• 한국보건간호학회지
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• 제1권1호
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• pp.32-44
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• 1987

The purpose of this survey was to find out the knowledge and the disease management of the Tuberculosis patients by themselves among the first grade middle and high school students in Seoul city during the period of June 15-July 19, 1986. Questionaires were used to collect the data and were analysed from answers of 188 students at the 113 schools. The results were as follows: 1. The ages of the students were distributed as follows: in middle school, 13 years old was $70.0\%$. 14 years old, $20.0\%$, and 15 years old, $6.7\%$. In high school, 16 years old was $66.5\%$, 17 years old, $18.4\%$, and 15 years old, $10.1\%$. 2. In X-ray mass examination by school, the rate of execution was $50.4\%$ in middle school and $96.7\%$ in high school, and in X-ray mass examination by student, it was $50.1\%$ in middle school and $97.3\%$ in high school. 3. The prevalence of Tuberculosis among the middle school students was $00.3\%$and high school students, $0.15\%$. 4. Of the total, $77.1\%$ of the respondents did not realized Tuberculosis bdore X-ray mass examination 5. The perfect cure rate of the respondents was $52.7\%$. 6. General characteristics of the respondents: a. The educational background was varied as follows: of the total $47.9\%$ of the fathers had the level of high school education and $37.2\%$ of the mothers had the level of middle school education. The educational background of the parents had no statistical significant to the medical cure rate of Tuberculosis. (P>0.05). b. The average monthly income of the family was as follows : above five hundred thousand won was $21.8\%$, three or four hundred thousand won was $22.9\%$, and below two hundred thousand won was $10.6\%$. The most frequent family size was 5-6 persons. $(59.6)\%$. 7. The actual situation of Tuberculosis control and the variables related to the treatment: a. $69.1\%$ of the respondents wanted mental support from their surroundings. $48.7\%$ of the respondents answered that their parents or the other family helped treatment as mental supporter, b. As a medical service, $53.2\%$ of the respondents were treated at Health Center, $38.8\%$ were treated at a hospital. A medical service was statistically significant to the medical cure (P<0.01). c. Family members of $61.7\%$ of the respondents had checked chest X-ray. A X-ray examination of family was statistically significant to the medical cure (P<0.005). d. $73.9\%$ of the respondents had taken the Anti-Tuberculosis-drugs regularly. Regular taking of Anti-Tuberculosis drugs was statistically significant to the medical cure (P<0.005). e. $89.4\%$ of the respondents had received a regular examination during the treatment. A regular examination was statistically significant to the medical cure (P<0.05). f. The period of perfect cure was that $50.0\%$ of the respondents took from half a year to one year, $25.2\%$ took below half a year and $16.2\%$ took from one year to one year and a half. g. The rate of the respondents who abhored to let anyone know their disease was $93.1\%$. 8. Knowledge related with Tuberculosis: a .$63.3\%$ of the respondents answered that Tuberculosis is a communiable disease. b. $89.9\%$ of the respondents answered that there is a preventive method of Tuberculosis. Among them, $28.4\%$ answered that it is B.C.G. vacination. c. $96.8\%$ of the respondents belived they can be cured perfectly. d. $42.4\%$ of the perfect curer answered that they had have permanent immunity of Tuberculosis. According to the results of above study, it is desired to be practiced X-ray mass examination to the total middle school students. Nurse teachers and the responsible persons who participated to the helping of disease management to the Tuberculosis patients must make an offer knowledge of Tuberculosis to the Tuberculosis patients. And also, it will be very helpful to the cure of Tuberculosis patients if they do their best and to have a mental supporter.

• 대한간호학회지
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• 제4권3호
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• pp.1-12
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• 1974

