• 제목/요약/키워드: Emotional development

검색결과 1,662건 처리시간 0.027초

M&L 심리치료가 불안장애를 가진 취약계층 청소년의 건강한 성장에 미치는 영향 - 단일증례의 양적, 질적 분석 (The Impact of M&L Psychotherapy on the Growth and Development of a Socially Disadvantaged Adolescent with Anxiety Disorders - Quantitative and Qualitative Analysis of a Single Case)

  • 신재욱;신혜규;이민주;김동욱;서효원;강형원
    • 동의신경정신과학회지
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    • 제35권1호
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    • pp.115-140
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    • 2024
  • Objectives: This study investigates the impact of M&L psychotherapy on an adolescent with anxiety disorders transitioning into adulthood, using a retrospective mixed-method approach. Methods: An adolescent with Diagnostic Statistical Manual of Mental Disorders (DSM)-5-diagnosed anxiety disorders underwent combined treatment with M&L psychotherapy and complex Korean medicine therapy over a period of approximately two years. Patient records tracked the diagnosis, treatments, and progress. In-depth interviews were also conducted. The study used a convergent parallel mixed-method approach, integrating quantitative analysis from psychological assessments, including the State-Trait Anxiety Inventory (STAI-X), the Core Seven Emotions Inventory-short form (CSEI-s), and the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), with qualitative analyses of traditional Korean medicine counseling session notes, interviews, and other qualitative psychological assessments. Results: State anxiety decreased from 40 to 36, and trait anxiety decreased from 42 to 34. MMPI-2 L scale scores decreased slightly to 64T, whereas S scale scores increased to 62T, and FRS scores decreased to 70T from an initial score of 78T. Qualitative analysis revealed an increase in the MMPI-2 Es scale, identified as "subjectivity." Joy (喜) emerged as the highest emotional profile score in the CSEI-S. Scores for anger (怒), thought (思), fear (恐), and fright (驚) decreased, indicating improved negative emotions. Qualitatively, expressions of determination to "move forward" and "strengthen the mind" were noted, suggesting enhanced "lower danjeon (下丹田)." Conclusions: Integrating traditional Korean medicine treatment with M&L psychotherapy for a vulnerable adolescent with anxiety disorders demonstrated efficacy. Further research is warranted to substantiate the effectiveness of M&L psychotherapy and advocate for its wider adoption in mainstream practice.

텍스트마이닝을 활용한 브랜드 플랫폼 사용자 감성 분석: 나이키 및 아디다스 러닝 앱 리뷰 비교분석을 중심으로 (Brand Platformization and User Sentiment: A Text Mining Analysis of Nike Run Club with Comparative Insights from Adidas Runtastic)

  • 박한나;맹윤호;김효근
    • 지식경영연구
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    • 제25권1호
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    • pp.43-66
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    • 2024
  • 디지털 기술의 발전으로 브랜드와 소비자 간 커뮤니케이션 방식이 혁신적으로 변화하고 있다. 이러한 변화의 일환으로, 나이키와 아디다스와 같은 스포츠 브랜드들은 자체 러닝 앱을 통해 소비자들과 상호작용을 강화하고, 브랜드 경험을 통한 충성도 강화에 노력하고 있다. 하지만 이러한 브랜드 자체 플랫폼이 충성도 및 옹호도에 미치는 직접적 영향과 개선점에 대한 심도 깊은 연구는 더 많이 필요한 상황이다. 이에 본 연구는 2020년 1월부터 2023년 10월까지의 나이키 런 클럽(NRC)과 아디다스 런타스틱 앱 영어 리뷰 3,715건을 텍스트 마이닝 기법으로 분석하고, 브랜드 플랫폼이 소비자 충성도와 옹호에 끼치는 영향을 살펴보고자 하였다. 특히 '추천 리뷰' 155건에 대해 감성 분석 및 토픽모델링으로 심층 비교 분석하여, '핫 로열티'를 일으키는 이유와 두 브랜드에 대한 소비자 인식의 차이점을 찾고자 하였다. 그 결과 NRC는 개인화된 코칭과 감성적 교류를 제공하는 '동반자'로, 아디다스 런타스틱은 기능적 신뢰성에 초점을 맞춘 '도구'로 인식되는 차이를 발견했다. 이는 유사 기능의 앱에 대해서도 브랜드 별 소비자 인식과 성향은 다양할 수 있음을 시사하며, 브랜드 관리자는 이러한 차이를 플랫폼 디자인 및 기획에 세심하게 반영해야 함을 강조한다. 더불어, 기술적 오류가 브랜드에 대한 부정적 인식으로 직접 이어지는 경향이 공통적으로 확인되어, 앱 성능 개선과 관리의 중요성을 부각시킨다. 본 연구는 브랜드별 소비자 성향 파악과 그에 따른 맞춤 기술 도입이 브랜드 충성도와 옹호에 영향을 끼친다는 점을 실질적 데이터를 기반으로 보였다는 점에서 기존 연구 및 실무에 새로운 통찰과 실행 가이드 제공으로 기여한다.

