• 한국콘텐츠학회논문지
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• 제20권1호
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• pp.271-284
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• 2020

본 연구의 목적은 제주지역 사회복지시설 종사자들이 업무 수행 과정에서 겪고 있는 요구 중에서 지식, 기술, 태도의 결핍과 관련된 교육요구를 밝히고, 다양한 형태의 교육활동을 전개하기 위한 교육체계의 수립 및 향후 교육과정 설계의 기초 자료를 제시하고자 함이다. 교육요구분석 결과, 사회복지시설 종사자에게 필요한 상위 10개의 교육과정을 살펴보면, 위기(응급)상황 대처기술의 요구가 가장 높았으며 클라이언트에 대한 이해와 실천(특성, 인권, 안전, 건강 등), 사례관리(심화), 상담기법(기본), 사례관리(기본), 상담기법(심화), 사회복지 프로그램 기획과 운영, 민원대응 및 감정노동 관리, 의사소통 능력향상(직원 간, 클라이언트 등), 사업성과(사업 계획, 실행, 관리 및 평가 등) 순으로 나타났다. 또한 제주지역 사회복지시설 종사자들은 직무전문교육의 필요성은 매우 높게 인식하고 있었으나, 도내 직무교육의 다양성과 체계적 훈련과정에 대한 만족도는 매우 낮게 나타났다. 사회복지종사자를 위한 체계적 교육훈련이 이루어지기 위해서는 직무교육의 질적 성장, 직무중심의 교육과정 확대, 전문성 있는 우수한 강사진의 확보 등 다양한 결과들이 도출되었다.

• 정신신체의학
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• 제5권1호
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• pp.52-62
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• 1997

This study was designed to determine the frequency of premenstrual dysphoric disorder in gynecological outpatients, and also attempted to compare premenstrual change characteristics, functional impairment due to premenstrual changes and frequency of risk factors reported by women with confirmed premenstrual changes$(PMC^+)$(n=17) and those without confirmed premenstrual changes$(PMC^-)$(n=23). Forty gynecological outpatients who complained of premenstrual discomforts were asked to complete questionnaires on menstrual history, obstetric-gynecological history, and premenstrual change and functional impairment. The women were also asked to complete a daily rating form based on DSM-IV diagnostic criteria for one menstrual cycle. Absolute severity method, effect size method and percent change method were used to assess changes between follicular phase and luteal phase. The results of the study were as follows: 1) The frequency of premenstrual dysphoric disorder according to each of the three methods was 5% for the absolute severity method, 15% for the effect size method, and 27.5% for the percent change method. 2) The frequently reported symptoms were as follow: physical symptoms(64.7%) : lethargy, easy fatigability, or marked lack of energy(41.2%) : decreased interest in usual activities(29.4%) ; and marked affective lability(23.5%). 3) There were no significant differences in onset ages of premenstrual changes, regularities of premenstrual changes and changes of severity and duration of premenstrual symptoms over time between women with and without confirmed premenstrual changes. However, women with confirmed premenstrual changes reported both physical and emotional symptoms as earliest symptoms most frequently, while women without confirmed premenstrual changes reported only physical symptoms most frequently. 4) functional impairment was significantly higher in women with confirmed premenstrual changes than those without confirmed premenstrual changes, but impairment was not severe. 5) No differences were found between women with and without confirmed premenstrual changes in risk factors including demographic data, menstrual and obstetric and gynecological history. These results suggest that the prevalence of premenstrual dysphoric disorder varies with scoring methods. The women with confirmed premenstrual changes reported physical symptoms most frequently(64.7%). functional impairment was significantly higher in women with confirmed premenstrual changes, but impairment was not severe.

• 한국보건간호학회:학술대회논문집
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• 한국보건간호학회 2002년도 제27회 보건종합학술대회
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• pp.224-227
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• 2002

