• Journal of Child Welfare and Development
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• v.16 no.2
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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.

• Journal of Oriental Neuropsychiatry
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• v.21 no.4
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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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• v.9 no.3
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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.

• The Journal of Korean Society for School & Community Health Education
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• v.11 no.1
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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.

• The Journal of the Korea Contents Association
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• v.17 no.3
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• pp.1-14
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• 2017

This study aims to understand the influences that emotional and behavioral problems, relationships with parents, peer groups and teachers have on school refusal tendency and their routes targeting for 546 students of the 1st and 2nd grades in the boys' and girls' middle schools in G city and to conduct a path analysis by using Pearson's product-moment correlation and LISREL program. The results are the followings: First, significant correlation is shown in the all relationships, excluding the external problems out of emotional and behavioral problems, social support factor out of teachers-related variables, negative support factor out of parents-related variables. Second, emotional and behavioral problems have highly direct influence on school refusal tendency and relationship with parents without any meditator effect and has indirect influence on relationships with peer groups and teachers without having statistically significant and direct influence. Also, relationship with peer groups has statistically significant and negative effect on school refusal tendency without having statistically significant and direct influence, teachers relationship has statistically significant and direct effect on school refusal tendency and relationship with parents has indirect influence on school refusal tendency through relationship with peer groups and teachers relationship without having statistically significant and direct effect.

• Journal of Yeungnam Medical Science
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• v.10 no.1
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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.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.15 no.2
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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.

• Journal of the Korean Society of School Health
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• v.32 no.2
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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.

• Research in Community and Public Health Nursing
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• v.13 no.2
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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.

• The Korean Society of Law and Medicine
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• v.22 no.2
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• pp.81-109
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• 2021

This paper review about the relationship between the prohibition against medical refusal and the principle of private autonomy in medical contracts. The obligation to this Prohibition in Medical Law does not restrict the liberty of contracting a medical contract. On the other hand, the prohibition limits the freedom to terminate medical contracts. Medical contracts can be terminated if the trust between doctors and patients is vanished. However certain restrictions should be placed on termination of the medical contract, because termination of the contract should not be detrimental to patients' health. According to the current medical law the medical contract is to be enforced in principle and can be revoked only with justifiable reason. At the Civil Code on Medical Contracts the freedom to terminate the medical contract is permitted, but this paper suggests the restrictions of the revocation under certain conditions. The Criminal Punishment Regulations against medical refusal should be removed. Refusal the provide medical service should be regulated by administrative sanctions under the National Health Insurance Act's obligation.