Z세대의 F&B 선택 속성과 브랜드 경험에 관한 연구 - 런던베이글뮤지엄을 중심으로 - (A Study on Generation Z's F&B Brand Choice Attributes and Brand Experience - Focusing on the London Bagel Museum -)

  • 장보연;김승인
    • 산업진흥연구
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    • 제9권3호
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    • pp.185-192
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    • 2024
  • 본 연구는 Z세대가 선호하는 F&B 브랜드 선택 속성과 런던베이글뮤지엄의 브랜드 경험을 조사하여 다음과 같은 결과를 도출하였다. 먼저, Z세대를 대상으로 심층 인터뷰를 실시한 결과, 이들은 F&B 브랜드를 선택할 때 '외형성'과 '사회성'을 가장 중요하게 고려하는 것으로 나타났다. 런던베이글뮤지엄의 성공 요인도 Z세대의 F&B 브랜드 선택 속성인 '외형성'과 '사회성'이 충족되었기 때문이라고 볼 수 있다. 이 외에도 '맛'은 구전과 재방문에 가장 큰 영향을 미치는 것으로 나타났다. 런던베이글뮤지엄의 브랜드 경험은 감각적 경험이 가장 높은 점수를 얻었으며, 이는 '외형성'을 중요시하는 Z세대에게 시각적 자극을 충족시켰다고 볼 수 있다. 다음으로는 인지적 경험, 감성적 경험, 행동적 경험 순으로 나타났다. 본 연구 결과를 통해 Z세대의 F&B 브랜드 선택 속성과 런던베이글뮤지엄의 브랜드 경험을 밝힘으로써 성공적인 F&B 브랜드 개발을 위한 시사점을 제공한 데 그 의의가 있다.

장애인주간보호시설 기독교인 종사자가 경험하는 심리적 소진과 성장에 관한 현상학적 연구 (Experiences of Christian Workers at Daycare Facilities for the Disabled A Phenomenological Study on Psychological Burnout and Post-burnout Growth)

  • 장승진;김은혜
    • 산업진흥연구
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    • 제9권3호
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    • pp.251-261
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    • 2024
  • 본 연구의 목적은 장애인주간보호시설 종사자의 업무환경을 개선하고 효율화하여 사회적 약자인 장애인에 대한 복지서비스를 향상시키기 위한 것이다. 연구문제는 장애인주간보호시설 기독교인 종사자가 경험하게 되는 내부 종사자 간의 갈등, 심리적 소진, 성장요인 등 세 가지로 구성하였다. 연구방법으로는 2024년 1월부터 2024년 4월까지 장애인주간보호시설에서 근무하는 기독교인 종사자 10명 대상으로 업무처리 과정에서 경험한 사실을 면담하고 수집하여 콜라이지(Colaizzi)의 현상학적 연구방법으로 분석하였다. 연구결과에서 종사자들이 경험하게 되는 심리과정은 첫째 장애인주간보호시설에서의 경험 중에서의 내부종사자 간의 '갈등', 둘째 '소진'에서 종사자가 겪게 되는 정서적 탈진, 비인간화, 성취감의 감소 증상 등의 소진과 외상의 체험이었다. 셋째 '성장'에서 종사자들이 영성을 통하여 내부갈등과 심리적 소진을 극복하고 안정감을 갖고 성장하는 경험을 하였다. 본 연구는 향후 장애인주간보호시설 종사자의 사기증진과 근무환경 개선에 유용한 자료가 활용될 것으로 기대한다.