It is the purpose of this study to determine an effective method of communication between teachers and students. This study was done by using the theory, methods and tools of transactional analysis as developed by Borne and Harris. In order to achieve this objective: First; The teacher and student communication process is to be used, noting the student's reaction when the teacher uses "Adult" and "Parent" stimulus. Second; The effectiveness of the reaction toward the "Adult" and "Parent" stimulus is to be determined with these objectives in mind. The problems of this research study are as follows; What influence on the response of the student is brought about by the method of communication used by the teacher? 1) When the teacher uses the "Parent" Stimulus method what response of the student is shown? 2) When the teacher uses the "Adult" Stimulus method what response of the student is shown? 3) What method of communication helps to promote the student′s growth? In order to determine the answers to these questions data was collected from 40 first year students at a school of nursing in Inchon. These students were divided into two groups and the unstandardized interview technique was used to interview each student for ten minutes. A tape recording was made of each interview and the nonverbal communication was recorded by process recording immediately following each interview. The recorded material obtained from the two groups was analysed and then the Borne and Harris transactional analysis method was used in analysing the writer of this thesis undertook. Hypothesis 1. When the teacher used the "Parent" stimulus the student′s response was more frequently "Child" than "Adult", the results showed a significant difference of P〈0.001. Hypothesis 2. When the teacher used the "Adult" Stimulus the student′s response was more frequently of "Adult" than "Child", the results showed a significant difference of P〈0.001, The following conclusions are drawn from this study: 1) There is an indication that the teachers use of "Parent" stimulus communication is not an effective method to increase the growth of the student. 3) Since the teachers use of "Adult" stimulus resulted in an increase in the "Adult" response of the student there is ah indication that use of an effective communication method can help the student to develop. The writer of this research paper suggests for further study the following; 1) A comparison of the differences in response to the giving of both "Adult" and "Parent" stimulus to the same Students. 2) A comparison of the differences in student response to the communication method according to the student′s grade, age, sex and level in school.

• 한국가정과교육학회지
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• 제21권2호
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• pp.187-202
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• 2009

본 연구는 고등학교 1학년 기술 가정 교과의 '결혼과 육아' 단원에서 '부모됨'에 대한 수업 내용을 중심으로 11종 교과서와 관련 자료를 분석하여 추출한 수업 목표를 가지고 실천적 추론 수업 과정으로 재구성하여 교수 학습 과정안을 개발하고 실제교실 수업에 적용하여 실천적 추론 수업 방식의 효과를 평가하는데 목적을 두었다. 개발된 6차시 교수 학습 과정안은 실천적 문제 '부모가 된다는 것이 나에게 의미하는 것이 무엇인가?'로 1, 2차시를, '좋은 부모가 되기 위해 나는 무엇을 준비해야 하는가?'로 3, 4, 5차시를, '바람직한 부모역할을 위해 나는 무엇을 해야 하는가?'로 6차시 교수 학습 과정안을 학교 수업에 적용하였다. 적용 대상은 경기도 이천시 소재의 고등학교 1학년 남녀 합반의 5개 학급, 총 180명을 대상으로 하였다. 부모됨 단원의 하위 요소인 부모됨의 의미와 동기, 부모됨의 준비, 부모됨의 역할로 나누어 대응표본 t-검정을 통해 학습자의 부모됨에 대한 인식의 향상을 가져오는지 그 효과에 대해 결과를 분석하였다. 부모됨 단원을 실천적 추론 수업 방식으로 적용하였을 경우 학습자들의 인식 변화에 긍정적인 결과를 보였다. 또한 실천적 추론 수업 방식은 학습자들의 흥미와 참여, 이해를 높이는 결과를 가져왔다. 본 연구는 가정과교육에 적합한 교수 학습 방법인 실천적 추론 수업을 다양한 학습내용과 학습활동으로 학생들의 흥미와 수업 참여도를 증대시켜 효과적인 수업이 가능하다는 점에서 교육적 의의를 가진다고 할 수 있다.

• Journal of Gastric Cancer
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• 제15권1호
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• pp.46-52
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• 2015

