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      • KCI등재

        와상 노인환자 간호제공자의 부담감과 삶의 질과의 관계

        김은심,안황란,배행자 노인간호학회 1999 노인간호학회지 Vol.1 No.1

        The Burden & Quality of life is an essential component in health of the aged. But even though 'A Correlation Study of Burden and Quality of Life in Family Caregivers of the Aged Bedridden' has been qublished in a western country, few studies in Korea have been conducted related to this concept. This study was conducted to provide a basis for intervention strategies to minimize the caregivers' burden and promote their quality of life through understanding the relationship between the burden and the quality of life of the family caregivers of the aged bedridden. The subjects were 79 family caregivers with the aged bedridden who utilize care in G hospital located within the Chinju city limits. The period of the data collection was from April 10 to November 10, 1998. The caregivers' burden was measured using the Burden Inventory Scale which Montgomery(1985) designed and was modified by Lee, Young Shin (1993). The quality of life was measured using the Ro's Quality of Life Inventory Scale. The collected data were analyzed using the SPSS/pc+ program. The general characteristics were described in teams of statistical numbers and percentages. The degree of burden and the quality of life were measured using the mean score and standard deviation, The correlation between burden and the quality of life was measured using the Pearson Correlation Coefficient. The results of this study are summarized as follows : 1. The burden level of the family caregiver of the aged bedridden patient was 67 at the lowest point and 102 at the highest, with the average of 84.64, which is higher than 77, the median score of the measuring instrument. The mean of objective burdens was 42.53, the mean of subjective burdens was 42.11. 2. The score of quality of life of the family caregiver of the aged bedridden patient was 110 at the lowest point, 182 at the highest and 139.00 in average, which is lower than 141, the median. 3. The burden( total score) of these families and quality of life of their lives were found to be in negatively correlated(r=-.38, p<.01). The objective burden of these families and the quality of life were found to have a negative correlation(r=-.41, p<.01). And, the subjective burden of these families and quality of life were found to be in negatively correlated (r =-.147, p >. 01). In conclusion, when the burden of family caregivers was high, their quality of life was low. Therefore, when planning nursing strategies for caregivers of aged bedridden patients, the burden of family caregiving must be considerd in order to impove the quality of life of the family caregiver who is caring for the aged bedridden person's family. Additionally, it is suggested that supportive care must be provided to reduce the objective burden of the family caregiver.

      • KCI등재후보

        역동적 심상치료가 유방암환자의 억압된 분노와 면역기능에 미치는 효과

        김은심 성인간호학회 2003 성인간호학회지 Vol.15 No.4

        Purpose: The purpose of this study was t o identify the effect of dynamic imagery therapy on "anger-in" and immune function in patients with breast cancer. Method: Dynamic imagery therapy was given for 10 sessions with 2 times informative education. Data collection was from June, 24th t o August, 12th 2002. The participants were experimental group 15, control group 15. This study was designed using a quasi-experimental approach with non-equivalent Pre test-Post test Design. The instruments used in this study include the anger scale developed by Spielberger(l972) and modified by Chon, Kyum Koo (1996). The data was analysed with x^2-test, t-test, ANOVA and ANCOVA. Result: 1) That the level of "Anger-in" in patients will be significantly lower than that o f the control group was supported (p<.001). 2) That the level of T3 lymphocyte and NK Cells, IgG. Cortisol in patients will be significantly lower than that of the control group was supported (T3. IgG: p<.05, Cortisol (p<.001). Conclusion: The dynamic imagery therapy is suggested as an effective nursing intervention to reduce anger level and increase immune function for patients with breast cancer.