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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2015 개정 중학교 가정 교과서 세계시민교육 내용 분석 (Analysis of the Content of Global Citizenship Education in the 2015 Revised Home Economics Textbook)

  • 허영선;김남은
    • 한국가정과교육학회지
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    • 제32권3호
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    • pp.111-133
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    • 2020
  • 이 연구의 목적은 2015 개정 가정과 교과서를 중심으로 세계시민교육에 대한 내용을 분석하여 가정과에서의 세계시민교육과의 관련성을 살펴보는데 있다. 이를 위하여 병행 삼각 설계(concurrent triangulation design)의 절차에 따라 세계시민교육의 기준틀(UNESCO의 TLO)의 관점에서 2015 개정 중학교 가정과 교과서에 나타난 세계시민교육의 내용을 추출하여 분석하였다. TLO의 9가지 주제에 대해 빈도를 조사한 결과 세계시민교육 내용은 2015 개정 가정과 12종 교과서 전체에서 세계시민교육 관련 주제가 다뤄진 비율 중 사회·정서적 영역은 54.6% 정도를 차지하였다. 특히, TLO 4가 가장 높은 비율을 보였고 TLO 5, TLO 1의 순으로 나타났다. 중학교 12종 가정과 교과서에서 추출된 세계시민교육 학습 주제를 가정과 학습 영역별로 분류해 본 결과 아동·가족생활 영역(94개)은 모든 학습 주제와 가장 큰 관련성을 보였으며, 식생활(13개), 의생활(13개), 주생활(15개), 소비생활(14개)은 비슷한 분포로 학습 주제를 나타내었다. 아동·가족생활 영역은 청소년기 발달과 특징, 가족 관계, 성폭력과 가정 폭력 예방, 변화하는 가족과 건강가정, 저출산·고령사회와 일·가정 양립, 생애 설계와 진로 탐색에서, 식생활 영역은 청소년기의 영양과 식행동, 식품의 선택과 안전한 조리에서, 의생활 영역은 의복 관리와 재활용에서, 주생활 영역은 주생활 문화와 주거 공간 활용, 주거생활과 안전에서, 소비생활 영역은 청소년기의 소비생활 내용 요소가 세계시민교육의 학습 주제와 관련성이 있었다. 이처럼 세계시민교육 학습 주제와 가정과 모든 학습 영역별 학습 내용 요소와의 관련성이 높게 나타났다. 이에 가정과에서는 세계시민교육과 가정교과와의 관련성을 이해하여 어떻게 적용될지 파악하여 앞으로 세계시민교육과 관련된 프로그램 개발과 수업 개선 및 교과서 개발의 방향 설정이 필요할 것이다.

병원종사자의 직업성 스트레스에 관한 연구 - 서울시내 500병상 이상 병원종사자를 중심으로 - (Occupational Stress of Hospital Workers)

  • 이우천
    • 한국병원경영학회지
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    • 제3권1호
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    • pp.1-33
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    • 1998
  • The purpose of this thesis is to study theoretical access to the methods that have been used for the research of occupational stress, thereby providing management methods of occupational stress of hospital workers. With a stress model of hospital workers set up from the viewpoint of organization management, 929 sets of questionnaires were collected from intern doctors, resident doctors, nurses, nursing aides, pharmacists, medical technicians, workers in patient affairs(reception and medical insurance workers), administrators and clerks from the 8 hospitals in Seoul with more than 500 beds. Upon variance analysis, correlation analysis and regression analysis of the collected questionnaires, this work examined how differences in stress caused by specific occupations and formulated a method of stress management for the hospital workers. The results are as follows. 1) If some duties of the nurses suffering from role-overloaded stress are transferred to the nursing aides dissatisfied with insufficient role, the two grunting groups can be satisfied at the same time. It is also necessary to transfer some jobs of the overloaded workers in patient affairs to the administrators, or the other way around. To reduce stress of conflict and ambiguity of role caused by the obscure division of roles between the workers, the role of each occupation should be delineated and the clear division of roles should be translated into action strictly according to that delineated. 2) Stress of inefficiency of organization from which the student doctors suffer can be relieved by management of participation. If they have access to the process of decision-making in general hospital affairs and consequently their understanding and the autonomy of job performance are promoted, such stress will be reduced. 3) To cope with stress of career development from which nurses, medical technicians, administrators, workers in patient affairs suffer, it is necessary to establish whether they have a chance to revive their careers, whether there are any ways of remotivation for less contributive workers, and whether they encourage each other to develope their careers. If they are given a chance to develope their careers, such stress will be relieved. 4) Pharmacists, suffering from stresses of living and personal relations, have strong cohesive power among themselves and organize a well-integrated team; thereby reducing the stress of personal relations and increasing productivity. 5) For administrators and student doctors confined to lesser social supports and for nurses and workers in patient affairs whose recognition of stress and job satisfaction are affected by social supports, emotional and informational supports for job performance help alleviate an individual's mental, and physical stress. 6) In addition to the above-mentioned stress-management methods, if an organizational coping strategy is provided according to the types of stress from the general viewpoint of the whole group of hospital workers, it would be of great help to managing stress. For example, the redesign of jobs, the management of objective, the improvement of working environment, the formation of an autonomous working group and various working plans can be set up for those who suffer from stress related to inappropriate role, while career counseling and development of career process can be provided for those dissatisfied with career development. Participation in the process of decision-making and the restructuring of the organization are needed for those who suffer from stress of malfunctioning organization, whereas creation of a supportive organizational atmosphere is desired for those who feel stressed due to personal relations. As well, such organizational coping strategies. as the increase of welfare facilities, seminars and educational programs and provision of health-promotion facilities can be provided.

