• 제목/요약/키워드: self-control ability

검색결과 560건 처리시간 0.025초

보육교사의 직무스트레스와 직무소진, 이직의도 조절을 위한 긴급 감염병 상황에서의 회복탄력성 탐구 (Exploring of Resilience in Emergency Infectious Diseases to Moderate Job Stress, Job Burnout, and Turnover Intention of Childcare Teachers)

  • 이재무;조경서
    • 한국콘텐츠학회논문지
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    • 제21권4호
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    • pp.509-519
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    • 2021
  • 본 연구는 보육교사의 직무스트레스와 직무소진, 이직의도 조절을 위한 긴급 감염병 상황에서의 회복탄력성에 대한 유용한 정보를 얻고자 수행되었다. 분석을 위해 2020년 8월 19일부터 30일까지 설문을 실시하였고, 최종적으로 201명의 응답을 분석에 활용하였다. 분석결과, 보육교사의 직무스트레스, 직무소진, 이직의도는 낮은 수준, 회복탄력성은 높은 수준으로 확인되었으며, 모두 개인적 특성 유형에 따라 대부분 차이가 있는 것으로 파악되었다. 보육교사의 직무스트레스는 직무소진에 통계적으로 유의한 수준에서 정적(+) 영향력을 미쳤으나 이직의도와는 영향관계가 없는 것으로 판명되었다. 또한 직무스트레스와 직무소진의 관계 속에서 회복탄력성 중 정서조절력, 충동통제력, 적극적 도전성이 조절효과를 나타내었다. 코로나19 바이러스 사태라는 긴급 감염병 위기 상황에서 보육교사의 직무스트레스와 이직의도는 나빠진 것으로 확인되었으며, 가장 큰 이유는 원활한 직무수행이 어려워진 것 때문으로 규명되었었다. 반면 회복탄력성과 직무소진은 이전과 변함없음이 확인되었다. 이에 방역 기반의 직무스트레스와 이직의도 대응, 직무소진과 회복탄력성의 일상적 관리, 자기초점주의 근간의 상담이나 프로그램 등과 같은 회복탄력성 강화 방안을 제시하였다.

Detecting Stress Based Social Network Interactions Using Machine Learning Techniques

  • S.Rajasekhar;K.Ishthaq Ahmed
    • International Journal of Computer Science & Network Security
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    • 제23권8호
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    • pp.101-106
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    • 2023
  • In this busy world actually stress is continuously grow up in research and monitoring social websites. The social interaction is a process by which people act and react in relation with each other like play, fight, dance we can find social interactions. In this we find social structure means maintain the relationships among peoples and group of peoples. Its a limit and depends on its behavior. Because relationships established on expectations of every one involve depending on social network. There is lot of difference between emotional pain and physical pain. When you feel stress on physical body we all feel with tensions, stress on physical consequences, physical effects on our health. When we work on social network websites, developments or any research related information retrieving etc. our brain is going into stress. Actually by social network interactions like watching movies, online shopping, online marketing, online business here we observe sentiment analysis of movie reviews and feedback of customers either positive/negative. In movies there we can observe peoples reaction with each other it depends on actions in film like fights, dances, dialogues, content. Here we can analysis of stress on brain different actions of movie reviews. All these movie review analysis and stress on brain can calculated by machine learning techniques. Actually in target oriented business, the persons who are working in marketing always their brain in stress condition their emotional conditions are different at different times. In this paper how does brain deal with stress management. In software industries when developers are work at home, connected with clients in online work they gone under stress. And their emotional levels and stress levels always changes regarding work communication. In this paper we represent emotional intelligence with stress based analysis using machine learning techniques in social networks. It is ability of the person to be aware on your own emotions or feeling as well as feelings or emotions of the others use this awareness to manage self and your relationships. social interactions is not only about you its about every one can interacting and their expectations too. It about maintaining performance. Performance is sociological understanding how people can interact and a key to know analysis of social interactions. It is always to maintain successful interactions and inline expectations. That is to satisfy the audience. So people careful to control all of these and maintain impression management.