Purpose: The aim of this study was to compare the short-term surgical and long-term functional outcomes of Billroth I, Billroth II, and Roux-en-Y reconstruction after laparoscopic distal gastrectomy. Materials and Methods: We retrospectively collected data from 697 patients who underwent laparoscopic distal gastrectomy for operable gastric cancer between January 2009 and December 2012. The patients were classified into three groups according to the reconstruction methods: Billroth I, Billroth II, and Roux-en-Y. The parameters evaluated included patient and tumor characteristics, operative details, and postoperative complications classified according to the Clavien-Dindo classification. Endoscopic findings of the remnant stomach were evaluated according to the residue, gastritis, bile (RGB) classification and the Los Angeles classification 1 year postoperatively. Results: Billroth I, Billroth II, and Roux-en-Y were performed in 165 (23.7%), 371 (53.2%), and 161 patients (23.1%), respectively. Operation time was significantly shorter ($173.4{\pm}44.7$ minute, P<0.001) as was time to first flatus ($2.8{\pm}0.8$ days, P=0.009), time to first soft diet was significantly faster ($4.3{\pm}1.0$ days, P<0.001), and postoperative hospital stay was significantly shorter ($7.7{\pm}4.0$ days, P=0.004) in Billroth I in comparison to the other methods. Postoperative complications higher than Clavien-Dindo grade III occurred in 61 patients (8.8%) with no statistically significant differences between groups (P=0.797). Endoscopic findings confirmed that gastric residue, gastritis, bile reflux, and reflux esophagitis were significantly lower in Roux-en-Y (P<0.001) patients. Conclusions: Roux-en-Y reconstruction after laparoscopic distal gastrectomy for middle-third gastric cancer is beneficial in terms of long-term functional outcome, whereas Billroth I reconstruction for distal-third gastric cancer has a superior short-term surgical outcome and postoperative weight change.

• 한국산학기술학회논문지
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• 제20권6호
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• pp.38-47
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• 2019

본 연구의 목적은 초등학교 1학년 시기의 집행기능곤란에 대한 교사와 부모의 평정 결과에 따른 최적의 잠재집단을 찾고, 확인된 잠재집단에 따라 초등학교 2학년 시기의 학교적응, 학업수행에 차이가 있는지 확인하는 것이다. 한국아동패널 8차년도(2015년도), 9차년도(2016년도) 자료의 1,012명의 데이터를 사용하였으며, 분석 방법으로 잠재프로파일 분석과 다변량분산분석을 활용하였다. 잠재프로파일분석 결과, 초등학교 1학년의 집행기능곤란에 대한 어머니와 담임교사의 평정 결과에 따른 잠재집단은 '일치되게 집행기능곤란 수준이 가장 낮은 집단', '어머니보다 담임교사가 집행기능곤란 수준을 더 높게 지각한 집단', '담임교사보다 어머니가 집행기능곤란 수준을 더 높게 지각한 집단'의 세 유형으로 구분되었다. 본 연구에서 확인된 잠재집단의 특징은 초등학교 1학년의 집행기능곤란에 대한 어머니와 담임교사 간 평정 일치도가 높은 집단과 평정 일치도가 낮은 집단이 공존한다는 것이다. 초등학교 1학년 시기에 확인된 세 유형의 잠재집단에 따라 초등학교 2학년 시기의 학교적응, 학업수행에 차이가 나타났는데, 학교적응의 4개 하위요인 중 3개, 학업수행 하위 요인 모두에서 '일치되게 집행기능곤란 수준이 가장 낮은 집단'이 '담임교사보다 어머니가 집행기능곤란 수준을 더 높게 지각한 집단'과 '어머니보다 담임교사가 집행기능곤란 수준을 더 높게 지각한 집단'보다, '담임교사보다 어머니가 집행기능곤란 수준을 더 높게 지각한 집단'이 '어머니보다 담임교사가 집행기능곤란 수준을 더 높게 지각한 집단'보다 평균 점수가 통계적으로 유의한 수준에서 더 높은 것으로 나타났다. 본 연구결과는 초등학생의 학교적응 및 학업수행에 많은 영향을 미치는 집행기능곤란 수준을 정확하게 판단하기 위해서는 부모와 담임교사의 중다 평정 결과에 기초한 프로파일적 접근이 필요하며, 이에 기초한 교육적 처치를 하는 것이 중요함을 시사한다.

• 디지털융복합연구
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• 제19권1호
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• pp.443-451
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• 2021