      • KCI등재

        가정 문식성 환경 평가 도구를 사용한 언어 연구의 동향과 평가도구의 내용분석

        김은심,김정희 한국영유아교원교육학회 2008 유아교육학논집 Vol.12 No.6

        This study attempted to examine the trend of language studies using evaluation tests of home literacy environment and analyze the contents of the tests. For this we selected and analyzed 30 studies using evaluation tests of home literacy environments among national theses and journals. The results of this study were as follows: First, sociocultural home literacy environments were the most numerous subjects of studies about home literacy environment. Second, the studies done to mixed ages of 3, 4, and 5-year-old early children and adults were the most. Third, the type of the studies used the most was investigation study. Forth, using adaptation of evaluation tests made in foreign countries in the 1970s, 1980s and the 1990s was the most. Fifth, data collecting method which was used the most was questionnaire. Sixth, the most numerous data analysis method done on home literacy environment was multiple analysis. Finally, Fitzgerard's The Relationship Between Parental Literacy Level and Perception of emergent Literacy was used the most. Questions about physical environment related to reading and visits to libraries were included most in the contents of evaluation tests. The results show that the necessity of studies related to the evaluation tests of home literacy environments, the diversification of objects, study patterns and data collecting methods were needed. 본 연구는 가정의 문식성 환경 평가도구를 사용한 언어논문의 연구 동향과 평가도구의 내용을 살펴보는 데 목적이 있다. 이를 위해 국내 학위 논문과 학술지 논문에서 가정 문식성 환경 측정 도구를 사용한 30편의 논문을 선정하여 분석하였다. 연구 결과 사회ㆍ문화적 배경에 따른 가정 문식성 환경을 다룬 연구가 가장 많았고, 만 3, 4, 5세 혼합 연령의 유아와 성인을 대상으로 실시된 연구가 가장 많았고, 조사연구가 가장 많이 실시되었고, 외국에서 제작한 검사 도구를 번안하여 사용한 경우가 가장 많았다. 그리고 검사법을 가장 많이 사용하였고, 다중분석을 실시한 연구가 가장 많은 것으로 나타났다. 가정 문식성 환경과 다른 변인들과의 관련성을 분석해본 결과 가정 문식성 환경은 부모의 학력과 관련 있음을 밝힌 연구가 가장 많았다. 또한 Fitzgerard(1989)의 문해 환경 측정 도구(The Relationship Between Parental Literacy Level and Perception of Emergent Literacy)를 사용한 연구가 가장 많았고, 가정 문식성 환경을 평가하는 도구들에서는 읽기와 관련된 물리적 환경과 도서관 방문에 대한 질문내용을 가장 많이 포함하고 있었다. 이러한 결과를 통해 가정 문식성 환경에 대한 측정 도구와 관련한 연구의 필요성, 측정대상의 다양화, 연구 유형의 다양화, 자료수집 방법의 다양화가 요구됨을 알 수 있었다.

      • KCI등재
      • KCI등재

        글자 그림책 선택 기준에 대한 유아교사의 주관적 태도 분석

        김은심,유지안 한국어린이문학교육학회 2019 어린이문학교육연구 Vol.20 No.1

        The purpose of this study was to explore the ways to utilize alphabet books in early childhood education by deepening the subjective attitude of early childhood teachers on the selection criteria of alphabet books using the Q methodology. For this purpose, 50 statements were constructed through open questionnaires for preschool teachers, and preliminary research and picture book analysis were done, and 33 Q samples were selected. Twenty-seven students who attended the doctoral course were classified into Q categories. The results are as follows: The types of early childhood teachers based on the selection criteria for alphabet books are presented by naming 3 types: 'Alphabet books where words are more important than pictures', 'Alphabet books that can arouse and entertain children's interest and 'Alphabet books suitable for the development of children'. The results of this study should provide specific selection criteria taking into consideration the characteristics of the alphabet books so that early childhood teachers can choose a good alphabet books. They should be given access to a variety of written alphabet books through teacher training. Furthermore, they suggests that various types of alphabet books should be published that reflect the characteristics of Korean letters but take into account the interest and developmental characteristics of children. 본 연구는 Q방법론을 활용하여 글자 그림책 선택 기준에 대한 유아교사의 주관적 태도를 심층적으로 알아봄으로써 유아교육현장에서의 글자 그림책 활용 방안을 모색하고자 하였다. 이를 위하여 예비유아교사 대상의 개방형 질문지, 선행연구 고찰, 글자 그림책 분석을 통해 50개의 진술문으로 Q모집단을 구성하고 그 중 33개의 Q표본을 선정하여 학사학위 전공심화과정, 교육대학원 석사과정, 대학원 박사과정에 재학 중인 유아교사 27명에게 Q분류하도록 하였다. 그 결과 글자 그림책 선택 기준에 대한 유아교사의 유형은 ‘그림보다 글자가 중요한 글자 그림책’, ‘유아의 흥미를 유발하고 놀이할 수 있는 글자 그림책’, ‘유아의 발달 수준에 적합한 글자 그림책’의 3가지 유형으로 명명하여 제시하였다. 본 연구의 결과를 통해 유아교사가 양질의 글자 그림책을 선택할 수 있도록 글자 그림책의 특성을 고려한 구체적인 선정 기준이 마련되어야 하며, 교사 연수를 통해 다양한 글자 그림책을 알고 선택할 수 있는 기회를 제공해야 한다. 나아가 우리나라 글자의 특성을 반영하되 유아의 흥미와 발달 특성을 고려하는 다양한 형태의 글자 그림책이 출판되어야 함을 시사한다.