중등 과학교사의 적응적 실행에 대한 중요도-실행도 분석 (An Importance-Performance Analysis of Secondary Science Teachers' Adaptive Practice)

  • 김희경
    • 한국과학교육학회지
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    • 제43권3호
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    • pp.295-306
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    • 2023
  • 본 연구에서는 과학교사의 적응적 실행에 대한 인식을 중요도와 실행도 측면에서 알아보고자 하였다. 이를 위해 중등 과학교사를 대상으로 적응적 실행 설문지를 개발하여 128명의 설문 응답 결과를 분석하였다. 분석 결과, 첫째, 과학교사들은 적응적 실행의 17개 항목에 대해 모두 중요하다고 응답하였다. 특히 '예시의 추가', '개념의 수준/범위 조절', '학생 참여 격려'에 관한 항목은 중요도와 실행도가 모두 높게 나타났다. 둘째, 적응적 실행 항목에 대한 중요도-실행도 분석 결과, 중요도는 높으나 실행도가 낮아서 집중 개선이 필요한 항목들은 '학생들의 주도적인 학습을 격려'하고 '개인차에 대한 모니터링과 대응'에 대한 것이었다. 이 항목들이 중요도가 높음에도 불구하고 실행도가 낮은 이유에 대해 과학교사들은 시간 부족과 획일적인 교육과정을 지적하였다. 셋째, 적응적 실행 항목에 대한 중요도-실행도 분석에서 과잉 영역인 4영역에 위치한 항목들로는 '속도 조절', '활동 조율', '비유/은유 사용'에 대한 것이었다. 특히 '비유/은유 사용'은 유일하게 중요도보다 실행도가 높게 나온 항목으로 과학교사들이 현재도 충분히 사용하고 있으며 과잉 사용으로 인한 문제점이 발생하지 않는지 재고할 필요가 나타났다. 넷째, 중요도와 실행도의 차이가 나타나는 이유에 대한 응답을 분석한 결과, 교사 요인으로는 교사의 지식이나 능력 부족, 계획대로 실행하는 성향 등이 언급되었으며, 학생 요인으로는 과다한 학생 수, 학생의 수준 차이, 입시 위주 수업을 선호하는 경향 등이 나타났다. 환경 요인으로는 획일적 교육과정과 실험 여건, 평가체제, 외부의 요구 등이 다양하게 언급되었다. 마지막으로 본 연구결과가 과학교육에 주는 시사점을 논의하였다.

제주지역 고등학생의 건강지각과 건강증진 행위에 관한 연구 (A Study on Jeju High School Students' Health Perception and Health Promotion Behavior)