Alcoholism affects not only the individuals who depend on it, but also their families. Children who have an alcohol dependent parent have various problems and need help, but little attention has been given to them. Many references report only negative characteristics of these children. In order to help the children of alcohol dependent parents, health professionals need more information. A wholistic understanding and analysis of these children is needed as a basis for the development of suitable programs of help them. A phenomenological methodology was used to identify the experience of children whose fathers were addicted to alcohol. The findings portray the essence of the lived experience of children of alcohol dependent fathers. Nine adolescents participated in in-depth inverviews and observation with the researcher, done between October and December 2001. The data were recorded on audio tape and transcribed. Sampling was continued until the data were theorectically saturated. The Colaizzi's method was used for data analysis. The results of this study are as follows. Three themes and twenty six meanings were identified. The first theme is Living Alone: living abusively as partner to an alcohol dependent father, living dangerously like an explosive fury, living as an object that ha no self, living with rejection of fatherly being, living with felt responsibility but having no power to help mother who suffers patiently with pain and abuse, living along with no shoulder to lean on, and living with the prejudice of sex discrimination. The second theme is Paradoxical Coping in Life. The meanings are obsessive behavior as a way to control father's behavior, always on the defensive due to anxiety and tension, being afraid of life alone due to paranoid thoughts, contradictory expectation about father's drinking behavior due to life with chronic tension, stress becoming familiar and life being boring and tendious without stimulation, life that is fake and filled with misinterpretations about reality, affection sought from others due to loneliness, compensatory life within peer group, negative expectation about the future due to negative experiences, controling others to protect ego, denial of real emotion to protect self from hurt, life of regretting self, and strong need for approval from others. The third theme is sustaining life. The meanings are ambivalence between revenge on father and pity, struggle for desirable self against fear of gather-like image, understanding father through self reflection, hope to find fatherly being through father's recovery, being able to stand through emotional control and cognitive restructuring, nurturing the seed of hope for the future while in a situation of desperation. The contribution of this study is to give a wholistic understanding of the empirical reality of children of alcohol dependent parents and to develop substantive theory in nursing knowledge. In nursing practice, the results of this study can provide a foundation for the development of programs for children of alcohol dependent parents.

• Child Health Nursing Research
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• 제8권3호
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• pp.260-271
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• 2002

This study was performed to identify the level of stress recognized by the parents as a support system for their infant patients who were hospitalized in an emergency department, thus to provide the resulting data as the basic material of care intervention for the families of infant patients. This study subjected the parents with infant patients who were hospitalized in emergency department of C University Hospital in Daejeon, and the data was collected from questionnaires for them, dating from Mar. 20, to Jun. 24, 2001 This study used the tool(30 questions) which was originally developed by Ji, Dong-ok (1992) for measuring the stress of families of infant patients in emergency room, and then was modified and complemented by this researcher suitably for infant patients. Collected data was statistically analyzed with frequency, percentage, mean, standard deviation, t-test, ANOVA, by using SPSS WIN10.0 program, and the results were as follows: 1. The stress of parents with infant patients hospitalized in emergency department averaged 3.31 on the basis of 5-point measure, which means that they felt stress beyond means. 2. The factor with high average out of stress factors the parents of infant patients recognized included the followings: 'about the pain of infant patients due to examination(3.91±1.00)'; 'about rare opportunity to be in contact with physician(3.78±1.09)'; 'delay in emergent treatment required for infant patients(3.75±1.31)'; 'delay in the general treatment of infant patients(3.72±1.32)'. Factors of the stress level includes the followings: 'care and medical treatment'(3.46±.72); 'body and diseases'(3.41±.97)'; 'lack of information and supportable resources (3.25±.77)'; and so on. 3. For the stress level according to general characteristics, there were statistically significant differences in the result of the condition of infant patients, medical treatment(P<.01), religion, the procedure of treatment(P<.05). With little preceding studies for infant patients hospitalized in emergency department, this study looked through the level of stress recognized by the parents of infant patients. Based on the comprehension on the parents with infant patients and the knowledge on stress factors recognized by the parents, it is expected that we can seek the methods of care intervention such as explanation of care and treatment procedures, unit policies, continuous interest and emotional supports as well as the provision of information to understand the responses of parents and reduce accompanied stresses.

• Child Health Nursing Research
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• 제5권2호
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• pp.185-197
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• 1999

In the family life cycle, the most important task the families with school children should perform is ‘child education’ and ‘socialization’ However, economic stress on poor families with school children presents multiple problems through the shortage of resources necessary for child education and socialization, inappropriateness of family appraisal, and the insufficiency of the control channels for the efficient management of these confined resources and appropriate appraisal. The objectives of this article are : First, to report research on the actual conditions of the poor families in one area of Cheju and on the relevant health welfare policy, and to examine the appropriateness of the direction and the substance of this policy in terms of the intervention in economic stress on the poor families under the categories of resource management and control of appraisal. Second, to analyze qualitative data extracted from the memoirs of single-parent families living in several areas of Korea under the conceptual framework constructed by literature review in order to get a better understanding of the stress which poor families with school children have experienced. And third, to confirm the factors that can be risk factor but, at the same time, strength to these poor families from presented data and to use them as the basic data from which an intervention model can be developed, based on resource management and control of appraisal. The findings of this article are : First, while the number of absolute poor families in one area of Cheju is increasing and, as a result, the danger of the possibility that multiple problems will occur is also growing, the supporting level of the current policy is no more than a direct resource offer and there is no evidence that resource management is being professionally carried out. When it comes to control of appraisal, due to absence of the professional human resources in this matter, policy performances such as technical education training can have a negative impact. Second, a conceptual framework introduced in this article, ; Economic Pressure → Helplessness → Poor self-esteem → Marital Conflict → Parent-Child financial conflict → Inappropriate socialization → Poor child social competence : is partly verified. And third, judging from the results of the qualitative data, it is confirmed that the healing families, having overcome poverty, show several positive characteristics including : hope, strength, and social support. These findings are identified with the factors of resiliency considered above. According to these results, this article suggests the following. The anti -poverty policy in the future should focus not only on a direct resource offer but also on resource management and the control of appraisal that can magnify its effects. In particular, close attention should be paid to school children since they are in the most crucial period for socialization. Moreover, an emotional labor is such an essential resource for intervention that skilled nurses should play pivotal roles.