본 연구의 목적은 청소년의 자아존중감과 그릿 간의 관계에서 우울, 학업 무기력, 스마트폰 중독 경향성의 매개효과를 규명하는 데에 있다. 본 연구에서는 한국아동·청소년 패널조사 (KCYPS) 2018의 1차년도 자료를 사용하였으며 연구대상은 중학교 1학년에 재학 중인 남학생 1,375명과 여학생 1,166명의 자료이다. 다중매개모형은 SPSS와 PROCESS macro 프로그램을 통하여 분석되었다. 본 연구의 결과는 다음과 같다. 첫째, 자아존중감과 그릿 간에는 정적상관이 있었고, 자아존중감과 그릿은 우울, 학업 무기력, 스마트폰 중독 경향성과 부적상관이 있었다. 둘째, 자아존중감과 그릿 간의 관계는 우울, 학업 무기력, 스마트폰 중독 경향성에 의해 각각 매개되는 것으로 나타났으며 더 나아가 순차적으로 거쳐서 매개하는 모든 경로도 유의한 것으로 나타났다. 이러한 결과는 스마트폰 사용이 일상화된 요즘 날의 청소년들이 스마트폰 중독에서 벗어나서 특정 목표에 대한 흥미를 개발하고 노력을 지속하도록 돕기 위한 방안으로 자아존중감과 우울, 학업 무기력을 고려한 교육과 중재가 유용할 수 있음을 시사한다.

• 한국과학교육학회지
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• 제27권5호
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• pp.447-455
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• 2007

본 연구는 국내의 과학교육관련 논문들 중 피아제(J.Piaget), 브루너(J.S.Bruner) 오슈벨(D.P.Ausubel)의 이론에 관련된 논문들을 분석하여 연구 동향을 파악한 것이다. 과학교육관련 학회지에 게재된 논문을 기초로 피아제, 오슈벨, 브루너 이론에 대한 연구현황을 학회지별, 연도별, 주요어별, 연구 분야별, 학문 분야별, 그리고 학교 급별로 분류하였다. 대상 학회지는 한국과학교육학회지, 대한화학회지, 새물리, 한국생물교육학회지, 한국지구과학교육학회지, 초등과학교육학회지였다. 논문을 분석한 결과, 관련논문 99편 중 한국과학교육학회지에 가장 많이 게재되어 있었다. 시기적으로 1990년대 중반에 이들 이론에 대한 연구가 가장 많이 이루어졌고, 지금까지도 꾸준히 연구되고 있음을 알 수 있다. 주요어별로 분류한 결과 피아제의 '인지발달'에 관한 논문이 가장 많은 것으로 나타났다. 학문분야 중에서는 생물분야에서 가장 많은 연구가 이루어졌고, 연구분야에서는 교수학습 분야가 대부분이었다. 그리고 학교 수준별로는 중학교에 대한 연구가 가장 많았다. 결국 지금까지 국내에서 이루어진 피아제, 오슈벨, 브루너의 이론에 관한 연구들이 상대적으로 일부에 편중되었다는 것을 알 수 있다. 따라서 앞으로의 연구는 좀더 다양한 분야에서 이루어질 필요가 있다.

• 농촌의학ㆍ지역보건
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• 제20권1호
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• pp.1-13
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• 1995