  • 김옥선;최인숙
    • 한국학교ㆍ지역보건교육학회지
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    • 제3권
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    • pp.79-110
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    • 2002
  • The purpose of this study was to provide basic data necessary for creating a more successful health enhancement program, health education and health policy which can enhance health management abilities and enable a healthy school life by examining relations between high school students' health perception, who are in early adolescence, and their health promotion behavior. The subjects in this study were 813 students from 8 high schools on Jeju Island. The collected data were analyzed with t-test and one-way ANOVA through questionnaires by researcher on the basis of advance research. The findings of this study were as belows : 1. When general characteristics were considered, health perception was more significantly affected by those who were boys, whose family income was on a higher level, who scored better in school, whose parents were more concerned about their children's health, and who had experiences of being hospitalized. Especially, the more parents were concerned about their children's health, the higher the child's self-confidence on health(p<.05), anxiety on health(p<.05), practicality on disease prevention(p<.05), self-confidence on future health(p<.01), health care ability(p<.01), and family roles on health(p<.05). The less parents were concerned about their children's health, the higher the child's anxiety on disease(p<.01) and uncertainty on future health(p<.01). 2. When students' health promotion behavior was concerned, in the area of Eating Habits, having regular meals(72.9%), moderate consumption of meat(89.7%) and a balanced diet(64%) were common, whereas having a regular breakfast(37.4%) and eating vegetables and fruits(43.6%) were rare. In the area of Exercise, all subareas such as exercising 3 or 4 times a week(76.7%), more than one hour of exercise at a time(74.9%), a short distance walk(51.8%), exercise within one hour after meals(87%), and whether wanning up or not(88.6%) were above average. In the area of Personal Hygiene, all subareas such as drinking boiled water(57.3%), washing hands after using the bathroom(71%), brushing teeth after eating(42.4%), washing up after going out(50.3%), and washing hair and taking a frequent bath(77.2%) were rare. In the area of Control of Personal Relations, consulting personal problems with family(78.7%) had a positive response, whereas meeting someone new(59.8%), maintaining sound relations with the opposite sex(47.3%), having respect for one's opinion(51.5%), and maintaining peaceful relations with people(58.4%) had rare negative results. In the area of Stress Management, not being competitive(69.4%), releasing problems(62.4%) and sleeping soundly(66.2%) were common, whereas having your own ways to relieve stress(46.8%) and having your own dreams and hopes(58.5%) were rare. 3. When general characteristics were considered, as far as relations of health promotion behavior were concerned, the boys were significantly different in the area of Eating Habits(p<0.01) and Exercise(p<0.01), and the girls were in the area of Personal Hygiene. As family economic status was high and parents were concerned about their children's health, the entire areas of health promotion behavior were significantly different. Whether or not they were hospitalized made no significant difference in statistics. 4. When their regions were considered, it comparing city to town, there was no statistically significant difference in health perception and relations of health promotion behavior according to general characteristics. As seen in the results above, high school students' level of health perception and level of practicing health promotion behavior were generally low. In conclusion, by enhancing health perception, a plan for activating health education, which can implement positive health promotion behavior, should be made.

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노후적응에 관한 연구 - 생활만족도 및 가족의 교류도를 중심으로- (A study on the adjustment problems of the aged)

  • 서병숙
    • 대한가정학회지
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    • 제27권2호
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    • pp.133-148
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    • 1989
  • This study attempts of analyze empirically the living status of the elderly in Korea by finding out the problems of it in the family and by clarifying the influences of the family environmental variables and the values on the adjustment of the aged. To carryout the aim of this study, the causes and the patterns of the problems for the aged had been found out through the review of literature. Based on them the questionnaire was prepared including the questions of the values, family environmental vriables as well as the degree of satisfaction of thier liver and the extent of life interchange. The former variables were taken as independent and the latter were taken as dependent variables, so that the relationship between the two variables could be exemplified. The 400 aged over 60 living in Seoul and the other cities were selected through the purposive sampling and interviewed. The answers of the 376 respondents, 94% of the sample, were analyzed for this study. The following results have been found out through the various statistical analysis such as frequency distribution, chi-square test, pearson's correlation, analysis of variance and cluster analysis. At first, the results from the examination of the frequency distribution regarding the living status of the aged are; I) sixteen percent of the respondents living with their married offspring were receiving economical support, though they pointed out the problems of the extended family are the inconveniences with their children (60%) and simpleness (20%) of their livers. It seems that the aged in Korea are poor and have negative opinion on the relationship with their offspring even if they live in the same house. Secondly, it has been found out that the family environmental variables, especially such as sex, occupation, residence, education, level, living ability and the family type, play and important role not only on the degree of satisfaction of their liver but also on the extent of interchange of their lives. However, the variables such as religion and whether the spouse is alive or not do not play and important role. Thirdly, the reported main reasons of their delightness were healthy life (1.87%), the well-being of their offspring (2.08%), the spouse's long life (3.38%), religious activity (5.05%), the hobby activity (4.31%) and the participation in the social activity (5.05%). While, they mainly concern about the illness (1.98%), offspring (2.00%), econmic difficulties (3.39%), inharmonious home (3.81%) and the despicable treatment (3.81%). The respondents wer classified into two groups, they are dependent and independent, using cluster analysis. Health, social activity, offspiring, religion, couple's long life among the factors which lead them to be delighted were turned out to be statistically signhificant at 0.01 significance level between the two groups. As far as their worrisome matters are concerned, health and economic difficulties were significantly different between the two groups. Fourthly, regarding the life interchange, it has been proved that there is a statistically significant differences betwwen the two groups in the economic and the emotional satisfaction, help for ordinary life, status in the family, subjective and objective relationship with offspring, but not in economic dependency and the activity status. Fifthly, it has been noted that there is a high correlation between the degree of life's satisfaction and the extent of life interchange. On the basis of the results mentioned above, it could be concluded taht; i) The majority of the aged in Korea are not economically active, and thus they live with their married offspring even of they have a negative opinion on the subjective relationship with them. This can be pointed out as the main problem of the aged and thus it needs to be studied further. ii) the environmental variables such as age, sex education level, family type and occuption (which can not be changed by their effrot) turned out to give an important effect on the extent of the life interchange among the aged. iii) The respondents who are identified as independent group have a higher degree of life satisfaction and family status than the group identified as defendent. Thus, it can be inferred that it is possible for them to adjust their life by making an effort to modify themselves. iv) The high correlation between the extent of life interchange and the degree of life satisfaction indicates that the elderly themselves can adjust in order to obtain the higher degree of life satisfaction. Therefore, the following suggestions are derived from this study. First of all, the aged should try to be psychologically independent. Second, they need to control themselves in order to achieve self-assurance. Third, the community have to prepare a program of self-development for the aged. Fourth, the social welfare policy that can solve the problem of illness and poverty of the elderly should be introduced, so that their minimum requirements can be satisfied.

