• 제목/요약/키워드: Social status

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일개 중소도시의 거주형태별 노인 우울장애 분포 양상 (Distribution of Depressive Disorders among the Aged People by the Type of Residence)

  • 황성민;이준;이은준;조기현;유하나;천경훈;허태훈;임현술;민영선;이관;배근량;정철;정해관
    • 농촌의학ㆍ지역보건
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    • 제31권1호
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    • pp.1-8
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    • 2006
  • 65세 이상 노인들을 대상으로 거주형태와 생활요인 등이 노인 우울장애와 얼마나 관련 있는지 파악하고자 본 연구를 수행하였다. 경주시에 거주하는 65세 이상의 노인들 중 요양시설노인 50명, 재가노인 72명, 독거노인 34명 등 총 156명을 대상으로 저자들이 자체 개발한 설문지로 조사하였다. 우울장애 검사는 한국형 노인우울검사를 사용하였다. 한국형 노인우울검사의 점수를 기준으로 할 때, 정상은 56.4%(88명)이었고 우울군의 양성률은 43.6%(68명)이었다. 경도 우울군은 21.8%(34명), 중등도 우울군은 7.1%(11명), 고도 우울군은 14.7%(23명)의 양성률을 보였다. 단변량분석에서 성별, 결혼상태, 거주형태, 가전제품, 한달 용돈, 학력, 외출횟수 등이 우울장애와 유의한 관련이 있었다. 요양시설노인의 경우 중등도 우울군은 10.0%(5명), 심도 우울군은 32.0%(16명)로 요양시설노인이 재가노인 및 독거노인에 비해 유의하게 우울장애 양성률이 높았다(p<0.05). 로지스틱 회귀분석에서 요양시설노인군이 재가노인군에 대해 교차비가 16.08(95% 신뢰구간: 3.60-71.88), 한 달 용돈이 10만원 미만 노인군이 10만원 이상 노인군에 대해 교차비가 14.84(95% 신뢰구간: 4.35-50.63) 이었다.

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뇌졸중환자의 자가간호 수준과 가족구성원의 간호요구 (A Study on the Care Needs of Family-Caregivers and the Level of Self Care for Patients of Cerebral Vascular Accident(CVA))

  • 조영희
    • 기본간호학회지
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    • 제7권2호
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    • pp.239-255
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    • 2000
  • The purpose of this study was to explore the care needs of family-caregivers caring for patients with a CVA and the level of self care of the patients. The subjects for the study were 112 patients with a CVA and their caregivers. These patients were seen in a hospital or out-patient-department(OPD) at two oriental medical hospital in Jeonbuk province. The survey instruments used in this study were Kang's ADL checklist for self care of patients and Kim's Likert-style checklist for care needs of family-caregivers to patient with CVA. The survey was conducted from July 4 to August 30, 1999. Internal validity by calculation of Cronbach's alpha was 0.95, which was regarded as high. The survey results were analyzed using the SPSS program, with percentages, means, t-test, ANOVA and Pearson's correlation coefficients. The results of this study are as follows : 1. The level of self care for patients with a CVA was : 1) complete dependence(M=14.9, 13.1%), 2) complete independence(M=23.6, 20.9%), 3) incomplete independence(M=23.9, 21.0%), 4) incomplete dependence(M=26.6, 25.0%), 5) dependence and independence(M=23.0, 20.0%). The items for which there was a high level of self care were : 1) drinking(M=3.62), 2) eating (M=3.25), 3) position returning(M=3.18) : and the items for which there was a low level of self care were : 1) ascending and descending stairs(M=2.08), 2) walking(M=2.47). 3) putting on and taking off trousers(M=2.55). 2. The mean score of the sum of the care needs of the family-caregivers was : 1) need for immediate care and help: 2) need of the way to communicate with patient: 3) need for education and assistance related to physical functional level: 4) need to be informed about the disease, treatment and care: 5) need for social support and consultation: 6) need for appreciation: 7) need for management of nursing problems related to immobility. The highest meed factor was the need for immediate care and help(M=3.47): and lowest need factor was the need for management of nursing problems related to immobility(M=2.80). 3. There were significant differences between the level of care need and general characteristic of the caregivers, there were family-caregivers age(P=0.001), marital status (P=0.276), occupation (P=0.006), monthly income(P=0.000), Patient's relationship to caregivers(P=0.004) and health(P=0.000). 4. There were significant differences between the level of self care and general characteristic of the patients, there were patient paralytic condition(P=0.01), blood pressure(P=0.01), and length of suffering(P=0.03). 5 There were significant differences between the level of care need and the general characteristic factors, which were CVA patient's blood pressure (P=0.05), problem of medical fee (P=0.05). 6. There was significantly correlation with the family-caregivers care need and the level of self care in the CVA patient(r=0.300, P=0.000). As a result, need to promote the level of self care in patients and to meet the care need of family-caregivers for more efficient nursing of CVA patients, is emphasized. Therefore more study is needed on an efficient way to provide rehabilitation and quality nursing interventions for family-caregivers and patients with CVA.