본 연구는 변화되고 있는 지역사회보건사업의 요구에 따른 연도별 보건소 간호사들의 역할 변화, 역할 수행에 따른 장애요인 및 간호업무 수행과 관련하여 인지하는 직무만족도를 파악하고자 1992년 3월 19일부터 4월 11일까지 경상남도 보건간호사 270명을 대상으로 설문조사한 결과는 다음과 같다. 보건간호사들이 수행한 최우선 보건사업은 1970년 이전에는 가족계획사업, 1970 - 1979년대에는 간호업무, 1980 - 1989년대에는 모자보건사업, 1990 - 1992년대에는 간호업무이었다. 가족계획사업 내용의 우선순위는 1970년 이전에는 자궁내장치 삽입 권장과 경구피임약 또는 콘돔 배부에 역점을 두었으며 그 이후로는 가족계획 홍보를 우선으로 했다. 모자보건사업 내용의 우선순위는 1970년 이전부터 임부등록에 많이 두었으며 그 다음으로 산전진찰과 예방접종에 치중한 것으로 나타났다. 결핵관리사업 내용의 수선순위를 보면 각 년대마다 신환자 발견 등록에 치중하였으며 그 다음으로 환자관리 및 투약 주사에 비중을 두었다. 간호업무 냉용의 우선순위를 보면 1970년대 이전에는 순회진료에 역점을 두었으며 그 다음으로 주사 및 투약에 치중하였다. 전염병관리 내용의 우선순위는 1970년 이전부터 1순위였으며 그 다음으로 투약 및 주사에 치중하였다. 1990-1992년대에는 상담 및 교육이 2순위로 나타났다. 노인보건사업 내용의 수선순위가 1979년대 이전부터 순회진료가 1순위였으며 그 다음으로 검진보조가 2순위로 나타났다. 사업별 업무수행시 장애요인을 보면 가족계획 사업에서는 주민의 이해부족이 28.8%, 예산부족이 13.6%, 보건행정체계 미비가 11.9%였으며, 결핵사업에서는 주민의 이해부족이 32.5%, 업무과다(인원부족)가 15.6%, 기술이나 지식의 부족이 13.0%였다. 업무과다(인원부족)와 시설 장비의 부족이 각각 15.6%, 주님의 이해부족이 13.0%였다. 직급별 보건간호사의 직무만족도에서 경력이나 능력에 비해 승진기회여부는 불만이다가 8,9급이 64.7%로 높았으며 전문직 발전의 기회는 없다가 6,7급이 67.7%, 8,9급이 64.0%로 높았다. 보건업무에 필요한 물품과 시설의 만족여부에서 하위급으로 내려갈수록 만족도는 낮았으며 보수의 만족도에서는 적당하다가 6,7급이 64.7%, 너무 작다가 8,9급이 53.0%로 높았다. 직급별 보건간호사의 직업 긍지 만족도에서 직급이 높을수록 직업적 긍지의 직무만족도는 높았다. 직급별 현 직급에 대한 만족도는 하위급으로 내려갈수록 만족하는 사람의 비율은 높아졌다. 보건간호사의 경력(년)별 직무만족도에서 보건간호사 경력이 많을수록 직급, 승진기회, 전문직 발전의 기회에 대한 직무만족도는 낮게 나타났다. 보건간호사의 경력(년)별 직업 긍지 만족도에서 보건간호사 경력이 많을수록 직업적 긍지의 직무만족도는 높게 나타났다. 대상자의 37.6%가 이직할 의사가 있다고 하였으며, 승진기회의 부족, 근무여건의 불만이 이직 이유였다. 하력과 경력은 직무만족도 사이에 유의한 상관관계가 없었으며 직급이 낮을수록 직무만족도는 낮아 유의한 관련성을 나타내었다. 1차 보건의료사업을 수행토록 하기 위해서는 보건간호사의 인식이나 주민들의 인식을 새롭게 하기 위한 홍보활동 및 교육이 더 주어져야 할 것이며 보건간호사의 승진기회 및 직급에 대란 불만도가 높기 때문에 보건간호사의 승진제도개선 및 직무영역확대가 고려되어야 할 것이다. 그래서 간호업무에 만족할 수 있는 제도개선에 대해 고려해야 할 것으로 생각된다.

• 대한간호학회지
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• 제7권2호
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• pp.60-82
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• 1977

The purpose of this study is first, to analyse the present nursing education and the curriculum in Korea in view of the changes and the new tendency of nursing education and second, to compare our curriculum with that of America, where nursing activities are actively earring on and, third, to try to find out what we should reconsider and improve in our nursing education. The object of this study is the educational program and the curriculum from 1973 to 1976 by selecting each five from colleges and department of nursing in Korea and America. The results of the study were as fellows : . 1. The aim of nursing education puts impassion the role of leader, knowledge and technology of nursing, welfare of society and service of community in both the America and Korea. In Korea nursing is mainly restricted to the treatment of diseases, while in the America the items of the aim of nursing are mainly extended to the capacity for Self- realization of nurse, in Korea they are restricted to the treatment of diseases. 2. In Korea the rate of credit of the curriculum of nursing education is the highest in professional education, next in general education, next in supporting science and educational subject, while in America the rate of the credit is the highest in general education, next professional education and then supporting Science and educational subject isn′t included in the curriculum. 3. In both Korea and America the role of the animal credit allotment in general education, is the highest in the first year and the rate in supporting science is the highest in the second year. In Korea professional subjects are concentrated in the third year while in America there is a tendency that they are increasing in number in the grade order. 4. There is a tendency that the rate of the credit allotment of the main professional subjects in curriculum is higher in Korea than in America : that is, in Korea the rate of the allotment of the credit is the highest in medical - surgical nursing, next maternal - child nursing, next community - health nursing and the psychiatric nursing and there in a great difference in the rate of the allotment of each credit. While in America the rate of the allotment of the credit is the highest in community - health nursing, next in medical- surgical nursing, next in maternal - child nursing, and then in psychiatric nursing and there is little difference in the rate of tile allotment of each credit. 5. From general education, supporting science and professional education, they have considered the continuity and sequence in the structure of nursing curriculum of Korea and America. While in Korea we have partly made integration in tile content of the subjects. Most of the school in America, they have made integration in the content of subjects especially in all subjects, but in Korea we haven't made it in all subjects. 6. In the system and form of nursing education Problem solving method, Dialectical method and operational method are introduced in some America schools and in others there is a tendency that the whole nursing education has the system based on Preventive frame - work or Health -illness frame work ; while only one college has an attempt for Health - Illness continue in Korea. 7. In Korea nursing education, as the importance of health- nursing and team nursing, the aim which is also comparatively emphasized is about health management and service of collective community. The subject pertaining to the aim is the studies of community health nursing, which are more in number in America. 8. When we consider the association between the social, general aims ?f the nursing education and the formation of the curriculum in Korean nursing school the courses of study concerning "the role of leadership and cooperative personal relation": "nursing care for the group": dynamic nursing care": and "the system of the public health nursing associated with the understanding of the regional community" are insufficient as compared with those of America. Especially, the lack of the behavioral science including the nursing care connected with the care for the group, the basic science on the clinical and developmental psychology, anthropology in known to be a prominent issue.