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정교화 교수이론에 근거한 중학교 기술.가정 교과서 의생활 영역 분석 (The Content Analysis of the Clothing Life Unit in the Technology.Home Economics Textbooks of Middle School Based on the Elaboration Theory)

  • 허영선;최민지;손주영;김샛별;백민경;심현섭
    • 한국가정과교육학회지
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    • 제26권3호
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    • pp.35-52
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    • 2014
  • 본 연구는 Reigeluth의 정교화 이론에 제시된 7가지 교수전략 요소를 근거하여 2009 개정 교육과정에 따른 중학교 기술 가정 교과서의 의생활 관련 '옷차림과 자기표현' 단원과 '친환경 의생활과 옷 고쳐 입기'단원의 내용체계를 분석하였다. 이를 바탕으로 현재의 교과서 수준과 개선할 점을 파악하여, 추후 교과서 및 교재 개발에 기초자료를 제공하고자 한다. 이 연구의 결과는 다음과 같다. 첫째, 각 교과서의 소단원은 전반적으로 '옷차림과 자기표현' 단원은 개념적 정교화, '친환경 의생활과 옷 고쳐 입기' 단원은 절차적 정교화 과정으로 내용체계를 구성하였다. 둘째, 선수학습능력의 계열화 전략으로는 중단원과 소단원 '학습목표', '생각열기', '핵심(주요)용어'가 가장 많이 구성되었다. 셋째, 요약자의 전략은 단원의 내용을 정리 및 평가하는 형태의 '단원마무리'를 중점적으로 제시되었다. 넷째, 종합자의 전략은 모든 교과서에서 적극 활용되었는데, 주로 학습내용에 대한 증진을 위한 다양한 활동이나 활동과제 경험을 통해 학생의 흥미를 높일 수 있는 '탐구'형태가 제시되었다. 다섯째, 인지전략의 활성자 전략으로는 모든 교과서에서 '그림', '표', '도식', '용어설명'이 사용되었으며, 특히 '그림'은 의생활 관련 단원의 특성상 인지전략의 활성자 전략에서 다른 모든 요소에 비하여 압도적으로 많이 제시되었다. 여섯째, 학습자 통제 전략은 보충 및 심화 학습의 길잡이가 될 수 있는 '체험', '탐구', '조사', '읽기자료', '직업 소개' 등의 다양한 형태로 활용되었다. 그러나 비유의 활용 전략은 거의 이용되지 않아 앞으로 이를 활용한 다양한 활동의 제시와 적절한 비유를 찾아내는 노력이 요구된다.

