• 아동복지연구
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• 제16권2호
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• pp.25-45
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• 2018

The purpose of this study was to analyze influences of home punishment, school punishment, stress on school refusal of elementary schoolers. For this, the data using the maternal 'Korean Survey on the Rights of Youth and Children in 2013'. Data for the analysis was limited to the analysis objects who made sincere replies on the major variables, and 2,894 students were included in the final analysis objects. The result of the study showed that stress had a direct impact on school refusal, and home punishment, school punishment has a direct impact on stress. In particular, home punishment was having a higher impact on stress than school punishment. Also home punishment and school punishment stress-mediated have an indirect effect on school refusal. These results suggest the following truancy and school refusal should be addressed to educational, social, legal issues by family, school, community. Therefore, it suggests the need for close cooperation of home and school.

• 동의신경정신과학회지
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• 제21권4호
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• pp.219-231
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• 2010

Objectives : School refusal is usually considered as individual's behavioral problem. These days. however. the adolescents' school refusal needs some kind of medical approaches because it is related to mental disorder of the adolescents. Due to too much pressure and stress from the competition between classmates and from good performance in school. the number of adolescents who refuse to go to school is increasing. Despite this circumstance. school refusal is neither regarded as a single independent disorder nor endorsed as an officially classified disease. which makes difficult to conduct research on this issue and to establish standardized treatment for it. In addition. there is a lack of research on this topic. especially in oriental medicine. so there is no a case report or study on school refusal. This study is trying to comment on school refusal from the perspective of oriental medicine. Methods : We tried to examine the effect of oriental medicine treatment for school refusal with four adolescent cases. The patients commonly have at least more than one mental disorder (including depression disorder. anxiety disorder. and anorexia nervosa). have some problem with the relationship with their family. in particular with mother. do not have father or not be loved by their father. and have irregular eating habits. Thus. we diagnosed them as qi transforming into fire (氣鬱化矢) spleen-stomach deficiency cold (脾胃虛寒) and heart blood deficiency (心血虛) due to stress from the family issues and unhealthy eating habits. The patients received supportive therapy. family therapy. etc among many oriental mental treatments and their progress had been observed through hospitalization and outpatient treatment. Results : All four cases were reported positive progress on their symptoms and started coming back to school. We also examined whether they were well fitting into the school while they received outpatient treatment. and the results show that all four patients continue to settle down in normal school life. Conclusions : This study closely reviewed the mental disorder of school refusal cases and showed that the Oriental medical treatment was effective in helping the patients come back to school. More future research is required to better treatment for school refusal cases in oriental medicine.

• Child Health Nursing Research
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• 제9권3호
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• pp.237-249
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• 2003

Purpose: This study was to investigate the smoking related social influence, refusal skill and nonsmoking related self-efficacy among adolescents. Method: The subject for this study consisted of 3,000 students of middle and high school located in Chonbuk province. The data were collected by self-report questionnaire from Aguest 19 to September 14, 2002. Result: The smoking rate was 3.3% in middle school students and 13.6% in high school students. The subject have had 61.1% of family members, 42.7% of same sex friends, 39.4% of object sex friend, 64.9% of peer group and 85.9% of teachers were being smoke. The smoking related social influence and smoking status showed significant relationship; current smokers' smoking related social influence level was much higher than former and never smoker. Friends', teachers' and family members' influences were important to adolescents' smoking. Adolescents had social influence made by many smokers. 27.7% of subject were suggested to smoke by near people, 40.4% of which them were smoked or tried to smoke. The mean refusal skill score of subject was 39.13 points per hundred. Adolescents have showed very low level of refusal skill to smoke. Current smokers' refusal skill level was significantly lower than former and never smoker. The mean average nonsmoking related self-efficacy score of current smoker was 44.46 percents per hundred, it showed that current smoker had very low level of self-efficacy to ceasing smoke. Conclusion: For the purpose of adolescents smoking prevention and ceasing, the educational program must designed to reduce smoking related social influence, to promote the refusal skill and nonsmoking related self-efficacy.

