• 제목/요약/키워드: Problematic Behaviors

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치매주간보호센터 이용 노인의 인지·신체기능, 문제행동 및 이용중단 이유 (Cognitive Function, Physical Function, Problematic Behaviors of Elders using Dementia Daycare Service and Reasons for Stopping Daycare)

  • 김화순;이영휘
    • 기본간호학회지
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    • 제23권1호
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    • pp.61-72
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    • 2016
  • Purpose: Purpose of this retrospective study was to investigate cognitive function, physical function, and problematic behaviors of elders who attended dementia daycare centers, and to identify reasons why they stopped using the center. Methods: Participants were 176 elders, 60 years or over, attending one of four dementia daycare centers in Incheon. Data were collected from center documents. Results: Mean age was 80.5 years. When admitted to the centers mean scores for the mini-mental status examination, activity of daily living, and instrumental activity of daily living (IADL) were 12.31, 9.53, and 25.09 respectively. Participants received day care service for an average of 17.98 months. The reasons for leaving the center were worsening dementia and health (40.2%), and problematic behaviors (20.1%). Conclusion: Results show that elders began to use day care services when their cognitive function and IADL had declined considerably. As the ultimate goal of dementia daycare service is to delay the worsening of cognitive capability and decreases in activities daily living, the effect of the service can be maximized when the service is provided as early as possible in the course of progressively severe dementia. Active promotion should be exerted in the community to encourage early use of this service.

음악요법이 치매노인의 인지, 문제행동, 수면에 미치는 효과 (Effects of a music therapy on cognition, problematic behavior, and sleep in elderly with dementia)

  • 전은영;장군자;유현숙;이희완
    • 대한예방한의학회지
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    • 제15권2호
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    • pp.101-113
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    • 2011
  • Objective : The purpose of this study was to determine the effects of the music therapy on cognition, problematic behavior, and sleep disturbance in elderly with dementia. Method : The study was designed using a nonequivalent control group pretest-posttest design. The subjects comprised of 39 elders (Experimental group : 19, Control group : 20) who living in D city. The instruments used for this study were the MMSE, problematic behavior assessment tool, and sleep assessment instrument. The data were analyzed using SPSS 17.0 program. Results : The repeated measure ANOVA revealed that the music therapy had the effect on the problematic behavior and sleep. There were statistically significant differences in problematic behavior between the pretest and posttest in the experimental group. Conclusion : The study suggests that the music therapy can be applied for the aged with dementia to improve the problematic behaviors.

민속놀이 프로그램이 치매노인의 인지기능, 일상생활수행능력 및 문제행동에 미치는 효과 (The Effects of a Folk Play Program on Cognition, ADL, and Problematic Behavior in the Elderly with Dementia)

  • 김정순;정정심
    • 대한간호학회지
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    • 제35권6호
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    • pp.1153-1162
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    • 2005
  • Purpose: This study was to develop and evaluate a folk play program as a nursing intervention for the elderly with dementia. Method: First, a folk play program was developed through a careful study of literature review and field-work. Second, a nonequivalent control group pre-post test was designed. The subjects of the study were the elderly with dementia staying in nursing homes; 15 were in an experimental group adopting a folk play program developed through this study, 18 in the control group on a gymnastics and walking program which is generally used. The 40 min. intervention was conducted 5 times a week for 4 weeks. Result: The folk play program improved the cognition(t=6.12, p<.001) and ADL(t=2.92, p=.014) and diminished the frequency of problematic behaviors significantly(t=-6.39, p<.001). There was a significant difference of cognition, ADL, and problematic behaviors between the control and the experimental group before and after the experiment(t=3.38, p=.002; t=2.05, p=.046; t=-7.74, p<.001). Conclusion: Compared with the gymnastics and walking program, the folk play program proved to be much more effective in the elderly with dementia in improving their cognition and ADL, as well as in diminishing their problematic behaviors. Therefore, a folk play program should be appliedas an effective and practical Korean nursing intervention for the elderly with dementia.

동물로봇과의 상호작용에 따른 치매노인의 인지기능, 기분상태, 문제행동 및 반응의 변화 (Cognitive Function, Mood, Problematic Behavior and Response to Interaction with Robot Pet by Elders with Dementia)

  • 임난영;강현숙;박영숙;안동현;오진환;송정희
    • 기본간호학회지
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    • 제16권2호
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    • pp.223-231
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    • 2009
  • Purpose: The purpose of this study was to identify the effects on cognitive function, mood, problematic behaviors and response to interaction with robot pet by elderly people with dementia. Method: A methodological triangulation design with quantitative and qualitative methods was used. The participants were 9 elderly people with dementia. The intervention was conducted twice a week for 4 weeks, Qualitative data were collected by interviews and video-taping for analysis of the responses of participants, Results: 1) Cognitive function, mood and problematic behaviors did not show any significantly differences after the program. 2) Analysis of the responses showed increases in verbal communication and positive action. Conclusion: The robot pet program had positive effects such as increasing communication and interaction. Therefore, this program could be considered as an effective program for emotional support for elderly people with dementia. However further repetitive study is need to validate the result.