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한국인의 건강관행에 대한 민속과학적 접근 (Ethnosientific Approach of Health Practice in Korea)

  • 김귀분;최연희
    • 대한간호학회지
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    • 제21권3호
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    • pp.396-417
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    • 1991
  • In order that nursing care an essential quality of nursing practice be acceptable and satisfying, it is necessary that client's culture be respected and that nursing practice be appropriate to that culture. Since cultural elements are an important influence on health practices and life patterns related to medical treatment, recovery from and prevention of disease, nurses need to have an understanding and knowledge of social and cultural phenomena to aid in the planning of nursing interventions. To understand the health practices surrounding health and illness, the health beliefs and practices of both folk and professional healing systems should be ascertained. Cultural data are required to provide care of high quality to clients and to reduce possible conflict between the client and the nurse. It is nursing's goal to provide clients from various cultures with quality nursing care which is satisfying and valuable. The problem addressed by this study was to identify Korean health practices which would contribute to the planning of professional caring practice with the culture : ultimately this study was intended to make a contribution to the development of the science of nursing. The concrete objectives of this study were ; 1) to identify Korean health practices, 2) to interpret the identitial health practices through traditional cultural thought, and 3) to compare the Korean health practices with those of other cultures. The investigator used the ethnosceintific approach outlined by spradly in a qualitative study. To discover ancestral wisdom and knowledge related to traditional health practeces, the subjects of this study were selected from residents of a small rural mountain village in south west Korea, a place considered to be maintaining and transmitting the traditional culture in a relatively well -preserved state because of being isolated from the modern world. The number of subjects was 18, aged 71 to 89. Research data were collected from January 8 to March 31, 1990. Five categories of health practices were identified : “Manage one's own mind”, “Moderation in all thing”, “Live in accord with nature”, “Live in mutuality with others”, and “Live to the best of one's ability”. Values derived from these ways of thinking from Confucianism, Taoism and Buddhism help fashion a traditional way of life, examplified by the saying “Benifience to all”. Korean thought and philosophy is influenced primerily by Confucianism, Confucian principles of ethics, embedded deeply in the peoples' minds, form the idea that “heaven and human being are intimately united” based on concept that “heaven is, so to speak, reason”. Twoe Gae's theory of existential subjectivity develops the concept of self which is the basis of the spirit of reverence in modern Confucian philosophy. The human md is granted from heaven out of the idea of matter, and what control the mind is the spirit of reverence. Hence the idea of “The primacy of the mind" and provided that one should control one's own mind. The precepts of duty to parents, respect for elders and worship of ancestors, and moderation in all behavior put a restraint on life which directed that one live earnestly according to Nature's laws with their neighbors. Not only Confucianism, but also Buddism and Taoism have had an important effect upon these patterns of ideas. When compared with western culture, Korean health practices tend to be more inclusive, abstract and intuitive while westerner health practices found to be mere concrete, practical and personal. Values and beliefs based and pragmatism and existentialism infuence western civilization, Ethical values may be founded on utilitarianism, which considers what is good for the persons in their circumstances as the basis of conduct and takes a serious view of their practical lives including human aspirations rather than an absolute truth. These philosophical and ethical ideas are foundations for health practices related to active, practical and progressive attitudes. This study should be enable nursing not only to understand clients as reflections of the traditional culture when planning nursing practice, but to dovelop health education corresponding to cultural requiments for the purpose of protection against disease and improvement of health, and thus promote sound health practice. Eventually it is hoped that through these processes quality nursing care as the central idea of the science of nursing will be achieved.

