• 제목/요약/키워드: Facilities for the disabled

검색결과 291건 처리시간 0.025초

정신장애를 가진 노숙 청년의 시설 이용 경험 : 탈시설화의 이면(裏面), 생존을 위한 두 체계의 반복 이용을 중심으로 (Experiences of Institutions Utilization among Homeless Young Men with Mental Health Problems: Inevitable Repeated Usages between Two Facility Systems behind the Deinstitutionalization)

  • 김소영
    • 사회복지연구
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    • 제48권3호
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    • pp.83-116
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    • 2017
  • 정신건강복지법의 개정으로 촉발되고 있는 탈시설화 논의는 정신보건영역의 시설로부터 지역사회로 정신장애인의 삶의 공간을 이동시키는 것에 중점을 두고 있다. 본 연구는 기존의 탈시설화 논의가 이 두 공간에서의 단선적 이동만을 상정한 채, 특히 가족관계가 단절되고 경제적으로 심각한 어려움에 처해 있는 취약한(vulnerable) 정신장애인의 시설 간 순환을 남겨둔 채 진행되는 것에 문제를 제기하고자 하였다. 특히 정신보건시설체계와 노숙인시설체계를 넘나들며 시설에 의존해야 하는 이들의 문제를 조명함으로써 탈시설화의 논의를 보완하고자 하였다. 이 두 시설체계를 반복적으로 이용하는 정신장애를 가진 남성 청년노숙인의 사례를 통해 생존을 위해 정신질환과 노숙이라는 중첩된 위험을 관리하며 끊임없이 장소를 바꾸어가며 시설을 이용하는 패턴을 확인하였다. 또한 이것은 시설 간 의뢰와 자원이 없는 당사자들의 자발성에 기대어 더욱 촉발되고 있음을 확인할 수 있었다. 이러한 상황은 지역사회 내에서 삶을 영위할 수 있을 정도의 자원과 지지체계가 부재한 상황에서 사실상 불가피한 선택으로 여겨졌다. 그럼에도 불구하고 시설을 맴도는 정신장애인의 삶은 여전히 지극히 불안정하고 복지의 관점에서도 바람직하지 않다는 점에서 확장된 탈시설화 논의를 통해 심각히 고려되어야 함을 주장하였다.

일부 특수학교 교직원의 구강관리실태 (A study on the state of oral care among some special school personnels)

  • 박정순;이선옥
    • 한국치위생학회지
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    • 제11권5호
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    • pp.659-670
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    • 2011
  • Objectives : The purpose of this study was to examine the state of oral health care among special school personnels in an attempt to provide some information on the improvement of the oral health care of students with disabilities who would be under the first hand influence of school personnels. Methods : The subjects in this study were personnels who were selected by random selection in five different special schools located in the city of Jeonju, North Jeolla Province. A self-administered survey was conducted in person from July 5 to 14 after the purpose of this study was explained. Results : 1. Concerning their general characteristics, the level of oral health knowledge was high in the personnel whose career is 5 years more, and the younger personnels had a better oral health knowledge, and the men were more knowledgeable than the women. 2. As to oral health education experience, the rate of the respondents who ever received oral health education stood at 35.3 percent. In relation to the frequency of oral health education, the biggest group that accounted for 58.2 percent received that education once. As for the route of education, the largest group that represented 52.7 percent received that education at dental hospitals or clinics. In relation to satisfaction with oral health education, the greatest group that accounted for 38.5 percent were dissatisfied with that education. 3. As for an intention of receiving oral health education in the future, the biggest group that accounted for 60.9 percent intended to receive that education if they would have free time, and the largest group that represented 47.7 percent believed that oral health education should be conducted by dental hygienists. 4. Concerning their general characteristics, the level of oral health promotion behavior according to age in both bushing and supplies of oral health care was high in forties-1.89 point and 3.33 point, and that in regular visit to a dental clinic was the highest in twenties for 2.58 point, and that in dietary control was the highest in twenties for 2.59 point. 5. Their oral health knowledge had a significant positive correlation to their toothbrushing, regular dental clinic visit and dietary control that were the subfactors of oral health promotion behavior. 6. As for the impact of oral health promotion behavior on oral health knowledge, toothbrushing exerted the greatest influence on that(${\beta}$=0.306, p<0.001). Conclusions : Appropriate institutional measures should be taken to let dental hygienists who are expert in oral health care provide incremental oral health care for students and adults with disabilities in educational institutions and facilities for the disabled, and the development of oral health education programs is urgently required to offer systematic oral health education for not only students with disabilities but their teachers and guardians.