• 재활간호학회지
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• 제4권1호
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• pp.46-57
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• 2001

This study was done to investigate of instrumental activities of daily living(IADL) and quality of life and their relationships between the elderly. Data were collected from 150 elderly home residents. The data were collected from December 1st to December 20th, 2000. Structured questionnaires developed by Lawton & Brody and by Ro were adopted to measure IADL and Quality of life. Data were analyzed for percentage, means, t-test, ANOVA and Parson correlation coefficients using the SPSS program. The results were as follows: 1. The average score of the level of IADL was $20.68{\pm}2.98$ ($M{\pm}SD$) with a range of 7-26. 2. The average score of the level of Quality of life was 2. $96{\pm}0.25$ ($M{\pm}SD$). In the average score of each lower area, highest score was 3.22 for neighbor relationship and family relationship and then 3.00 for self-esteem, 2.95 for economic status, 2.86 for emotional status, and 2.85, lowest score, for physical condition and function. 3. Comparing IADL and Quality of life with general characteristics, IADL showed that there were significant difference in age(t=2.927, p=0.036) and separated children contact frequency(t=2.482, p=0.046), while Quality of life showed that there were significant difference in spouse existence(t=2.334, p=0.021), religion(t=4.089, p=0.008), family style(t=3.285, p=0.040), children number living together(t=5.332, p=0.006), communication with separated children frequency(t=4.129, p=0.003), and separated children contact frequency(t=3.908, p=0.005). 4. There was also significant positive correlation between IADL and Quality of life. The above results show that neighbor relationship and family relationship which have greatly an influence on IADL and Quality of life are very important. The elderly should be helped to satisfy their basic desire and show their potential living together with the younger generation interdependently without being isolated from family and society. Therefore, the nursing strategy that enhance IADL and Quality of life are needed and the nursing strategy that can improve IADL and Quality of life of Elderly Home Residents should be developed.

• 한국응용곤충학회지
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• 제54권4호
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• pp.409-417
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• 2015

본 연구는 곤충산업 시장에서 지역자원을 활용한 동애등에 체험프로그램을 개발하기 위해 체험객의 곤충체험 지향성에 따라 세분화 하고 세분화된 체험객의 특성을 프로파일 하고자 수행되었다. 문헌연구를 바탕으로 곤충체험 지향성의 주요 속성을 도출하였으며, 곤충 체험객과 곤충체험 박람회의 참석자를 대상으로 설문조사를 실시하였다. 총 325부의 유효표본을 수집하여 실증분석에 사용하였으며 체험 지향성의 속성은 교육 지향성, 정서 지향성, 사회 지향성, 자아 지향성과 연관되었다. 응답자는 학생들과, 자녀가 있는 부모를 대상으로 설문조사에 응답하도록 하였다. 군집분석 결과 2개와 3개의 군집으로 분류되었으며, 예측타당성 및 판별분석 결과 모두 높게 나타나 최종 분석을 위해 응답자를 3개의 군집으로 적절하게 세분화하였다. 3개의 군집은 체험에 소극적, 중도적, 적극적 지향 집단으로 명명하였으며, 적극적 지향 집단은 곤충체험에 대해 다양하게 지향하는 집단으로 5 ~ 9세와, 10 ~ 14세의 자녀를 둔 부모는 감성적 체험 프로그램을 선호하고 체험 프로그램 비용으로 7 ~ 8천원의 지불의사를 밝혔다. 세분 집단의 특성을 살펴본 결과 소극적 지향 집단과 중도지향적 집단은 교육적 체험에 가장 높게 지향하는 것으로 나타났으나 이들을 체험 프로그램에 관심을 갖게 위해서는 교육 지향적 프로그램을 개발하고 홍보마케팅을 강화한다면 참가의도가 높아질 수 있을 것으로 보인다. 본 연구의 결과와 시사점은 곤충산업의 6차 산업화 활성화에도 기여할 수 있는 기초자료로 다양한 지향성을 충족시킬 수 있는 곤충체험 프로그램 개발에 유용하게 사용될 수 있을 것으로 기대된다.