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전북지역 학교급식소 조리종사자의 학교유형에 따른 식품알레르기 관리실태 및 식품알레르기 예방관리에 대한 중요도와 수행도 분석 (Study on the status of food allergy management and importance-performance analysis about precautions of food allergy in school foodservice according to the school types in Jeonbuk area)

  • 김지연;노정옥
    • Journal of Nutrition and Health
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    • 제53권3호
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    • pp.329-345
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    • 2020
  • 본 연구는 전북지역 학교급식소 조리종사 358명을 대상으로 학교유형에 따라 식품알레르기 관리 실태 및 예방관리를 위한 중요도 및 수행도를 조사하여 학교급식에서의 효율적인 관리 방안을 제시하고자 하였으며, 결과를 요약하면 다음과 같다. 조사대상자는 초등학교 47.8% (171명), 중·고등학교 52.2% (187명)이며, 가장 잘 알고 있는 알레르기 유발식품은 '복숭아'(92.2%)이었다. 식품알레르기 유발식품 표시는 초등학교 55.0%, 중·고등학교 32.6%의 조리 종사자가 잘 알고 있었다. 86.3%가 식품알레르기 유병학생이 있는 것을 알고 있으며, '위급한 상황이 발생할 수 있으므로' (65.6%) 학교급식에서 식품알레르기 관리가 중요하다고 생각하고 있었다. 조사대상자는 제거식 (73.7%)과대체식 (67.3%)을제공한 경험이 있으며, 제거식 메뉴는 주로 반찬류 (68.6%), 대체식은 '김' (69.3%)과 '계란반찬' (21.2%)을 가장 많이 제공하였다. 초등학교조리종사자의 62.6%, 중·고등학교는 50.3%가 식품알레르기 교육 경험이 있으며, 교육은 영양(교)사 (81.1%)가 주로 실시하였으며, 주요 교육내용은 '알레르기 유발식품 종류' (62.2%), '식품알레르기 증상' (54.2%)이었다. 초등학교와 중·고등학교 조리종사자의 식품알레르기 예방관리 중요도는 3.6점, 3.2점, 수행도는 3.5점, 3.1점이었다. 독립표본 t-test 결과, 10개 항목 중 8개 항목에서 학교유형별 유의적인 차이를 보였다. 중요도와 수행도가 가장 높은 항목은 '알레르기 유발식품과의 교차오염을 철저히 통제한다'이며, '식품알레르기 응급상황에 대비하여 에피네프린 사용법 등을 알고 실천할 수 있어야 한다'가 가장 낮은 중요도와 수행도를 보였다. IPA 분석결과, A영역에 초등학교와 중·고등학교 모두 공통 포함된 항목은 '알레르기 유발식품의 포함 여부를 식단표에서 확인한다', '식품알레르기를 가진 학생을 알고 있어야 한다', '알레르기 유발식품과의 교차오염을 철저히 통제한다', '일반 식기류와 구별하여 별도 보관·사용하며 사용 후 별도로 세척·소독 한다'이었다. D영역에는 '식품알레르기 응급처치방법을 알고 실천해야 한다', '식품알레르기 응급상황에 대비하여 에피네프린 사용법 등을 알고 실천할 수 있어야 한다'가 초등학교와 중·고등학교에 공통으로 포함되었다. 이상의 결과를 종합할 때 전북지역 조리종사자들의 식품알레르기에 대한 인지수준을 높이고 관리에 보다 적극적으로 참여할 수 있도록 체계화된 정기교육의 실시와 교육매체 개발이 필요하겠다.

여성의 고위험 임신에 대한 경험 (Womans experience of Risk Situation on the High-Risk Pregnancy)