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지역사회 말기질환자 가족 부담감에 관한 연구 (A Study of Family Caregiver's Burden for the Terminally III Patients)

  • 한성숙;노유자;양수;유양숙;김석일;황희경
    • 가정∙방문간호학회지
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    • 제10권1호
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    • pp.58-72
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    • 2003
  • The purpose of this study was to describe the perceived burden of the terminally III patients's caregiver and to analyze relationship between the perceived burden and the various demographics, illness characteristics, family relationships, and economic factor of the family & patients. The sample of 132 caregivers who care for the terminally III patients Kyung-Gi province, Seoul, Korea. The period of this study was from August to September, 2002. The perceived burden of the family caregiver was measured by the burden scale(20 items, 4 point scale) developed by Montgomery et al. (1985). The Data was analyzed using SAS-program by t-test and ANOVA. The results were as follows; 1. The mean of the family caregiver's burden score was 3.02. The score showed that caregivers perceive severe the level of burden. The hight items of the family caregiver's burden were' I feel it is painful to watch patient's diseases'(3.77). 'I feel afraid for what the future holds for my patients'(3.66), 'I feel it reduced to amount of privacy time'(3.64). 2. The caregiver's burden was significantly related to patient's gender(F=3.17, p= 0.0020), patient's job(F=2.49, p=0.0476), caregiver's age(F=4.29, p=0.0030), and caregiver's job(F=2.49, p=0.0476). 3. The caregiver's burden according to illness characteristics showed no significant difference. 4. The caregiver's burden was significantly associated with patient's family relationship (F=4.05, p=0.0041), patient's care mean period in a day(F=47.18,

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가족 건강관리 행위에 관한 조사연구 -서울시내 일부 기혼부인들을 대상으로- (A Survey Research on Family Health Care : Focusing on Married Women in Seoul)

  • 주혜진;김초강
    • 보건교육건강증진학회지
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    • 제13권1호
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    • pp.1-27
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    • 1996
  • Recently diseases related to personal health habit and lifestyle have become common in modern industrial society. These kinds of diseases can be prevented simply by changing one's lifestyle to be more healthy. As a result of realization our interest in general health has become stronger. The most basic environment for human-being in society is the home. Humans secure their livelihood, physically. mentally, and socially at home. Therefore health care at home is very important. In modern society the responsibility for this task is traditionally given to housewives. The purpose of this study was to measure the degree of the health knowledge, health concern, health behavior and family health care of the married women and to analyze its related factors. The subjects for this study. 1,100 married women who studied at social education institutes and who had children attending an elementary school or a kindergarten, were surveyed with questionnaires. The preliminary survey was carried out from Aug. 7, to Aug. 19, 1995. With complement of questions, the main survey was carried out from Sep. 11, to Sep. 30, 1995. The data was analysed by using the SAS program. The results were as follows. 1. General Characteristics (1) In the individual characteristics of the respondents, the married women aged 30-39 were 54.8%, the average age was 39.8 years old. 33.8% of respondents had 6-10 years of marriage period, and the average marriage period was 14.9 years. Most of them(96.5%) lived with their husband. Those who graduated from college and graduate school were 53.4%. And 68.3% of respondents had no job. (2) In the family characteristics, 69.3% of the married women had 3 or 4 family members and the average family size was 4.1 person. 60.0% of the respondents had 2 children. Most of the respondents(90.9%) had no married children. 84.8% of the respondents lived with their parents. Those who reported that the total family income was more than 2,500,000 won a month were 32.3%. When making the decisions, 68.5% of the married women discussed the family matter with their husband. (3) In the individual characteristics of the respondents, 51.5% answered they were in good health. 61.7% of the married women answered they obtained the health knowledge through mass media. 24.3% of the women answered they had patients in their family in these days. 67.5% of the respondents answered they could generally control their health by themselves. 2. The Health Knowledge, Concern and Behavior. (1) For the health knowledge, the average score was 11.8. The lowest percent of correct answer(27.8%) was in the item about the skin tests for tuberculosis. And the highest percent(97.%) was in the item about taking a rest. (2) For the health concern, the married women had the highest concern about washing hands. But they were indifferent to smoking. (3) For the health behavior, the highest score was in "changing socks and underwear everyday", and the lowest one was in "taking a regular dental examination". 3. The Family Health Care (1) For the family health care, the item of "using a drug with the order of doctor or pharmacist" had the highest grade(4.78), and "consulting with the family physician about the health problem" had the lowest grade(2.03). (2) Older women and the women with a longer period of marriage had the highest level of the family health care(p<0.001). The married women who had 3 children had the highest level of the family health care(p<0.001). Those who had 5 or 6 family member and higher income had the highest level had the high level of the family health care(p<0.01). Women in good health and those who had the health knowledge from health experts had a high level of the family health care. (3) For the correlation of the family health care and other variables, the health behavior showed the highest correlation with family heath care practice(r=0.74) and the second was health concern(r=0.43). The variables which could explain the family health care were health behavior, the health concern and married women's health status(r²=55.87). The most closely associated with family health care was health behavior(r²=54.93)