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태교 실천에 대한 일상생활 기술적 연구 (An Ethnographic Study about Taegyo Practice in Korea)

  • 김현옥
    • 대한간호학회지
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    • 제27권2호
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    • pp.411-422
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    • 1997
  • The purpose of this study is twofold : (i) to investigate how much effort the married couples are making for the good health of both the pregnant woman and her unborn child from the time of their marriage to and during the period of conception : and (ii) to comprehensive investigate socio-cultural back-grounds which affect prenatal effort. Result of this study provide a basis for the prenatal care program which will be appropriate to our culture. This study has been done by the ethnographic research method. The subjects of this study are 53 people in all consisting of 33 pregnant women and 20 husbands. In order to investigate socio-cultural factors which influence Taegyo, producers of Taegyo music were interviewed. In addition the researcher surveyed the markets of Taegyo music, participated in special courses of prenatal education, analyzed the content of the books and periodicals dealing with Taegyo, and collected the concept of Taegyo distributed by the mass media. The full-fledged study continued for eight months from February to August.1996. The data were analyzed as soon as they were collected. Spradly's(1979, 1980) developmental, sequential method of domain analysis. taxonomic analysis, componential analysis, and theme analysis in this order was adopted as the procedure of analyzing the data. To obtain the exactness of study, Sandelowski's (1986) four criteria, that is, Credibility, Fittingness, Auditability, and Confirmability were applied to all stages of data collection, data analysis, the interpretation of the result, and the description of the result. The following are the result : 1. The couples' Taegyo at the stage of preconception was related to their physical, psychological, spiritual conditions under which a healthy baby will be born. Specific methods they prefer are : "the choice of one's spouse." "physical check-up," "physical good health, " "praying, " and so on. 2. When the marriod couple have sex in order to conceive, their Taegyo was related to the imposition of their physical, psychological, and environmental conditions. Specific methods they prefer are : "having sex at specific time, " "having sex in nice place." "to purify their minds while having sex," and so on. 3. The married couples' Taegyo while they are in pregnancy was related to the imposition of their physical. psychological, emotionmental. environmental, social and spiritual conditions. Specific methods they prefer are : "listening to music. " "reading," "looking at beautiful things only," "to avoid looking at or listening to bad things." "to eat food in good shape, " "to avoid drugs," "eating Korean herbal medicine." "sexual abstinence," "to avoid dangerous places," "to keep emotional tranquility," "moderate exercises and rest." "leading a pure life." "praying." "being aware of their words and behavior." "for the couple to keep a good relationship." "interaction with their unborn child," "to support Taegyo for pregnant women," and so on. 4. The married couple put Taegyo into practice on the basis of the following principles : the principle of respecting an unborn child, the principle of forming a good disposition. the principle of top-down parental love, the principle of synergy between a pregnant woman and her unborn child, the principle of expecting a good child, the principle of forming a good habit, and the principle of acquiring a parental role. 5. The practice of Taegyo is influenced by such factors as the married couple, the supporting system, and the mass media. As the husband -and-wife factor, their information of Taegyo, the degree of importance is assigned to their characters, their time to spare, their healthiness, the age of pregnant woman, their conception plan, their religion, their belief of the Taegyo effects, and the birth of a baby in this order. The factor of the supporting system consists of her husband's support, her family support, and her neighbor's support. The mass media factors include the broadcasting media, books specialized in Taegyo, periodicals for pregnant women, booklets for advertizing powdered milk, Taegyo music of record manufacturing companies, and the teaching materials for gifted children. Among these the mass media is especially taking advantage of Taegyo as its main source of economic profits are leading the public behavior pattern to a prodigal one. Taegyo is a self-control behavior which requires practice for the following : the physical and psychological good health of the pregnant woman and her unborn child, the development of the unborn child's good character, the development of the unborn child's intelligence and talents, the expectation of the unborn child's good features. shape a good habit, the expectation of the unborn child's bright future, and the learning of a parental role, the expectation of male birth. Above all it is a type of our good cultural tradition which pursues a value higher than the one that the prenatal care does. The principles of pregnancy care inherent in the habit of Taegyo will provide us a guideline for the development of the prenatal care.