• 한국학교ㆍ지역보건교육학회지
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• 제11권1호
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• pp.17-26
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• 2010

Purpose: This study was performed to determine the effect of drinking prevention program on the levels of drinking related knowledge, attitude, drinking refusal self-efficacy and behavior of vocational high school girls. Methods: Pre-post test design. The subject was used for a group of high school girls. The data were collected on May and September, 2006 and June, 2007 and analyzed using paired t-test. Results: The drinking-related knowledge score after one year was significantly higher than that of pretest (t=-14.02, p=.001) and the drinking-related attitude score was lower (t=2.85, p=.006). The drinking refusal self-efficacy and the drinking behavior measured as number of drinking events, amount of alcohol and number of heavy drinking events were not significantly different between pretest and post test after one year. Conclusion: Drinking prevention program should be given to increase the drinking refusal self-efficacy and decrease or prevent the drinking behavior of high school girls every semester at least.

• 한국콘텐츠학회논문지
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• 제17권3호
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• pp.1-14
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• 2017

본 연구는 G시의 남, 여 중학교에 재학중인 1, 2, 3학년 546명을 대상으로 정서 행동문제, 부모관계, 교우관계, 교사관계가 등교거부성에 미치는 영향과 그 경로를 파악하기 위하여 Pearson 적률상관분석과 LISREL 프로그램을 이용한 경로분석을 실시하였으며, 본 연구에서 나타난 연구결과는 다음과 같다. 정서 행동문제 중 외현화문제와 교사관계변인 중 사회적지지 요인, 교우관계변인 중 신뢰감요인과 부모관계변인 중 부정적지지요인, 교사관계변인 중 사회적지지요인과 부모관계변인 중 부정적지지 요인을 제외한 모든 관계에서 유의한 상관관계가 있는 것으로 나타났으며, 정서 행동문제는 등교거부성과 부모관계에 매개효과 없이 각각 매우 높은 직접적인 영향을 미치는 것으로 나타났고, 교우관계와 교사관계에는 통계적으로 유의한 직접적인 영향을 미치지는 않고 간접적인 부적영향을 미치는 것으로 나타났다. 또한 교우관계는 등교거부성에 통계적으로 유의한 직접적인 영향을 미치지는 않고 통계적으로 유의한 간접적인 부적영향을 미치는 것으로 나타났으며, 교사관계는 등교거부성에 통계적으로 유의한 직접적인 영향을 미치는 것으로 나타났고, 부모관계는 등교거부성에는 통계적으로 유의한 직접적인 영향을 미치지 못하고 교우관계와 교사관계를 매개로 간접적인 영향을 미치고 있는 것으로 나타났다.

• Journal of Yeungnam Medical Science
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• 제10권1호
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• pp.226-236
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• 1993

Seperation anxiety disorder(SAD) is characterized by excessive anxiety about being apart from the individuals to whom a child is most attached. We noticed a case of a 13 year old boy's SAD with symptoms of nausea/vomiting, stomachache, school refusal, and severe weight loss. His mother was overanxious and overdependent but her dependency was frustrated due to family problem. We investigated this case from a point of developmental aspect and family dynamics and tried to attempt therapeutic approach.

• 기본간호학회지
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• 제15권2호
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• pp.213-220
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• 2008

Purpose: This study was done to determine the effect of drinking prevention program on the levels of drinking related knowledge, attitude, drinking refusal self-efficacy and behavior in high school girls. Method: This was nonequivalent control group pre-post test design. The subjects were 133 high school girls who were conveniently assigned to experimental and control group. The data were collected from May to September, 2005 and analyzed using Chi-square test, t-test and ANCOVA. Results: 1. The 1st hypothesis, "The drinking-related knowledge score of experimental group will be significantly higher than that of control group in posttest" was supported (F=256.30, p= .001). 2. The 2nd hypothesis, "The drinking-related attitude score of experimental group will be significantly higher than that of control group in posttest" was supported (F=43.35, p= .001). The 3rd hypothesis, "The drinking refusal self-efficacy of experimental group will be significantly higher than that of control group in posttest" was supported (F=43.86, p= .001). 4. The 4th hypothesis, "The number of drinking of experimental group will be significantly lower than that of control group in posttest" was supported (F=6.12, p= .015). 5. The 5th hypothesis, "The drinking amount of experimental group will be significantly lower than that of control group in posttest" was supported (F=8.52, p= .004). 5. Conclusion: This drinking prevention program was effective in increasing the drinking-related knowledge and attitude, and the drinking refusal self-efficacy, and in reducing the drinking behavior of high school girls.