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우리나라 어머니의 자녀 양육의 의미 - 거제지역을 대상으로 - (An Ethnography of Child-Rearing Experiences of Korean Mothers Living on Koje Island)

  • 이수연
    • 여성건강간호학회지
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    • 제7권4호
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    • pp.518-535
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    • 2001
  • Nursing practices should be based on the understanding of human beings. In order to understand human beings, it is important to study the lifestyles and thoughts of people in their natural environment. In this sense, the cultural aspects of a society need to be studied for a culture-bound nursing service. Child care, which is an important element of nursing, is also strongly influenced by the culture of a society. Therefore, a cultural study is necessary to understand the child-rearing practices of any society. The major purpose of this dissertation is to provide basic foundations for developing a culture-based theory for nursing intervention through studying traditional cultural elements of child care in Korean society. The study examined child-rearing practices in a small village on Koje Island in the southern part of Korea. It utilized ethnographic methodologies including participatory observations and in-depth interviews. The study participants were 9 Korean mothers living on Koje Island. The average age was 52. The data were collected between July in 1998 and December in 1999. The average number of interviews per person was 7-8, and the duration of each interview was approximately 2 hours. The data were analyzed using the Spradley Analytical Method. The following 9 major child-rearing aspects of mothers on Koje Island were discovered as a result of the study: 1. Firstly, mothers on Koje Island were mostly concerned about the "Old Birth Goddess' Curse", especially during their child's early years. This concern was evidenced by their careful behavior when their child was very young and by their praying to the Old Birth Goddess not to be jealous of their babies. 2. Secondly, they wished their children to live a different and better life than themselves. It was represented by their strong motivation toward their children's education as well as their expectation for their children's success. In traditional Korean culture, Korean people think that the rise and fall of the household depend on their offsprings. Therefore, Korean mothers wish their children attain to a higher level of social status through education. 3. Third, mothers are concerned about their children's righteousness. Mothers on Koje island expect their children to live with discretion, justice, strength, respect, harmony, and to do their best in life. 4. Next was an 'anticipation of their children's happy marriage'. The attributes of this category were an 'anxiety about their children's married life', and 'an expectation of a good spouse for their children'. Because Korean people believe that only a son can continue the bloodline of a family, especially Korean mothers have a great concern of the possibility of their daughters not having a son after marriage. Also they have different expectations toward their daughter-in-laws than son-in-laws. 5. Korean mothers also derived their satisfaction from their son. It was characterized by 'excessive affection toward their son', 'dependency on their son', and 'being afraid of their married daughter having a girl like themselves'. Korean society has been a patriarchy. Therefore, a son is beloved as someone who will take care of his old parents, be in charge of ancestral rites, and provide a daughter-in-law who can conceive a son. 6. The sixth category concerned 'the differences in their expectations for their children'. The attributes in this category were 'different expectations depending on their children's gender', 'different expectations depending on their children's ability', and a 'great sympathy toward children with low abilities'. Korean mothers expect their son to become better than their daughter. 7. The seventh category was related to their 'roles in child-caring practices'. Traditionally a child was raised in an extended family system in Korea So it was not the sole duty of a mother to bring up the child. Korean mothers used to receive much help rasing children from their in-laws, and family members. On the other hand, many children grew up by themselves, because their mothers were very busy taking care of housework. Furthermore, many children also grew up in poverty. 8. Mothers also had issues related to 'conflicts in child rearing'. They were characterized by 'lack of understanding', 'rudeness of children', and 'giving vent to one's anger'. 9. Finally, mothers regretted not doing their best in child-rearing practices. It was characterized by a 'bitter feeling of repentance', 'feeling irritated', and 'feeling of unsatisfaction'.