      • KCI등재

        중년기의 노후 준비행동에 관한 연구

        김은심,김영춘 사단법인 인문사회과학기술융합학회 2019 예술인문사회융합멀티미디어논문지 Vol.9 No.11

        This study was conducted to recommend practical and policy measures for preparation for old age by verifying the effects of aging fact recognition level on aging anxiety and aging preparation behavior and the mediated effects and the mediated effects of aging anxiety. To derive the results of the study, factors analysis and reliability verification were performed for variables using the SPSS 18.0 and AMOS 20.0 programs and structural model analysis was performed for hypothesis verification. For this study, 210 parts of the questionnaire collected from 216 men and women over the age of 45 in Gwangju and South Jeolla Province were analyzed. Studies have shown that awareness of aging facts has a direct effect on aging anxiety, and anxiety over aging has a direct effect on aging preparation behavior. However, it has been confirmed that the recognition of aging facts does not have a direct effect on the aged preparation behavior. In addition, it was shown that aging anxiety has a complete effect on the relationship between aging fact recognition and aging preparation behavior. Based on these results, the Commission proposed practical and policy implications for preparation for old age in the middle age through the development of programs and cognitive education of aging facts to reduce aging anxiety. 본 연구는 중년기의 노화사실 인지 수준과 노화 불안이 노후 준비행동에 미치는 영향과 노후 불안의 매개효과를 검증하여 중년기 노후준비를 위한 실천적, 정책적 방안을 제시하기 위해 수행하였다. 연구결과를 도출하기 위해 SPSS 18.0과 AMOS 20.0 프로그램을 사용하여 변수에 대해 탐색적 요인분석과 확인적 요인분석, 신뢰도 검증을 실시하였고, 연구가설 검증을 위해 구조모형방정식으로 모형적합도와 경로분석을 실시하였다. 이러한 연구를 수행하기 위해 광주․전남지역 만 45세 이상 중년기의 성인 남녀 216명을 대상으로 수집된 설문지 중 210부를 분석하였다. 연구결과, 노화사실 인지는 노화 불안에 직접적 영향을 미치고, 노화 불안은 노후 준비행동에 직접적 영향을 미치는 것으로 나타났다. 그러나 노화사실 인지는 노후 준비행동에는 직접적 영향을 미치지 않는 것으로 확인되었다. 또한 노화 불안은 노화사실 인지가 노후 준비행동에 미치는 영향관계에서 완전매개효과를 갖는 것으로 나타났다. 이와 같은 결과를 기반으로 노화 불안을 감소시키기 위한 노화사실 인지교육과 프로그램 개발을 통해 중년기 노후준비를 위한 실천적, 정책적 함의를 제안하였다.

      • 이야기를 활용한 동작교수모형 개발에 관한 연구

        김은심 부산여자대학 1994 釜山女子專門大學 論文集 Vol.16 No.-

        One aspect of the movement education program is the emphasis on developing the "whole" child. Over the years, researchers have come to realize that the development of motor skills involves more than just performing movements. Understanding the cognitive, social-affective, and psychomotor knowledge of movement facilitates learning of similar activities and ultimately improves skill acquisition. The newely developed narrative or story is then placed within a lesson framework with cognitive, social, and psychomotor goals common to movement education. Movement narratives can be used to highten children’us irnaginations, provide opportunities to express feelings through movement, encourage positive and cooperative interactions between peers, and expand children’us movement vocabulary. This study was to development the Movement Teaching Model using Movement Narratives(MTMMN) for integrating the three learning domains. The MTMMN used in the present study was a mixed version of Clements & Oosten’s Learning Model of Movement Narratives(1995), Clements’us Steps to Meaningful Movement(l99l), and Laban’us Movement Analysis(l995), on the basis of the two assumptions. First, children can experience the ineffable magic of movement when imagination is understood to be integral to body expression. Second, movement narratives(sometimes referred to as story plays or creative dramatizations) can unlock children’us imaginations and help them feel confident in expressing themeslves. Therefore, it is likely that MTMMN can be used successfully to enrich preschool teacher' s existing program content.

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