• 보건교육건강증진학회지
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• 제1권1호
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• pp.21-36
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• 1983

It is assumed that menarche is affected not only by the biological factors such as nutrition and genetic heritage, but also it is affected by other socio-cultural environmental factors including weather, geographic location, education and level of modernization. Also recent trend of menarche in Korea indicates that a lot of discussion are being generated to the need of sex education as a part of formal school education. The purpose of this study is to develop the school health education program by determine the age of menarche, the factors relavant to time of menarche and psycho-mental state of students at the time in menarche and investigate the present state of school health education relate to menarche of adolescents. The total number of 732 girls was drown from first, second and third grades of 4 middle schools in Seoul. For the data collection the survey was conducted during the period from May 1 to May 20, 1982 by using prepared questionair. The major results are summarized as follow; 1. Mean age at menarche and the percent distribution of menarche experienced. It was observed that about 68.7% of sampled students have been experienced menarche at the time interviewed. For the each group, age at menarche is revealed that among the students about 37.8% are experienced menarche for under 12 years old group, 62.1% for 13 year-old group, 80.6％ for 14 year-old group and 95.5% for over 15 years old. In sum it was found that the mean age at menarche was 12.3 years old, ranged from age at 10 as earlist the age at 15 as latest. 2. Variables associated with age at menarche. 1) There was tendency those student who belong to upper class economic status have had menarche earlier than those student who belong to lower class. Therefore, economic status is closely related to age at menarche. 2) In time of mother's education level, it is also found that those students whose mother's education levels from high school and college are experienced menarche earlier than those students whose mother's education levels from primary school and no-education. 3) However, in connection with home discipline, there was no significant relationship between age at menarche and home disciplines which are being treated "Rigid", "Moderated ", "Indifferent". 4) Degree of communication between parents and daughter about sex matters was found to be associated each others in determination of age at menarche. 5) It was found that high association between mother's menarche age and their daughter's menarche age was observed. Mother's age at menarche earlier trend to be shown also as earlier of their daughters. 6) Those students belong to "D & E" of physical substantiality index are trend to be earlier in menarche than those students in the index "A & B". 3. Psycho-mental state at the time of menarche. Out of the total students 68.2% had at least one or more than one of subjective symptoms. Shyness was shown as most higher prevalent symptom and others are fear, emotional instability, unpleasant feeling, depression, radical behavior, inferior complex and satisfaction appeared. Very few cases are appeared be guilty and stealing feeling. 4. The present status of school health education program related to menarche. As to the source of information about menarche, teacher was a main source with average index 5.88 and the other informants were mother & family member, friends, books and magagines, movies, television, and radio. For the problem solving at menarche, mother & family members were subject to discussion with an average index 6.02 as high. The others for discuss and knowledge about menarche were books, magagine, friends, teachers, and self-learning based on own experienced. The time of learning about menarche, it was learned as highest percentage with 43.2% at a 6 grades of primary school, middle school with 34.4%, 5 grade of primary school with 18.2%, and 4 grade of primary school with 4.0% respectively.