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      • 중학생의 감염병(COVID-19) 및 일상생활 스트레스, 우울, 사회적 지지가 공격성에 미치는 영향

        유정림 공주대학교 일반대학원 2021 국내석사

        RANK : 249647

        본 연구는 중학생의 감염병(COVID-19) 및 일상생활 스트레스, 우울, 사회적 지지 및 공격성 정도를 확인하고, 이들 간의 관계와 공격성에 미치는 영향을 파악하여 중학생의 공격성을 감소시키기 위한 프로그램 개발 및 적용을 위한 기초자료를 제공하고자 하였다. 연구대상은 2020년 10월 14일부터 10월 31일까지 충청남도 Y지역과 H지역에 소재하는 중학교에 재학 중인 1, 2, 3학년 중학생 206명을 최종 대상자로 선정하였다. 대상자 선정기준에 적합하고, 본 연구의 목적과 내용에 대해 이해하며, 자발적으로 연구 참여에 학생뿐만 아니라 학부모의 서면동의를 구한 대상자에 한해서 연구를 시행하였다. 대상자의 감염병(COVID-19) 스트레스는 ‘최근 1년 동안에 국내에서 또는 국외에서 발생한 감염병(COVID-19)으로 인한 스트레스 정도’를 0점∼10점으로 구분된 선위에 직접 표시하는 시각적 상사척도(Visual Analogue Scale [VAS])를 사용하였고, 일상생활 스트레스는 Felner 등(1988)의 자기보고식 질문지(Daily Hassles Questionnaire: DHQ)를 기초로 이경주(1997)가 청소년을 대상으로 작성한 일상생활 스트레스 척도를 이용하였다. 사회적 지지는 Dubow와 Ulman(1989)의 Social Support Appraisal Scal(SASS)를 참고로 하여 한미현(1996)이 제작한 도구를 사용하였고, 우울은 Kovacs(1981)가 개발하고 한유진(1993)이 번역한 Children's Depression Inventory(CDI) 도구를 사용하였다. 공격성은 Buss와 Perry(1992)가 개발하고, 권석만과 서수균(2002)이 번안하여 한국판으로 타당화한 공격성 질문지(Aggression Questionnaire-Korea version: AQ-K)를 사용하였다. 수집된 자료는 SPSS/WIN 25.0 program을 이용하여 빈도와 백분율, 평균과 표준편차, t-test, ANOVA로 분석하였으며, 사후검정은 Scheffe' test로 분석하였다. 상관관계는 Pearson's correlation coefficient를 이용하였으며, 영향요인은 단계적 다중회귀분석(stepwise multiple regression analysis)으로 분석하였다. 본 연구를 요약하면 다음과 같다. 1. 본 연구대상자의 일반적 특성에서 성별은 남학생 95명(46.1%), 여학생 111명(53.9%)이었으며, 학년은 1학년 62명(30.1%), 2학년 79명(38.3%), 3학년 65명(31.6%)이었다. 자신의 주관적 건강상태는 ‘보통’ 163명(79.1%)이 대부분이었으며, 삶의 만족도는 ‘보통’ 145명(70.4%)이 가장 많았다. 신체활동 유무는 ‘안 한다’가 147명(71.4%)이었으며, ‘한다’면 신체활동 시간은 ‘1∼2시간 미만’이 42명(71.2%)으로 가장 높게 나타났다. 수면시간은 ‘6∼7시간 미만’ 73명(35.4%), 자신이 인식한 부모의 양육 형태는 ‘혼합적(권위적+민주적)’이 133명(64.6%)으로 가장 많았다. 2. 본 연구대상자의 감염병(COVID-19) 스트레스는 10점 만점에 평균 4.42점으로 나타났다. 일상생활 스트레스는 135점 만점에 평균 54.22±24.97점으로 나타났으며, 하위영역에서는 ‘가족관련 스트레스’ 14.05±6.99점, ‘친구관련 스트레스’ 12.66±5.74점, ‘학업관련 스트레스’ 11.22±5.03점, ‘교사관련 스트레스’ 9.92±5.29점, ‘신체관련 스트레스’ 6.38±3.34점 순으로 나타났다. 우울은 81점 만점에 평균 57.89점으로 나타났으며, 하위영역에서는 ‘흥미상실’ 14.41±2.87점, ‘우울정서’ 10.92±2.05점, ‘행동장애’ 10.92±2.05점, ‘자기비하’ 8.84±1.59점, ‘신체적 증상’ 8.42±1.56점으로 ‘흥미상실’이 가장 높았다. 사회적 지지는 115점 만점에 평균 75.25점으로 높게 나타났으며, 하위영역에서는 ‘가족지지’ 27.72±6.40점으로 가장 높았고, ‘교사지지’ 25.54±6.15점, ‘친구지지’ 21.99±6.96점 순이었다. 공격성은 135점 만점에 평균 50.49점으로 나타났으며, 하위영역에서는 ‘신체적 공격성’ 18.93±5.27점, ‘적대감’ 16.21±5.526점, ‘분노감’ 11.77±2.45점, ‘언어적 공격성’ 10.00±3.87점 순으로 ‘신체적 공격성’이 가장 높았다. 3. 본 연구대상자의 일반적 특성에 따른 감염병(COVID-19) 스트레스는 학년 (F=7.82, p=.001), 삶의 만족도(F=6.75, p=.001), 신체활동 유무(t=2.54, p=.012), 1일 수면시간(F=14.31, p<.001), 자신이 인식한 부모의 양육태도 (F=10.86, p<.001)에 따라 통계적으로 유의한 차이가 있었으며, 일상생활 스트레스는 학년(F=3.13, p=.046), 주관적 건강상태(F=25.56, p<.001), 삶의 만족도(F=69.71, p<.001), 신체활동 유무(t=3.02, p=.003), 1일 수면시간(F=21.20, p<.001), 자신이 인식한 부모의 양육태도(F=38.85, p<.001)에 따라 통계적으로 유의한 차이가 있었다. 우울은 성별(t=-2.10, p=.037), 학년(F=6.77, p=.001), 주관적 건강 상태(F=39.77, p<.001), 삶의 만족도(F=92.11, p<.001), 신체활동 유무(t=3.47, p=.001), 1일 수면시간(F=25.46, p<.001), 자신이 인식한 부모의 양육태도(F=30.81, p<.001)에 따라 통계적으로 유의한 차이가 있었다. 사회적 지지는 성별(t=2.72, p=.007), 학년(F=3.56, p=.030), 주관적 건강상태(F=28.37, p<.001), 삶의 만족도(F=68.22, p<.001), 신체활동 유무(t=3.19, p=.002), 1일 수면시간(F=32.44, p<.001), 자신이 인식한 부모의 양육태도(F=42.53, p<.001)에 따라 통계적으로 유의한 차이가 있었으며, 대상자의 공격성은 학년(F=7.82, p=.001), 삶의 만족도(F=6.75, p=.001), 신체활동 유무(t=2.54, p=.012), 수면시간(F=14.31, p<.001), 자신이 인식한 부모의 양육태도(F=10.86, p<.001)에 따라 통계적으로 유의한 차이가 있었다. 4. 