies, percentiles, means, t-test, ANOVA, and Pearson correlation coefficient with SPSSWIN program. The results of this study were as follows ; 1. The mean rating scores of burden and family functioning were 2.79±.51 and 4.12±.69, respectively. 2. The relationships between general character- istics and burden were statistically significant difference : degree of children's handicap(F=6.333, P<.01). The relationships between general characteristics and family functioning were statistically significant differences : familial relation with the children(F=3.628, P<.05), caregiver's health status(F=4.359, P<.05), age of children (F=4.185, P<.05), and duration of treatment (F=6.802, P<.01). 3. In families of children with cerebral palsy, there was significantly negative correlation between the burden of parents and the performance of family functioning(r=-.230, P<.05). There were significantly negative correlations between the burden of parents and the satisfaction of family functioning (r=-.211, P<.05), and between the perceived importance and the satisfaction of family functioning(r=-.481, P<.01); however, there was a positive correlation between the performance and the perceived importance of family functioning(r=.425, P<.01). In conclusion, this study suggests that families of children with cerebral palsy need family-focused nursing interventions as supportive care for relieving their burden and for improving family functioning.

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