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초지형 축산의 어메니티 및 경제성 평가에 관한 연구 (Study on Amenity and Economical Efficiency of Multi-functionality on the Grassland)

  • 천동원;이상영;박민수;박형수;황경준;윤세형;고문석
    • 한국초지조사료학회지
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    • 제27권4호
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    • pp.297-312
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    • 2007
  • 본 연구는 제주 초지의 경제적 가치를 평가하여 보전의 타당성 및 정책지원 방안을 제시하기 위해 수행하였다. 경제적 가치를 추정함에 있어 환경적 가치, 사회문화적 가치로 나누어 평가하였으며 환경적 가치는 대체법을 이용하였고 사회문화적 가치평가는 일반적으로 많이 이용되고 있는 CVM 평가법을 적용하였으며 각종 Bias(편의)를 해결하기 위해 가상 상황을 설정하여 질문하는 이단계 이선선택법을 적용하였다. 제주초지의 다원적 기능은 토양침식방지, 홍수방지, 축산분뇨처리, 대기정화 등과 같은 환경적 기능과 사료생산기능 그리고 보건, 휴양, 정서함양 등과 같은 사회문화적 기능이 있다. 이의 경제성을 분석한 결과 제주초지의 연간 다원적 기능가치는 총 $397,115{\sim}418,995$백만원으로 평가되었다. 첫째, 초지의 토양침식방지 효과의 가치평가는 초지의 질소 고정금액과 객토 유실비를 환산하여 평가하였으며 나지 대비 평가액은 $19425{\sim}20,038$백만원이었다. 둘째, 제주도내에서 발생한 축산분뇨 155만4,000톤(2005년) 중 초지에서 처리할 수 있는 총살포 가능량을 해양투기 등의 위탁처리비에 의해 추산하여 계산한 결과 $8,262{\sim}11,016$백만원으로 평가할 수 있다. 셋째, 초지의 대기정화 능력을 평가한 것으로 대기오염의 대표적 물질인 이산화탄소를 흡수하는 량과 산소를 방출하는 량을 산출하여 평가하였다. 대기정화 기능 평가액은 $24,803{\sim}28,586$백만원으로 추산되었다. 넷째, 제주도 초지의 강수량은 우리나라에서 제일 높으며 지구온난화의 영향 등으로 인한 집중호우, 태풍 등 풍수재해가 증가하고 있는 추세이다. 본 연구에서는 초지의 홍수방지 댐의 홍수조절 기능을 기준으로 하여 경제적 가치를 측정하였다. 홍수 조절능력은 ha당 791ton으로 환산하여 추산하였다. 홍수방지 기능의 평가액은 $1,691{\sim}10,723$백만원으로 추산되었다. 다섯째, 초지의 생산성 평가는 제주도 초지의 주초종인 오차드그라스, 페레니얼라이그라스, 톨페스큐 등의 혼파초지의 총생산량을 추정하고, 이의 건물생산량을 제주도에서 유통되는 가격으로 환산하여 평가하였다. 평가액은 $70,493{\sim}76,190$백만원으로 추산되었다. 마지막으로 제주도 초지가 지닌 사회문화적 공익기능, 즉 농촌경관제공기능, 교육 휴양처제공기능, 전서함양기능에 대한 제주 방문객들의 평가는 매우 높았으며 특히 존재가치 및 상속가치가 높아 지속적으로 보전해야만 한다는 의견이 지배적인 것으로 나타났다. 기부금 조성에 찬성하는 사람들에 대해 조사한 결과를 이용하여 제주 초지의 공익적 경제 가치를 계산한 결과에 의하면 '06년 2,724억원으로 '11년에는 3,220억원이 되어 제주 초지의 환경보전 및 사회문화적 공익적 경제 가치는 매년 증가할 것으로 전망되었다. 이와 같이 제주도에서 초지가 존재하므로서 갖는 여러 가지 다원적 기능의 가치는 우리가 평소에 쉽게 평가절하하고 간과하기 쉬운 환경적 요소를 다방면에서 검토하고 조사 분석한 결과로 초지의 중요성을 구체적으로 구명하였다. 정부는 초지의 규제완화를 추진하고 있다. 그러나 초지에 대한 무분별한 개발은 오히려 제주의 환경파괴, 소중한 관광자원의 소실, 수백 년간 가축방목지로 활용되어온 축산기반의 붕괴, 유기축산 실현과 청정 환경을 유지하는 생태자원보고 천혜의 조건을 파괴하늘 것으로 초지의 전용은 미래 세대를 위한 존재가치, 환경보존 및 축산업 유지 등 여러 관점에서 보면 초지를 유지 보전하는 것이 제주도의 관광 상품성을 제고할 수 있어 더 많은 부가가치를 창출할 수 있을 것으로 사료된다.