마이데이터 기반 교통약자 이동지원서비스 모델 (A Mobility Service for the Transportation Vulnerable Based on MyData)

  • 최희석;이석형;박문수
    • 정보처리학회논문지:소프트웨어 및 데이터공학
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    • 제12권1호
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    • pp.31-40
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    • 2023
  • 교통약자의 이동권을 보장하기 위해서 이동지원 편의시설 확충, 특별교통수단 공급, 데이터·AI 기반으로 이동패턴 분석으로 대중교통 노선 계획 및 요금정책 수립 등 국내외에서는 다양한 정책과 서비스가 시행되고 있다. 그러나 서비스 이용자인 교통약자 관점에서 필요한 상황에서 원하는 교통수단을 보다 편리하게 이용하기에는 여전히 서비스 편의성을 향상시키기 위한 연구가 필요하다. 본 연구에서는 교통약자 이동편의 증진을 위한 정책과 서비스를 살펴보고, 교통약자 이동지원을 위한 마이데이터 기반 서비스 모델을 제시한다. 제시한 서비스 모델에서는 교통약자가 개인별 상황에 따라 교통수단을 자유롭게 선택하여 이용할 수 있고, 국가 또는 지자체가 제공하는 교통복지 바우처 혜택을 동일하게 제공받을 수 있다. 제시한 서비스 모델은 개인데이터를 안전하게 수집하고 활용할 수 있도록 지원하는 마이데이터 플랫폼, 마이데이터 기반으로 교통복지 수혜 대상자 인증, 서비스 이용 후 요금정산을 위한 결제 기능을 핵심 구성요소로 정의하고 있다. 본 연구에서는 제시한 서비스 모델을 구현하고 대전시의 교통약자를 대상으로 실증서비스를 실시함으로써 이용자 관점에서의 서비스 만족도를 조사하였다.

사회복지사 연령별 일-생활 균형 영향요인 비교연구 (A Study on Factors Affecting Work-Life Balance of Social Workers by Age)

  • 김요섭
    • 융합정보논문지
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    • 제11권11호
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    • pp.178-184
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    • 2021
  • 본 연구는 사회복지사 연령에 따라 일-생활 균형에 영향을 미치는 요인을 실증적으로 비교·검증하기 위해 실시하였다. 연구대상은 전라북도에 소재하고 있는 사회복지관, 장애인복지관, 노인복지관에 근무하는 사회복지사이며 설문에 참여한 42개 시설 313부를 최종 분석에 활용하였다. 연구 방법은 사회복지사의 개인 요인(Level 1)과 기관 요인(Level 2)을 산정한 다층모형을 활용하였다. 주요 연구 결과는 다음과 같다. 첫째, 사회복지사의 일-생활 균형 전체 변량의 20.2%가 지역복지관별 차이로 나타났다. 둘째, 전체 사회복지사 일-생활 균형 영향요인을 분석한 결과 개인 요인에서는 직무요구와 가족 요구가 일-생활 균형에 부적(-) 영향을 미치며, 남성보다 여성이 일-생활 균형에 부정적인 것으로 나타났다. 주관적 건강과 경제상태는 일-생활 균형에 긍정적인 것으로 나타났다. 셋째, 연령별 사회복지사의 일-생활 균형의 영향요인 검증한 결과 모든 연령대에서 직무요구가 일-생활 균형에 부정적 영향력을 가지는 것으로 나타났다. 특히 30대에서 가족 요구와 남성보다 여성이 일-생활 균형에 부정적인 것으로 나타났으며, 경제상태도 일-생활 균형에 중요 영향요인으로 나타났다. 이러한 결과를 바탕으로 사회복지사 일-생활 균형 향상방안에 대해 논의하였다.