• 한국학교보건학회지
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• 제32권2호
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• pp.116-124
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• 2019

Purpose: This study was performed to measure the influence of drinking motives, drinking refusal self-efficacy, and self-determination on the intention to control drinking among nursing students. Methods: A cross-sectional survey was done with the participation of 258 nursing students attending four universities in G city. Data collection was conducted from May to June, 2018, using a self-report questionnaire. Data were analyzed using the t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and Hierarchical multiple regression. Results: The average scores for drinking motives, drinking refusal self-efficacy, self-determination, and intention to control drinking were 2.29, 4.54, 3.89, and 4.29 respectively. There were significant differences in the intention to control drinking according to grade, religion, and age of alcohol initiation. The factors influencing the intention to control drinking in nursing students were identified as self-determination (${\beta}=.24$), drinking refusal self-efficacy (${\beta}=.17$) and drinking motives (${\beta}=-.17$). This factor explained 26% of the nursing students' intention to control drinking. Conclusion: Therefore, it is necessary to develop a alcohol education program to improve the drinking culture of nursing college students and to improve their self-regulation skills in order to help them form a desirable drinking habit, and it is also necessary to apply the developed intervention program and test the effect.

• 지역사회간호학회지
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• 제13권2호
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• pp.230-238
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• 2002

Objectives: This pre-post quasi-experimental study was designed to investigate the effects of school based smoking prevention education on knowledge and attitude toward smoking, and the satisfaction of education among middle school students. Methods: The subjects included 94 middle school students in the experimental group. and 87 students in the control group. The educational content contained smoking refusal skills, which were taught through lectures and videos. Data collection was achieved using a self-reported questionnaire developed by the investigator. Data were analyzed with the SPSS 10.0 program including frequency, percentile, X2, paired t-test, and ANCOVA. Results: The results were as follows: 1. After the smoking prevention education, the smoking knowledge of the experimental group was significantly improved, whereas that of control group didn't change significantly. 2. There were no significant differences between pretest and post test attitude scores in both groups. 3. Refusal skill was the education content that provided the highest satisfaction for the subjects, and the degree of satisfaction was higher with video watching than with a lecture. Conclusion: Smoking prevention education for middle school students increased their level of smoking knowledge, but did not affect their attitudes toward smoking. Therefore, it is necessary to develop a more effective program, and to evaluate the effects of a long term education program with further studies.

• 의료법학
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• 제22권2호
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• pp.81-109
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• 2021

본 논문에서는 민법전에 의료계약에 관한 규정을 신설하기 위한 논의의 과정에서 의료관련 법률의 진료거부금지 규정과 의료계약에서 계약자유의 원칙의 관계를 검토하였다. 그 내용은 다음과 같다. 의료법의 진료거부금지 규정이 의료계약 체약의 자유를 제한하는 것은 아니다. 환자의 요청에 따른 진료개시와 진료개시 후 의학적 판단에 기초한 의료내용의 결정과 진료비에 대한 협의 하에 체결되는 의료계약의 성립은 구별된다. 반면 진료거부금지 규정으로 의료계약 해지의 자유는 제한된다. 의료계약은 전문가인 의료인과 자신의 생명·신체에 대한 처분을 전문가에게 맡긴 환자의 신뢰에 기초한 것이기 때문에 신뢰가 깨지면 계약을 해지할 수 있을 것이다. 그러나 계약의 해지로 환자의 생명·신체에 불이익을 주어서는 안 되기 때문에, 의료계약의 해지에는 일정한 제한을 두어야 할 것이다. 의료계약의 체약을 강제하고 정당한 사유가 있는 때에만 계약을 해지할 수 있도록 하는 것이 현재 의료법의 태도이다. 민법전의 의료계약에 관한 규정에서는 의료계약 해지의 자유를 인정하되, 일정한 경우에 계약의 해지를 제한하는 방향을 제시하였다. 계약의 해지를 위한 정당한 사유가 인정되고, 환자가 다른 의료인으로부터 진료를 받을 수 없는 등 불리한 시기가 아닌 경우에 계약의 해지를 인정한다. 의료법의 진료거부금지의무 위반에 대한 처벌규정을 삭제하고, 계약법의 문제로 옮겨와야 할 것이다. 진료를 거부한 행위 자체에 대해서는 국민건강보험법의 요양급여거절의무에 따른 행정제재로 규율하여야 할 것이다.