• 디지털융복합연구
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• 제10권7호
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• pp.23-29
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• 2012

본 연구는 자격증 취득이 조직몰입과 성과에 어떤 영향을 미치는지에 대한 직업교육훈련생의 인구사회학적 일반적인 특성을 분석하고, 변인에 따른 조직몰입의 차이를 알아보았으며, 다음과 같은 결과가 나왔다. 첫째, 여자보다는 남자가, 연령대는 20대가 학력수준은 고졸 그리고 결혼유무에서는 미혼이 기혼보다 높게 나타났다. 둘째, 직업훈련경로와 연령에 관한 차이분석에서는 20대 16명(31.4%), 30대 14명(27.5%), 40대(33.3), 50대 3명(5.9%), 60대 1명(2.0%)로 순으로 나타났으며 훈련생들은 5~6시간 장시간 교육받은 것을 선호하고 있으며, 여성이 남성보다 정서적 규범적 몰입에서 높은 조직 몰입도를 보여주는 것으로 나타났다. 연령대로는 40대와 50대가 조직몰입이 20대와 30대보다 높게 나타났다. 자격증만족도와 훈련만족도는 규범적 몰입에 영향을 미치는 것으로 나타나서 자격증훈련은 조직몰입에도 영향을 미치는 것으로 나타났다. 하지만 자격증취득 후 만족도는 조직몰입에 부(-)의 영향을 미치는 않는 것으로 나타났으며 본 연구에서 나타난 상기 수치는 정책당국의 대책마련에 시사점 줬다는데 의미가 있다.

• 농촌의학ㆍ지역보건
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• 제29권2호
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• pp.237-247
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• 2004

이 연구는 경기도 S시 노인의 신체적 및 도구적 일상생활수행능력에 따른 장기요양보호 대상을 파악하고 이에 근거한 S시의 장기요양시설의 필요 병상 및 규모를 추계하기 위한 연구이다. 장기요양시설의 필요 조사는 경기도 S시 각 동별 65세 이상 노인의 2.7%를 층화 무작위 추출을 이용하여. 최종 397명을 연구대상자로 선정하였다. 장기요양시설의 필요는 신체적 일상생활수행능력과 도구적 일상생활수행능력을 이용하여 장애정도를 평가하는 OECD과 한국보건사회연구원의 기준을 이용하였다. 연구결과 OECD의 기준에 의하면 정기요양시설 입원 대상자수기 4,716명(31.2%)이었고, 보건사회연구원 기준에 의하면 1.739명(11.5%)이었다. 따라서 S시에 필요한 장기요양시설은 1,739병상에서 4,716병상이었다 이 연구는 한 지역을 대상으로 하여 객관적인 기준에 의해 필요를 추정하고, 이에 근거하여 장기요양시설의 규모를 추계하였다는데 그 의미가 있다.

• 사상체질의학회지
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• 제10권2호
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• pp.431-453
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• 1998

1. 연구배경 및 목적 중풍환자(中風患者)에 대한 임상적 연구를 통하여 중풍치료(中風治療)에 사상의학적(四象醫學的) 관리지침을 설정하고 체질병증(體質病證)의 이해에 도움을 주고자 한다. 2. 방 법 1997년 3월부터 1998년 2월까지 1년간 동국대학교 분당한방병원 체질의학클리닉에 입원치료 받았던 뇌졸중 환자 157명(남자 79명, 여자 78명)을 대상으로 환자의 특성(特性), 병력(病歷), 증상(症狀), 치료경과(治療經過) 등에 관하여 조사하고 분석하였다. 3. 결 과 환자의 체질분포는 태음인(太陰人)이 88명(56.1%), 소양인(少陽人)이 48명(30.6%), 소음인(少陰人)이 21명(13.4%)이었다. 연령의 50세 이상에서 70세 미만이 과반수를 차지하였고 평균은 65세로 나타났다. 뇌졸중의 발병 양태로 뇌경색이 119명(75.8%)으로 대부분을 차지했으며, 뇌출혈이 11명(7.0%), 지주막하출혈이 1명(0.6%), 일과성뇌허혈발작(TIA)이 26명(16.6%)으로 나타났다. 입원시 병증관리지침(病證管理指針)의 상황으로 설태이상(舌苔異常)이 가장 많았고, 수면장애(睡眠障碍), 대사장애(大使障碍), 소변장애(小便障碍) 등의 순서로 나타났으며, 중풍관리지침(中風管理指針)의 호전도(好轉度)를 살펴보면 대사장애(大使障碍)가 87.1%의 호전율(好轉率)로서 가장 높았고, 다음으로 정서장애(情緖障碍), 연하장애(嚥下障碍) 등의 순서였다.