IT 융합기반 도로안전지킴이로봇을 통한 도로 건설 현장에서의 장애인운전환경 개선 연구 (Study on the Improvement Impaired Driving Environment of the IT Convergence-based Road Safety at Road Construction Sites with a Robot Protector)

  • 이신영;김동옥;이근민
    • 재활복지공학회논문지
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    • 제9권1호
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    • pp.17-21
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    • 2015
  • 최근에 첨단기술의 발전으로 자동차 자체의 기술 개발을 통한 운전자 안전을 확보하고자 하는 노력은 지속적이고 빠르게 진행되고 있다. 그러나 교통안전시설 개발을 통해 운전 주변 환경에 운전자를 배려하는 기술은 아직 부족하다. 따라서 본 연구에서는 개발된 도로안전지킴이 로봇 도구가 운전환경에서의 안전을 확보하는데 도움이 되는지 여부를 연구하고자 한다. 본 연구방법으로 IT 융합(보조공학 관련 전문가), 운전교육(운전재활), 자동차 관련 연구, 도로환경관련 연구, 건설업 전문분야로 26명을 선정하여 IT융합기반 도로안전지킴이로봇에 대한 안전성, 편리성, 효율성, 효과성을 중심으로 운전 환경에 미치는 영향을 사용성 평가로 조사하였다. 그 결과, LED 전광판의 정보(차량 속도, 건설현장 서행 경고, 안개나 시야확보가 어려운 날씨에 정확한 정보제공)가 운전자에게 전달되어 사고예방에 효과적인 것으로 나타났다. 따라서 본 연구 결론은 도로안전지킴이 로봇의 경우 운전자의 운전환경 개선에 도움이 되었다는 결론을 얻었다. 또한, 시야확보가 어려운 환경에서 더 정확한 정보를 제공할 수 있고, 교통위반, 사고 범죄자 추적 등의 불법 행위에 대한 결과를 기록함으로써 교통안전 예방 메커니즘으로써 중추적인 역할을 할 수 있다.

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일부 도시 재가 지체장애인의 치료실태 (The Status of Treatment of the Physically Handicapped in a Large City)

  • 이인학;문성기;김미란
    • 대한물리치료과학회지
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    • 제4권2호
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    • pp.421-432
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    • 1997
  • To find out the actual status of treatment of physically handicapped who were stayed of home, 320 physically handicapped persons were selected among total 6,264 physically handicapped registered in Taejon city, surveyed from January 1st to March 30, 1997. Following are the results ana lysed of collected data from 201 samped persons. 1. For the cause of physically handicapped, 36.3% was congenital, 26.9% was cerebralvascular acciednt(CVA). and 14.9% was infectious diseases and others in that orders. The must frequest cause of below 20 years age group was congenital cause, but that of $20{\sim}30$ years age group and $40{\sim}50$ years age group were accident and CVA repectively. 30.0% of respondents caused by infection and others earned household living expenses. Household living expenses were higher among the respondents caused by congenital cause but those were lowest in the accidental couse group. Handicap durations were longer in the accidental cause group and infections and others group than the congenital cause group and CVA group. 2. 54.7% of studied handicapped were under treatment. But 36.3% of them were stopped treatment, and 8.9 % of them answered not treated. Most handicapped, coused by congenital and CAV, were under treatment, but most of them caused by accidental and others were stopped treatment. 3. For the medical facilities, 54.5% of them utilized welfare facility, but 25.5% utilized general hospital and 20.0% of them utilized oriental medical hospital and health centers. Congenital cause group frequently selected welfare facility for the treatment facility. But accidental cause group frequently seleced general hospitals and CVA gruop frequently selected oriental medical hospital and others. The medical cost of welfare facility, oriental medical hospitals and others were lower than that of general hospitals. 4. The proportions of under treatment were higher among yonger age higher monthly living expenses group shorter handicapped duration groups, congenital cause group and handicap grade II group. But that of stop treatment were higher among congenital cause group, infectious and others cause group, and handicap grade I & then III group. 5. For the feelings satisfacion about medical treatment, only 35.3% of under treated group responed satisfation. 55.5% of them responded so-so, but 9.1 % responed dissatisfaction. The proportion of satisfaction was higher among shorter handicap duration group.