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유아 대상의 요리 활동을 포함한 영양 교육 후 식생활 습관 및 식태도 변화 (Effects of Nutritional Education Featuring Cooking Activities on Preschool Children in the Daegu Area: Food Habits and Dietary Attitudes)

  • 서주영;최봉순;이인숙
    • 동아시아식생활학회지
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    • 제20권5호
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    • pp.794-801
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    • 2010
  • The effects of a nutritional education program featuring cooking activities on 20 preschool children 6 years of age at a kindergarten in the Daegu suburb area. After applying the nutritional education program for 6 weeks, scores of dietary habits, dietary attitude and problematic dietary behaviors increased significantly from 3.68 to 3.83, 3.52 to 3.9 and 3.59 to 3.89, respectively (p<0.001). Problematic dietary habits, such as not eating a variety of foods, overeating, and having an unbalanced diet, were positively affected while problematic dietary behaviors, such as eating too much sweet food and liking instant foods, also underwent favorable changes. Among dietary attitudes, washing bands and brushing teeth before and after meals were the least changed items (0.15 out of 1). To improve dietary habits and behavior of preschool children, nutrition education programs cooking activities must be applied systematically.

Parents of Children with Asperger Syndrome: Relationships between Early Attachment Experiences and Parenting Behaviors

  • Angus, Jeanne
    • Child Studies in Asia-Pacific Contexts
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    • 제3권1호
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    • pp.1-12
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    • 2013
  • Research with parents of children with Asperger Syndrome was conducted to assess whether the level of positive parental attachment correlated positively with positive parenting behaviors and negatively with negative parenting behaviors. Participants were recruited from internet. The Parental Bonding Inventory measured parents' perception of their bonding or attachment with three aspects of their own parents: warmth, control, and care. In the Parenting Behavior Inventory, parents reported recent interaction/reaction behaviors with their child, and results focused on two aspects of parenting, supportive/engaged and hostile/coercive behaviors: each identified as problematic to parenting and attributable to a variety of specific parenting behaviors. Analysis of demographic variables for correlations with positive parenting behaviors and negative parenting behaviors were carried out by Pearson correlations. Two separate standard multiple regressions, one for positive parenting behaviors and one for negative parenting behaviors, were conducted. Findings support the hypothesis that positive early attachment experience of parents has a significant impact upon their own positive parenting skills with their child with Asperger Syndrome. However, multiple regression of negative parenting behavior found no significant negative contribution by parental attachment. Demographic variables proved to be important.

여대생을 대상으로 한 식이 행동 중재프로그램의 효과: 체계적 문헌고찰 및 메타분석 (Effects of Eating Behaviors Intervention Programs for Female University Students: A Systematic Review and Meta-analysis)

  • 채명옥;전해옥;김아린
    • 디지털융복합연구
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    • 제19권7호
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    • pp.427-440
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    • 2021
  • 본 연구는 여대생을 대상으로 한 식이 행동 중재프로그램의 효과를 조사하기 위한 체계적인 검토 및 메타분석이다. 분석 대상 논문은 2015년부터 2020년 2월 29일까지의 연구로, PRISMA에 따라 체계적으로 수집되었다. 메타분석을 위해 총 9편의 논문이 최종 선정되었고, 효과 크기를 추정하기 위해 Comprehensive Meta-Analysis 3.0을 사용하여 분석하였다. 여대생을 대상으로 적용된 식이 행동 중재프로그램 연구의 전체적인 효과 크기는 큰 것으로 나타났고, 문제 식이 행동 여대생을 대상으로 한 6편의 연구에서 효과 크기가 더 큰 것으로 확인되었다. 전체 여대생과 문제 식이행동 여대생 모두 식이 행동 관련 변수 및 심리사회적 관련 변수에서 유의한 효과 크기를 나타냈다. 그러므로 본 연구결과는 향후 여대생을 대상으로 차별화 된 식이 행동 중재프로그램을 개발하는 기초자료로써 연구의 의의가 있다.

소아의 체격에 대한 인식, 자아존중감, 사회성 및 행동특성간의 관계 (The relationships among perception of physique, self-esteem, sociality, and behavioral characteristics in children)