  • 김경원;이경혜
    • 여성건강간호학회지
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    • 제4권1호
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    • pp.161-178
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    • 1998
  • In spite of the great progress of the theory and skill of the Nursing Care & Medical area in relation to pregnancy, nurses in clinics face up to many challenges in maternity nursing care areas. The reason is that the mobility and mortality of mothers was sharply decreased and the unknown high-risk diseases of pregnancy woman in the past is made public. That's why it is difficult to meet the pregnancy woman in natural process from pregnancy to delivery in recently. Admission rooms are filled with high-risk pregnancy women. As a matter of fact, we have done nursing care into the surface symptoms and diseases of high-risk pregnancy women so far. We have been indifferent to a long period hospitalization, separation from family, and conflict of repeated examination. Therefore, it is widely spread to understand the emotional conflict experienced by high-risk pregnancy women and to need for nursing intervention to bring up about emotional support and the ability of perception in psychological crisis. Although the pregnancy woman judged in high-risk should carry out normal task of pregnancy, she have to be confronted with secondary risk situation. The health of self & fetus threatened by the risk situation could be decreased through care plan, but psychological stress increases. Therefore, the pregnancy brings into non-control state. It is important to ask that what the hospitalized pregnancy women in high-risk think of themselves status. Because misunderstanding or serious anxiety of themselves status put into mother and fetus in danger. And adaptation mode makes all the difference. I would like to consider how nurses could deal with this high-risk circumstances in the position of pregnancy woman on the basis of the above fact. This study uses phenomenological method to suggest the basis material for nurses to do nursing intervention in view of pregnancy woman. Because this method understands the nature of true life of pregnancy woman throughly. The phenomenological method is the sources to describe or explain affluently the process generated in confirmation areas and environment and is the application for readers to understand and recognize clinic reality and then apply this method to reasoning study place or other places. Specifically, the phenomenon study method, one of the phenomenological method, is applied. The use of that method is to describe and generalize the experience in environment exactly. The study of this study is as follows : Among 187 descriptive stamens from 8 study participants are classified into 42 theme cluster at the stage of the first analysis. Those theme is categorized into 8 sub-subjects such as anxiety of uncertainty, foreknowledge about risk circumstance, will power about overcome, unsettled feeling about hospital, relief, optimistic thought, family support, and indifferences. At the last stage of analysis, those things are categorized into 3 subjects. When high-risk pregnancy woman foretell the situation, they feel unsettlement about uncertainty and untrust feeling about hospital. But they are ease with family support and hospital support. On the other hand, they express indifferent 3-way structure response to the situation having will of overcome and exceeding optimistic thought. In those statements, the experience by pregnancy woman shows 3 respect subjects. 1. They are anxious of this situation and are in desperation and don't recognize their role to be carried out 2. They think of this situation as normal process of pregnancy and are not concerned that this can give themselves and fetus fatal damage. 3. The pregnancy women will never confront this situation. This study shows the pregnancy woman has anxiety and optimistic relief about the situation, and ignores and optimistic relief about the situation, and ignores many things. Therefore, nurses in clinic should give pregnancy woman knowledge and information about the high-risk and help them to deal with the situation spontaneously. High-risk pregnancy woman should have the care plan in respect of the right perception. And the nurse know that their support help out pregnancy woman overcome the crisis in this respect of the special nursing intervention.

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초산모의 분만유형별 분만경험에 대한 지각과 모아상호작용 과정에 관한 연구 (Primiparas만 Perceptions of Their Delivery Experience and Their Maternal-Infant Interaction : Compared According to Delivery Method)