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뇌성마비 취학아동 어머니의 양육체험 (The Lived Experience of Mothers about Rearing of School Children With Cerebral palsy)

  • 백경선
    • Child Health Nursing Research
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    • 제7권4호
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    • pp.434-450
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    • 2001
  • This study is designed to understand the meaning and nature of raising children with cerebral palsy. It researches the experience of mothers of schoolchildren with cerebral palsy by the research method of hermeneutic phenomenology. The study was conducted from November 10, 1999 to December 20, 2000. When children with cerebral palsy usually show symptoms in the early stage of cerebral palsy, mothers do not take children to a doctor for diagnosis. And, most of mothers have a difficult time to accept the reality; they usually respond to the initial diagnosis with shock, reproach, and deny. When mothers start recognizing the reality, they consider that their children have cerebral palsy due to the their mismanagement during pregnancy, delivery, nursing, and initial treatment. They shelter their children from view and feel guilty that they cannot afford to try folk remedies for their children. As time passes, mothers face conflicts between families in diverse ways. Families put the blame on genetic effects. Mothers-in-law give their daughters-in-law a hard time, husbands shift the responsibility of raising children onto their wives, and trouble arises between families-in-law and mothers native families. When children grow up, it is physically difficult for mothers to take care their children. In addition, they suffer from all the troubles in family due to childrens handicap. Mothers try the diverse methods of bringing up children. However, they start getting tired of raising children as they experience failures and financial difficulties. Mothers feel collapsed recalling the ways of raising children. They feel anxiety, miserable, lonely, and worrying when they think how children would attend school, make friends, and live in the future. In this stage, mothers do their best to raise their children with hope. They tend to compare their children with others without handicap and spend money and time in attempting all the treatments. When mothers and children join the society at school, they find that the society does not understand disabled people, teachers show inconsiderate attitude, friends avoid them, and children hardly follow classes. Such experiences make mothers feel angry and frustrated. However, when children adapt to school, mothers see the possibility that children could accomplish schoolwork. They appreciate teachers help and others consideration. Mothers place appropriate expectations on their children and help them to prepare for the future. I would make following suggestions based on the results. 1. As a primary basic course of rehabilitation nursing intervention, solution-centered nursing intervention system should be developed. The intervention needs to be based on the understanding of mothers, who raise children with cerebral palsy, through in-depth interview. 2. Advance researches on the development of individual nursing intervention should be conducted. Individual nursing intervention needs to prevent and release actual pain focusing on mothers raising children with cerebral palsy. 3. Integrated curriculum that help children with cerebral palsy lead a normal school life with ordinary children should be developed. 4. Basic research on using of facilities and effective application of service volunteer to help children with cerebral palsy in school needs to be conducted.

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목민심서를 통해 한국적 복지정책에 대한 연구 (A study on Korean welfare policy examined through Mokminsimseo)

  • 김봉화
    • 문화기술의 융합
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    • 제9권5호
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    • pp.669-674
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    • 2023
  • 본 연구는 목민심서 애민육조와 진황육조의 분석으로 조선시대 사회복지정책의 구체적 내용을 살펴보고 이에 대한 오늘날 사회복지정책의 연계성을 파악하였다. 그 결과 애민육조에서는 양로(養老)에서 노인복지법과 노인 복지서비스의 기초내용을 담고 있었고, 자유(慈幼)에서는 유아 및 아동과 관련한 복지정책 서비스, 관질(寬疾)을 통해 장애인 복지의 가치계계과 정책 방향을 확인하였으며 구재(救災)에서는 사회적 위기와 재난대응에 대한 사회통합을 요구하고 있음을 알수 있었다. 이는 또한 이는 사회복지정책지표를 통해서도 가족안전, 소득보장, 건강정책, 사회통합 등의 사회복지정책의 주요영역이 강조되어왔음을 확인하였다. 또한 진황육조의 분석을 통하여 비자(備資), 규모(規模), 보력(補力) 등에서 사회보장제도와 사회보험제도의 기초 이념과 가치뿐만 아니라 구체적 정책 시행 내용까지 담고 있음을 살펴보았다. 사회복지 시설을 구비하여 각 대상별 체계적 사회복지서비스를 시행하고 있는 오늘날 사회복지정책 및 사회서비스 정책 등은 진황육조를 통하여 그 근간을 확인할 수 있었다. 이는 현재 정책 시스템인 사회복지정책지표를 통해서도 사회통합과 소득보장 부분의 강조가 진황육조에서 두드러지게 나타남을 확인하였다.