저체중출생아를 위한 가정간호형 모성역할중재 프로그램 개발과 그 효과에 대한 연구 (Development of a Home-based Nursing Intervention, Mothering Program for Low-Birth-Weight Infants)

  • 한경자
    • 가정∙방문간호학회지
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    • 제8권1호
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    • pp.5-24
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    • 2001
  • The purpose of this study was to develop a parenting intervention program and determine the efficacy of the program with low-birth weight infants and their mothers. Nine dyads for the experimental group and twelve dyads for the control group discharged from the Neonatal Intensive Care Unit of a University Hospital in Seoul were recruited for the study. For the intervention group, programmed education and support which focused on the maternal sensitivity of the infant's behavior. rearing environment. motherinfant interaction and infant care were given to each subject. Individual counseling and home visits were provided at discharge, one week after discharge. and one and three months of corrected age in every infant. Structured questionaires were administered and feeding interactions were videotaped and coded by a blinded certified observer. A Quasi-experimental design was conducted for this study. Postpartum depression, maternal self esteem. infant care burden, HOME. mother-infant interaction, and infant development were measured. Results were in favor of the intervention versus the control group. On the Beck depression inventory, intervention mothers showed decreasing trends in depressive symptom vs control mothers although, there were statistically no significant differences between the two groups at each time. The mean score of experimental group was 11.55(mild depression state) at discharge and became 8,6(normal state) at 1 month of corrected age. On the other hand, the mean score of the control group was 13.92(mild depression state) at discharge and became 14.0. Maternal self esteem in both groups improved over time. Infant care burden in both groups was also shown to increase over time. There was a significant difference between the two groups in HOME(p=.0340) at 3 months of corrected age. HOME scores of the experimental group and the control's were 31.10 and 25.58, respectively. Mothers' emotional and language responses were significantly high in the intervention group compared with the control group(p=.0155). Intervention group (53.33) showed a significantly high quality of motherinfant interaction compared with the in control group (42.80)(p =.0340). Intervention group mothers appeared have a better quality of mother-infant interaction behaviors. On the other hand, there was no statistical difference in the infant part between groups. Intervention group infants had higher trends in a general developmental quotient: although, there was no statistical difference between groups. The general developmental quotient of intervention infants was 102.56 and control's was 91.28. However, the developmental quotient of the domain of 'individuality-sociality' was higher in the intervention group infants compared with the control's(p=.0155). The concerns identified by parents revealed two domains of an infants' health management -knowledge and skills in caregiving of lowbirthweight-infants, characteristics of lowbirthweight infants, identifying a developmental milestone, coping with emergency situations and relaxation strategies of mothers from the infant care burden. Interview data with the mothers of low-birth weight infants can be used to develop intervention program contents. Limited intervention time and frequency due to time and cost limitations of this study should be modified. The intervention should be continuously implemented when low-birth weight infants become three years old. An NNNS demonstration appeared to be a very effective intervention for the mothers to improve the quality of mother-infant interactions. Therefore intervening in the mothers of low-birth weight infants as early after delivery as possible is desirable. This study has shown that home visit interventions are worthwhile for mothers only beyond the approach as an essential factor in ability of facilitating a growth fostering environment. In conclusion. the intervention program of this study was very effective in enhancing the parenting for the mothers of low-birth weight infants, resulting in health promotion of low-birth weight infants. The home-visit outreach intervention program of this study will contribute to the health delivery system in this country where there is a lack of continuous follow-up programs for low-birth weight infants after discharge from NICU, if it is activated as part of the home visit programs in community health systems.

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