  • 조미영
    • 대한간호학회지
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    • 제20권2호
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    • pp.153-173
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    • 1990
  • One of the important tasks for new parents. especially mothers, is to establish warm, mutually affirming interpersonal relationships with the new baby in the family, with the purpose of promoting the healthy development of the child and the wellbeing of the whole family. Nurses assess the quality of the behavioral characteristics of the maternal-infant interaction. This study examined the relationships between primiparas pereptions of their delivery experience and their maternal infant interaction. It compared to delivery experience of mothers having a normal vaginal delivery with those having a casearean section. The purpose was to explore the relationships between the mother's perceptions of her delivery experience with her maternal infant interaction. The aim was to contribute to the development of theoretical understanding on which to base care toward promoting the quality of maternal-infant interaction. Data were collected directly by the investigator and a trained associate from Dec. 1, 1987 to March 8, 1988. Subjects were 3 random sample of 62 mothers, 32 who had a normal vaginal delivery and 30 who had a non-elective cesarean section (but without other perinatal complications) at three general hospitals in Seoul. Instruments used were the Stainton Parent -infant Interaction Scale(1981) and the Marut and Mercer Perception of Birth Scale(1979). The first observations were made in the delivery room (for vaginally delivered mothers only), followed by day 1, day 2, day 3, and 2 weeks, 4 weeks, 6 weeks and 8 weeks after birth, for a total of 7-8 contacts(Cesarean section mothers were observed on days 4 and 5 but the data not used for analysis). Observations in the hospital were made during the hour prior to scheduled feedings. The infant was placed beside the mother. Later contacts were made at home. Data analysis was done by computer using as SPSS program and indulded X² test, paired t-test, t-test, and Pearson Correlation coefficient ; the results were as follows. 1. Mothers who had a normal vaginal delivery tended to perceive the delivery experience more positively than cesarean section mothers(p=0.002). The finding supported the hypothesis I that perception of delivery would vary according to the method of delivery. Mothers' perceptions of birth were classified into three dimensions, labor, delivery and the bady. There was a significantly different and positive perception by the vaginally delivered mothers to the delivery experience(p=0.000) but no differences for labor or the bady according to the delivery method(p=0.096, p=0.389), 2. Mothers who had a normal vaginal delivery had higher average maternal-infant interaction scores(p=0.029) than mothers who had a cesarean section. There were similar higher scores for the 1st day(p=0.042), 2nd day (p=0.009), and the 3rd day(p=0.006) after delivery but not for later times. The findings supported the hypothesis Ⅱ that there would be differences in maternal-infant interaction for mothers having vaginal and cesarean section deliveries. However these differences deccreased section deliveries. However these differences decreased over time . by eight weeks the scores for vaginal delivery mothers averaged 8.1 and for cesarean section mothers, 7.9. 3. The more highly positive the pereption of the delivery experience, the higher the maternal-infant interaction score for all subjects(F=.3206, p=.006). The findings supported the hypothesis Ⅲ that there would be correlations between perceptions of delivery and maternal-infant interaction. The maternal infant interaction was highest when the perception of the bady and deliery was positive(r=.4363, p=.000, r=.2881, p=.012). No correlations between perceptions of labor and maternal-infant interaction were found(p=0.062). 4. The daily maternal-infant interaction score for the initial contact after birth to 8 weeks postpartum had the lowest average score 5.20 and the highest 7.98(in a range of 0-10). This subjects group of mothers needed nursing intervention to promote their maternal- infant interaction. The daily scores for the maternal-infant over the period of eight weeks. However, there were significantly different increases in maternal-infant interaction only from the first to second day(p=0.000) and from the fourth to sixth weeks after birth(P=0.000). 5. When the eight items of maternal-infant interaction were evaluated separately, “Expresses feelings about her role as mother” had the highest average score, 1.64(ina range of 0-3)and “Speaks to baby” the lowest, 0.9. All items, with the possible exception of “Expresses feelings about her role as mother”, suggested the subjects' need of nursing intervention to promote maternal-infant interaction. 6. There were positive correlations between certain general charateristis, namely, both a higher economic status(p=0.002) and breast feeding(p=0.202) and maternal - infant interaction. There were positive correlations between a mother's confidence in her role as a mother and the perception of the birth experience(p=0.004). For mothers who had a cesarean section, a positive perception of the birth experience was related to the duration of her marriage(p=0.010), a wanted pregnancy (P=0.030) and her confidence in her role as a mother(p=0.000). Pereptions of birth for mothers who had a normal vaginal delivery were positive than those for mothers who had a cesarean section. The level of maternalinfant interaction for mothers delivered vaginally was higher than for cesarean section mothers. The relationship between perception of birth and materanalinfant interaction was confirmed. Cesarean section has an impact on the mother's perceived experience of birth which, in turn, is positively related to maternal-infant in turn, is positively related to maternal-infant interaction. Nursing intervention to enhance maternal-infant interaction should begin in prenatal classes with an exploration of the potential impact of cesarean section on the perceptions of the birth experience and continue throughout the perinatal and post-natal periods to promote the mother's ability to control with this crisis experience and to mobilize social support. Nursing should help transform a relatively negatively perceived experience into an accepted, positively perceived and self affirming experience which enhances the maternal-infant relationship.

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