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고려시대(高麗時代) 의학사관(醫學史觀) 질정(叱正)(1) - 고려초기(高麗初期) 의학(醫學)에 관한 김두종(金斗鍾)의 역사인식에 대한 비판 - (Berating on the Historical view in Korea dynasty's Medicine (1))

  • 김홍균
    • 한국한의학연구원논문집
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    • 제9권1호
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    • pp.1-33
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    • 2003
  • From the study on Doo-Jong Kims view of history about the early Korea$(Korea\;herewith\;stands\;for\;Korea\;dynasty\;A.D.918{\sim}1392)s$ Medicine, I came to a conclusion as follows. 1. Doo-Jong Kim is stressing on the fact that Early Koreas Medicine inherited from Shilla dynasty and seemingly expressing the pride of national medical science. But actually he distorted the Koreas independent growth with flunkeyism and insisted that Koreas medicine only took over Shilla dynastys which based on Chinese Tang dynastys medical science. As a result, Koreas medicine was blurred and evaluated as nothing but Tangs medicine. But, the reasons of Doo-Jong Kims viewpoints were not based on the fact, but on his speculation. 2. About the medical system, Doo-Jong Kim viewed that Korea copied Chinese Soo & Tangs medical system, But the fact is that Korea only borrowed a part of Chinese medical systems name, for examples, Tae-I-Gam, Sang-Yak-Kook, Sang-Sik-Kook, etc., and its actual functions were different and grew in Koreas own way, As a result, the titles or roles in the system were very different from those of Chinas. Especially, Korea saw much development in Science of Acupuncture and Moxibustion that there was a specialist on Acupuncture, called I-Chim-Sa, and even had much influences on Chinese Acupuncture and Moxibustions growth, exporting Hwang-Je-Ne-Kyong to Chinese Song dynasty. 3. About the education system of medicine, Doo-Jong Kim viewed that Koreas medicine was only a copy of Shilla dynastys which was based on Chinese Tang dynastys, taking the medical examination curriculum as an example. The fact is that Tangs medical curriculum was three, Bon-Cho, Kab-Ul, Maek-Kyong, Shilla had seven, Bon-Cho-Kyong, Kab-Ul-Kyong, So-Moon-Kyong, Chim-Kyong, Maek-Kyong, Myong-Dang-Kyong, Nan-Kyong, and Korea had ten, So-Moon-Kyong, Kab-Ul-Kyong, Bon-Cho-Kyong, Myong-Dang-Kyong, Maek-Kyong, Dae-Kyong-Chim-Kyong, Nan-Kyong, Ku-Kyong, Ryu-Yon-Ja-Bang, So-Kyong-Chang-Jeo-Ron. Simply considering this, it is so clear that Koreas medical curriculum was much more upgraded one than that of China. 4. About the examination system for civil service, Doo-Jong Kim expressed that Shilla dynasty did not have such system, and only expounded knowledge of Shilla medicine, In case of China, Tang danasty Hyang-Kong was only a qualification test for civil service, which the result was completely dependent on applicants social status, Song danasty examination system was composed of three steps of Hyang-Si, Sung-Si, Jeon-Si (See Note1), but it stuck to formality by having Jeon-Si of anti-fraudulence use. On the other hand, examination system for civil service in Korea dynasty started in 958 by an advice of Ssang-Ki, Chin-Si in 977 and K대-Ja-Si (See Note 1), a kind of Hyang-Si, in 1024., Three steps of examination system made employment for civil service strictly fair, Moreover, it was possible for offsprings of concubine to be an applicant. These easily explain that the examination system of Korea dynasty was more upgraded one than that of China, Tang & Song dynasty. Hyang-Si : Exam in local area Sung-Si : Exam in province for those who passed Hyang-Si Jeon-Si : Exam held with Koea Kings supervision for those who passed Hyang-Si Keo-Ja-Si : Selective exam in local area like Hyang-Si. From the reasons above, it is clear that Doo-Jong Kim was much biased by flunkeyism through Japanese colonialisam and expressed his view on Korea Medical History based on such theory of heteronomy and stasis. Moreover, without rigid historical evidence on records, he distored the fact by translating incorrectly on his purpose. Therefore, Doo-Jong Kims Korean Medical History must be reevaluated through rigid historical research and his mistranslation should be corrected.