특수학교의 보건관리 (Health Management and Services of School-Nurse in Special Schools)

  • 이경희;박재용
    • 한국학교보건학회지
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    • 제4권2호
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    • pp.176-192
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    • 1991
  • 특수학교 보건관리의 방향 설정과 특수학교 양호교사 업무 수행에 있어 질적 향상을 위한 기초 자료를 제시하고자 전국의 102개 특수학교 양호교사를 대상으로 1991년 2월 1일부터 1991년 3월 31일까지 우편 설문 조사를 실시하여 회수된 77개 학교를 대상으로 분석한 결과를 요약하면 다음과 같다. 특수학교의 67.5%가 사립이고, 83.2%가 시 이상 지역에 위치해 있으며, 정신지체학교가 48.1%로 가장 많았다. 특수학교의 평균 학급수는 17.2학급, 평균학생수는 194명, 평균교직원 수는 28명이었다. 양호교사의 평균 연령은 32.7세였고, 97.4%가 전문대학 이상 졸업자였으며, 71.4%가 기혼자였고, 79.2%가 임상이나 보건과 관련된 분야의 과거경력이 있는 것으로 나타났다. 또한 62.3%의 양호교사가 단독 업무를 보고있었으며, 77.9%가 초등에 소속되어 있었다. 대상 특수학교 양호실은 68.9%가 l층에 위치해 있었고, 학교보건 조직은 90.9%가 구성되어 있지 않았으며, 학교보건 인력으로 교의, 치과의, 학교 약사 모두를 위촉하고 있는 곳은 18.2%에 불과했다. 학교보건에 관한 연간 예산은 양호교사의 46.8%가 모르고 있었으며, 학교당 평균 년간지출액은 317,000원으로 그 중 의약품 구입비가 제일 많았다. 학교당 월 평균양호실 이용자수는 71명이었고, 학생 1인당 연간 양호실 이용은 4.4회였으며, 외상으로 인한 이용이 26.6%로 가장 많았다. 양호실 이용자중 1.4%가 의료기관에 의뢰되었는데, 시각장애학교는 고열, 정서장애학교는 골절, 다른 영역학교는 외상으로 가장 많이 의뢰하였다. 특수학교 아동 중 간질 학생수는 956명으로 조사 대상학교 학생수의6.4%를 차지하고 있었다. 신체검사를 2회 이상 실시하고 있는 학교는 22.6% 밖에 되지 않았으며, 98.7%가 보건교육을 실시하고 있고, 성교육은 98.7%가 필요하다고 강조하였다. 보건교육은 개인 위생에 가장 비중을 두고 있었으며, 시각장애 학교는 방송교육, 청각장애 학교는 OHP나 VTR, 다른 영역의 학교는 가정통신문이나 OHP VTR을 가장 많이 사용하는 교육매체였다. 대상 양호교사의 46.8%가 학교보건관리중 보건교육이 가장 어렵다고 하였으며, 중점개선내용으로 49.4%가 특수학교 보건관리에 대한 구체적인 업무 지침이 필요하다고 강조하였다. 사업계획 및 평가, 양호실 관리, 보건교육, 환경관리, 건강관리 등의 양호교사 업무 수행은 비교적 높은 수행율과 자신감을 나타냈으나, 그 중 학교보건 사업의 평가, 체력검사, 보건교육 후 평가, 학교정화구역 관리, 상처 봉합에 대한 수행율과 자신감이 비교적 낮았다. 따라서 특수학교 보건관리의 방향설정과 양호업무의 질적수준 향상을 위하여 학교보건사업에 대한 구체적인 업무지침의 개선과 특수학교 양호교사에 대한 별도교육이 필요한 것으로 생각된다.