  • 정민자;윤경림;심계식
    • Clinical and Experimental Pediatrics
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    • 제51권10호
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    • pp.1052-1057
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    • 2008
  • 목 적: 초등학생들의 실제 체격 측정치와 자신의 체격에 대한 인식 및 만족도를 살펴보고, 그에 따른 자아존중감, 사회성 및 문제행동특성을 규명하고자 한다. 방 법: 서울에 소재한 초등학교 4, 5, 6학년생 465명(남학생 231명, 여학생 234명)을 대상으로 키와 체중에 대한 인식 및 만족도 조사, 자아존중감 검사(self-esteem inventory, SEI), 아동 청소년 행동평가척도(Korean Child Behavior Checklist, K-CBCL)를 실시하였다. 이들에서 신장과 체질량지수를 구하여 2007년 대한소아과학회의 신체발육표준치를 기준으로 저신장, 경계군, 정상 또는 비만, 과체중, 정상의 세 군으로 분류하였고, 키에 대한 인식도는 작은 편, 보통, 큰 편으로, 체중에 대한 인식도는 마른 편, 보통, 뚱뚱한 편으로 구분하였다. 수집된 자료는 SPSS for Windows (version 12.0, SPSS, Chicago, IL, USA)를 사용하여 chi-square test, ANOVA test등을 실시하여 분석하였다. 결과: 실측된 자신의 키와 체중에 대하여 인식 및 만족도에서 의미 있는 차이를 보였다(P<0.05). 키나 체중의 실제 측정치에 따른 자아존중감, 사회성, 행동특성의 유의한 차이는 없는 것으로 나타났다(P>0.05). 키와 체중에 대한 인식과 만족도에 따라 자아존중감에 의미 있는 차이를 보였다 (P<0.01). 결 론: 자신의 키나 체중에 대하여 정확하게 인식하고 만족하고 있는 아동들의 자아존중감이 높게 나타났다. 따라서 체격에 대한 올바른 인식확립과 교육으로 심리적 지지를 제공해야 하겠다.

아버지 우울 변화 양상에 따른 양육행동 및 자녀의 문제행동, 학교적응 차이 비교 (Classifying Fathers' Depression Trajectories and Its Influences to Parenting Practices and Their Children's Problematic Behaviors and School Adjustment)

  • 연은모;최효식
    • 한국산학기술학회논문지
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    • 제21권4호
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    • pp.337-345
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    • 2020
  • 본 연구의 목적은 자녀 출생 후 4년부터 8년까지의 아버지의 우울 변화 양상에 기초한 잠재집단을 탐색하고, 잠재집단에 따라 2년 후의 아버지 양육행동과 자녀의 문제행동 및 학교적응에 차이가 있는지 확인하는 것이다. 이를 위해 한국아동패널 4차년도(2011년)부터 8차년도(2015년)의 5개년도 자료와 10차년도(2017년) 자료의 1,172명을 분석하였다. 분석 결과, 첫째, 자녀 출생 후 4년부터 8년까지의 아버지 우울의 변화 궤적은 고수준 변화형 집단, 중수준 저변화형 집단, 저수준 저변화형 집단의 3개의 잠재집단이 있는 것으로 확인되었다. 둘째, 5년 동안 계속 낮은 수준의 우울을 보인 저수준 저변화형 집단은 고수준 변화형 집단과 중수준 저변화형 집단보다 권위적(Authoritative) 양육행동을 더 많이 보이는 반면, 고수준 변화형 집단과 중수준 저변화형 집단은 저수준 저변화형 집단보다 권위주의적(Authoritarian), 허용적(Permissive) 양육행동을 더 많이 보이는 것으로 확인되었다. 셋째, 고수준 변화형 집단, 중수준 저변화형 집단, 저수준 저변화형 집단 순으로 자녀의 내재화 문제행동 점수가 높은 것으로 나타났으며, 고수준 변화형 집단이 저수준 저변화형 집단보다 자녀의 외현화 문제행동 점수가 더 높은 것으로 나타났다. 학교적응의 경우 저수준 저변화형 집단이 중수준 저변화형 집단보다 학업수행적응, 또래적응, 교사적응 점수가 더 높은 것으로 나타났다. 본 연구는 자녀가 학교적응에 어려움을 겪고 문제행동을 많이 보일 때 아버지의 우울 수준을 함께 고려한 상담 및 가족 프로그램 운영이 실질적인 도움을 줄 수 있음을 시사한다.

발달지체유아 어머니의 모-자 상호작용 행동 증진 프로그램의 효과 연구 (Effects of an Intervention Program for Mother-Child Interaction Behaviors of Mothers with Developmentally Delayed Young Children)

  • 정계숙;노진형
    • 아동학회지
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    • 제25권5호
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    • pp.73-94
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    • 2004
  • The study examined the effects of an intervention program for improving mother-child interaction behaviors of mothers with developmentally delayed young children. The program consisted of three main activities, lectures for good parenting, video-feedback of mother-child interactions, and consultation for problem behaviors of children. The subjects were 4 mothers of 5-6 years old children with developmental delays who were referred to a social competence program of a child counseling center. The mothers were identified to have problematic mother-child interaction behaviors through clinical interviews. The program ran for 16 sessions, one parent group leader implemented each session for 90-120 minutes once a week. The videotaped data of mother-child interactions for 10 minutes every 4 sessions were estimated by Maternal Behavior Rating Scale(MBRS) and qualitatively analyzed by transcription of communications between mothers and their children. It concluded that the intervention program enhanced mother-child interaction behaviors.

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