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DDA 무역-환경 논의와 생명공학제품의 안전성 확보 (A Study on Ensuring Biosafety of Biotechnology Product under Debate about Trade and the Environment)

  • 성봉석;윤기관
    • 자원ㆍ환경경제연구
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    • 제13권3호
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    • pp.519-547
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    • 2004
  • 본 논문은 2002년 3월 21일 EU의 제안서 제출로 시작된 DDA 각료선언문 para. 31(i)하에서 이루어지고 있는 무역-환경 논의쟁점에 기초하여 바이오안전성 맥락에서 특정무역의무 범위문제, 분쟁해결절차의 적용과 비당사국문제를 분석하였다. DDA 무역-환경 논의분석 결과에 기초하여 제시된 LMOs의 바이오안전성 확보를 위한 국가차원의 대응방향은 다음과 같다. 첫째, LMOs 수입국인 우리나라의 경우 넓은 범위의 바이오안전성의정서상 STOs의 WTO 수용은 LMOs 및 바이오산업에 손실에 초래시키지 않을 것이다. 오히려 수입 LMOs에 대한 안전성 확보를 위한 높은 수준의 보호를 보장할 것이다. 하지만, 수출국들은 LMOs의 수출에 대한 부정적인 영향을 보전하기 위해 다른 형태의 무역조치를 취할 수 있어, 그로 인한 영향을 감수해야 할 것이다. 수출국이 되는 경우 넓은 범위의 바이오안전성의정서상 STOs의 WTO 수용은 수출되는 LMOs 제품에 좋은 영향을 미치지는 못할 것이다. 따라서 생명공학기술의 진보속도 및 수준, LMOs 연구개발 및 생산추이 등과 STOs로 인한 여타 산업의 상황을 고려한 비용-편익분석을 통해 특정무역조치에 따른 시나리오를 구성하고, 시나리오별 중 단기 및 장기적 차원에서의 대응책을 마련해야 할 것이다. 둘째, 사회적 합리성에 근거하고 있는 바이오안전성의정서와 과학적 합리성에 근거하고 있는 WTO 규정은 상당 부분 상충되고 있어 분쟁해결시 어떠한 원칙을 적용할 것인가의 문제에 대한 합의는 쉽지 않을 것이다. 그렇기 때문에, 장기적인 논의가 요구되는 사안이다. 이러한 자원에서 LMOs 수입국인 우리나라는 현대생명공학기술에 의한 산물인 LMOs와 같은 신제품에 대해서는 과학적, 환경적, 사회 경제적 관점에서 다각적인 검토를 통한 국가간 이동에 대한 적절한 보호수준을 보장하기 위해 국제적 노력이 필요하다는 입장을 지속적으로 견지해야 할 것이다. 셋째, 바이오안전성의정서 당사국과 비당사국 간의 분쟁시 바이오안전성의정서 비당사국(만약, WTO 회원국일 경우)의 WTO 의무는 유효하다. 그렇기 때문에, 비당사국 바이오안전성의정서 당사국과의 LMOs 분쟁시 WTO 규정에 의한 문제해결을 시도할 것이다. 그렇지만, LMOs의 건전하고 안전한 이용을 위해서는 국가간 이동에 따른 적절한 보호수준을 보장해야만 한다. 이러한 맥락에서 우리나라는 MEAs를 충분히 고려해야 한다는 EU의 견해를 견지하되, 바이오안전성의정서 당사국과 비당사국(만약, WTO 회원국일 경우)간 분쟁가능성을 미연에 방지하기 위한 차원에서 바이오안전성 확보를 위한 무역규제조치 전 바이오안전성의정서에서 규정하고 있는 정책수단들을 적극 활용할 수 있는 방안을 다각도로 마련해야 할 것이다.