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뇌성마비아 어머니의 경험 (Lived experience of mothers who have child with cerebral palsy)

  • 이화자;김이순;이지원;권수자;강인순;안혜경
    • Child Health Nursing Research
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    • 제2권1호
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    • pp.93-111
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    • 1996
  • The purpose of the study is to identify the lived experience of mothers who have children with cerebral palsy in order to understand their agony. Moreover, the result of study was to find some nursing intervention for disabled children and their mothers. For this purpose, ten mothers who are willing to cooperate with this research were selected at random from those who have children with the cerebral palsy, currently using the municipal facilities for the handicapped with cerebral malfunction. Data collection was done from October 4, 1994 th December 31, 1994. The data were collected by asking the mothers mentioned above with some unstructured open-ended questions, recorded on the tapes with permission by the interviewee in order to prevent missing of the interviewed contents. These collected data have been substantiated and properly analyzed on the basis of phenomenological approach initiated by Colaizzi's method. The results and validity are proved to be credible by means of the individual checking of the interviewed mothers. The results of this study are as follows : 1. When the mother is first informed of the diagnosis of cerebral palsy on her child, she usually misses the crucial timing needed for proper treatment of the child's disorder because she is notified through the doctor's indifference and his apparently inactive, matter-of-fact attitude. At first she suspects the doctor's diagnosis and tries to attribute it to the unknown cause from a certain genetic problem and then she quickly wants to deny the whole situation that her child is really suffering from the cerebral palsy. The reality is too much for her to accept as it is and she would not believe her child is abnormal. Therefore, she even attempts depend on the power of God for its solution. 2. The mother, who goes thorough this kind of uncommon experiences, is totally devoted to the treatment and care of the child and completely ignores her own life and happiness. At the same time, she feels sorry for her other normal children she believes having not enough care and concern. Also, she feels sorry for the sick child when the child's brothers or sisters show special concern for the patient out of sympathy. It is sorry and not satisfied for her that the child is growing with abnormality and neighbor other around have inappropriate attitudes. Likewise, she is discontent with her husband's lack of concern about the child's treatment. She believes that the health care system in this society isn't fulfilling its due purpose. In the state of her utmost distress and anxiety, she always feels the need of competent consultants, and is angry about that her child is treated as an abnormal being, she is trying to hide the child from other people and to make him or her disappear, if possible. Although she doesn't have harmonious relation with her husband, she id happy when he shows his affection for the child and she feels relieved and thankful when the relatives don't mention about the child's condition Since the child's overall status of health is continuously in unstable conditions, requiring her all-time readiness for an emergency, she feels guilty of her child's illness toward the fEmily members as if it was her own fault to have borne such an abnormal child and she feels responsible for the child morally and financially if necessary Because her life is centered on taking care of the child, she cannot afford to enjoy her own life and happiness. She is a lonely mother, fatigued, with no proper relationship with other people around her. With this sense of guilt and responsibility as a mother of an unusual disease, she has no choice but to grieve her destiny from which she is not allowed to escape. 3. Nevertheless, the mother with the child suffering from the cerebral palsy does not easily give up the hope of getting her child cured and she believes that in the long run, though slower than hoped, her abnormal son or daughter will be eventually cured to become a normal sibling someday. This kind of hope is sustained by the mother's strong faith coming from observing the progress of other similar children getting better. Sometimes she is encouraged to have this faith by other mothers who share the same painful experiences, believing that her child will improve even more rapidly than others with the same palsy. Full of hope, she painstakingly waits for the child's healing. Moreover, she plans to have another child. she thinks that the patient child's brothers and sisters only can truly understand and look after the patients. However, when she notices that the progress of other children under the treatment does not look so hopeful, she is distressed by the thoughts that her child may never get well. Too, she is worried that the patient's brother or sister will be born as the same invalid with the cerebral disease. She is discouraged to have another baby as much as she is encouraged to. She is also troubled by the thought that in case she has another baby, she will have to be forced. to neglect the patient child, especially when she does have an extra hand or some reliable person to help her with taking care of the patient.

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