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초기 한국 기독교의 교육공간과 말하는 주체의 탄생 (The Making of Speaking Subject in Early Korean Protestantism: Focused on the Educational Spaces for Women)

  • 이숙진
    • 기독교교육논총
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    • 제62권
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    • pp.227-255
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    • 2020
  • 이 논문의 목적은 한국 여성들이 기독교가 마련한 교육공간을 통해 '말하는 주체'로 거듭난 경로를 추적하고 그 효과를 규명하는 데 있다. 초기 기독교는 문자 교육을 수반한 성경공부, 연설과 토론으로 대변되는 근대적 발화양식, 간증과 방언으로 대변되는 기독교 고유의 발화양식 등 세 경로를 통해 여성을 '말하는 주체'로 세울 수 있었다. 첫째 경로는 여자사경회인데, 농어촌 지역의 여성들은 이를 매개로 문자의 세계로 진입하면서 무지와 묵종의 세계에서 벗어날 수 있었다. 둘째 경로는 기독교계 여성교육 기관이 마련한 연설과 토론공간이다. 이화학당의 이문회(以文會), 감리교 여자청년회인 조이스회(Joyce Chapter), 여성단체인 YWCA 등에서 여성들은 근대적 언어구사의 테크닉을 배우면서 말하는 주체로 거듭날 수 있었다. 셋째 경로는 기독교 고유의 발화양식인 간증과 방언이다. 남성 엘리트에게만 허용되었던 설교나 공중기도와 달리, 간증과 방언은 성별이나 신분의 제약을 초월하는 발화양식이다. 여성들은 적극적인 간증 행위를 통해 자신의 존엄을 확인하였고, 일종의 해체적 언술 행위인 방언을 매개로 초월적 권위에 기대어 말할 권리를 행사할 수 있었다. 이렇듯 기독교가 마련한 교육공간을 통과하면서 여성들은 자신들이 겪는 고통이 운명 탓이 아니라 사회적 구조나 오랜 악습 때문임을 깨닫고 여성의 교육권과 재산권을 주장하는 '말하는 주체'가 되었다. 지난 30여 년 동안 활발했던 신여성 연구에서는 여성주체 형성의 장치였던 기독교의 영향력에 대해 간과하는 경향이 있었다. 초기 한국 기독교 교육공간에는 여성을 말하는 주체로 세우는 다양한 언술장치가 있었고, 이는 여성들의 공적 발화에 선도적 역할을 하였음을 밝힌 이 글은 그간의 근대여성 연구의 지평을 보완, 확장한다는 점에서 의의가 있다.

영재교육에 대한 초등학교 교사들의 인식 (Elementary School Teachers' Perception of Gifted Education)

  • 최문경;박정옥
    • 영재교육연구
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    • 제14권4호
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    • pp.125-149
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    • 2004
  • 이 연구의 목적은 초등학교 교사들의 영재교육에 대한 현황과 인식을 알아보기 위한 것으로, 이를 위해 영재교육에 대한 일반적 인식, 영재의 특성, 영재의 판별, 영재교육 프로그램, 그리고 영재 담당교사에 대한 인식을 설문을 통하여 분석하였다. 설문 분석 결과 초등학교 교사들의 영재 교육에 대한 인식은 대체로 긍정적이었으나, 세부적인 내용에 대한 인식은 낮은 편이었으며, 영재의 지적 특성에 대한 인식은 높았으나, 영재의 정서적 특성에 대한 인식은 낮았다. 그리고 영재의 조기판별에 대한 인식은 높았으나, 영재의 판별 기준에 대한 인식이나 판별 능력은 낮은 편이었다. 또한 영재 프로그램에 대한 인식은 접해본 경험 부족으로 인해 매우 낮았으며, 영재 담당 교사 연수에 대한 인식은 높았으나, 영재 담당 교사에 대한 의향은 매우 낮았다. 이로써 영재교육에 대한 이론적 인식은 보통이나 긍정적인 수준이었지만 실천적 인식은 영재교육에 대한 열악한 재정적, 행정적 환경으로 인해 낮은 수준에 있었음을 알 수 있었다. 본 연구는 영재교육에 대한 초등의 현실을 파악하고, 이를 기초로 교사들의 영재교육에 대한 올바른 인식을 형성하기 위한 방향을 모색하는 데 그 의의 가 있다.

임신시 모유수유에 대한 인식조사 (A Survey on the Understanding of Breast-feeding in Pregnant Woman)

  • 서정완;김용주;이기형;김재영;심재건;김혜순;고재성;배선환;박혜숙;박범수
    • Clinical and Experimental Pediatrics
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    • 제45권5호
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    • pp.575-587
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    • 2002
  • 목 적 : 모유수유를 위한 상담과 교육이 언제 이루어지는 것이 좋은지 알기 위하여 임신시 모유수유에 관한 인식을 조사하였다. 방 법: 2000년 7월부터 8월까지의 기간동안 서울과 근교도시(일산, 안산), 충주와 청주, 부산지역의 12개 병 의원의 산부인과에서 산전진찰을 받기 위해 내원한 임신부를 대상으로 본 위원회에서 개발한 설문지를 작성하도록 하였으며 설문요원이 설문기입을 확인하고 회수한 총 1,481매에서 기록이 충실한 1,290 명의 설문을 분석하였다. 결 과 : 1) 임신부의 87.4%가 모유수유를 계획하였으며 분유 6.2%, 혼합수유 4.5%, 결정 못함 1.9%로 임신시 수유계획으로 모유가 가장 많았다. 임신부의 43.0%에서 4-6개월간 수유하려고 계획하였다. 2) 모유수유를 선택한 이유는 모유가 아기에게 좋다고 생각되어서 97.7%로 가장 많았으며 주위에서 권하여 0.9%이었다. 모유수유를 선택하지 않은 이유는 직장 또는 일 41.3%, 모유수유실패경험 17.4%, 모유가 부족할 것 같아서 10.9%, 함몰유두 등 유방의 문제 10.3%, 엄마의 질병 9.4% 등이다. 3) 모유수유에 관한 정보원은 친정어머니 또는 시어머니 33.1%, 육아 출산 전문 잡지와 책 27.1%, 형제 자매 친구 등 18.6%, 신문 텔레비전 라디오 등 대중매체 18.2% 순이었다. 모유수유의 정보원에 따른 모유수유 계획률의 유의한 차이는 없었다(P>0.05). 4) 모유수유에 대한 인식은 100점으로 환산하여 평균 59.7점으로 매우 낮았다. 장점에 대한 7항목의 정답률은 62.0-97.1%, 평균 86.1점이었다. 반면 수유의 실제적인 방법에 대한 13항목은 정답률 17.4-76.2%, 평균 45.3점이었다. 모유수유 계획률은 모유의 장점과 수유방법에 대한 인식의 중앙값 6점 이상인 군에서 유의하게 높았다(P<0.05). 가장 낮은 정답률은 '물젖이라도 계속 수유하는 것이 좋다' 17.4%이었다. 5) 산후조리 도우미로는 친정 식구가 52.3%로 가장 많았고, 산후조리원 22.4%, 시집 식구 10.6% 순이었다. 모유수유 계획률은 유의한 차이가 없었다(P>0.05). 6) 다변량 로지스틱 회귀분석에서 임신부의 취업여부, 모유수유력, 수유법 결정시기와 결정한 사람, 모유 수유의 장점에 대한 인식 등이 모유수유 계획의 중요한 결정인자이었다. 결 론 : 임신부의 대부분이 모유수유를 계획하고 있었으나 수유기간이 4-6개월로 짧았으며 모유의 장점은 충분히 인식하고 있었으나 수유의 방법에 대하여는 올바로 이해하고 있지 못하였다. 모유수유율을 높이기 위하여 국가 정책적으로 모자동실, 출산 휴가 연장, 직장에서의 수유 등 모성복지를 위한 개선책이 필요하며 소아과 의사는 육아 상담시 모유수유로 어려움을 겪고 있는 어머니를 올바르게 이끌고 격려하여야 한다.