본 연구의 상관분석 결과 공격성은 감염병(COVID-19) 스트레스(r=0.206, p=.003), 일상생활 스트레스(r=0.413, p<.001), 우울(r=.371, p<.001)과 통계적으로 유의한 양의 상관관계가 있었고, 사회적 지지(r=-0.708, p<.001)와 는 유의한 음의 상관관계가 있었다. 5. 본 연구에서 공격성에 영향을 미치는 요인은 사회적 지지(β=-.70, p<.001), 우울(β=.22, p=.018), 학년(β=-.18, p=.002) 순으로 나타났다. 이러한 영향요인들이 중학생의 공격성을 36% 설명하였으며, 그 중 가장 높은 영향요인은 사회적 지지였다. 이상의 결과를 종합하면 중학생의 공격성은 사회적 지지, 우울, 학년에 따라 영향을 받는 것으로 나타났다. 따라서 사회적 지지가 낮을수록, 우울의 정도가 높을수록, 학년이 낮을수록 공격성이 증가하므로 이를 근거로 중학생의 공격성을 감소시킬 수 있는 교육프로그램을 개발하여 실제 학교 현장에서 적용할 필요가 있다. 주요 용어 : 중학생, 공격성, 감염병(COVID-19) 스트레스, 일상생활 스트레스, 우울, 사회적 지지 This study investigates the degree of infectious disease (COVID-19) and daily life stress, depression, social support, and aggression in middle school students, and develops and applies a program to reduce the aggression of middle school students by identifying the relationship and their impact on aggression. We tried to provide basic data for this. The subjects of this study were 206 middle school students in the 1st, 2nd, and 3rd grades enrolled in middle schools located in Y and H areas in Chungcheongnam-do from October 14 to October 31, 2020. This study was conducted only for subjects who met the criteria for selection of subjects, understood the purpose and contents of this study, and voluntarily sought the written consent of not only students but also parents to participate in the study. The subject's infectious disease (COVID-19) stress is a visual analogue scale that directly displays'the level of stress due to infectious diseases (COVID-19) that occurred in Korea or abroad in the last year' on a line divided by 0 to 10 points (Visual Analogue Scale [VAS]) was used, and the daily life stress scale developed by Kyung-joo Lee (1997) for adolescents was based on the Daily Hassles Questionnaire (DHQ) of Felner et al. (1988). Was used. For social support, a tool produced by Mi-Hyun Han (1995) was used with reference to the Social Support Appraisal Scal (SASS) of Dubow and Ulman (1989). Depression was developed by Kovacs (1981) and translated by Han Yu-jin (1993). Depression Inventory (CDI) tool was used. Aggression Questionnaire-Korea version (AQ-K) developed by Buss and Perry (1992) and validated as the Korean version by Kwon Seok-man and Seo Su-gyun (2002) was used. The collected data were analyzed by frequency and percentage, mean and standard deviation, t-test, and ANOVA using the SPSS/WIN 25.0 program, and post-test was analyzed by Scheffe' test. Pearson's correlation coefficient was used for correlation, and influencing factors were analyzed by stepwise multiple regression analysis. The summary of this study is as follows. 1. In the general characteristics of the subjects of this study, gender was 95 male students (46.1%) and 111 female students (53.9%). (31.6%). Most of their subjective health status was “normal” with 163 people (79.1%), and life satisfaction was the most with ‘normal’ 145 people (70.4%). As for the presence or absence of physical activity, 147 people (71.4%) answered 'Do not do', and 42 people (71.2%) showed 'less than 1 to 2 hours' for physical activity if they 'do'. 73 people (35.4%) of sleep time ‘less than 6-7 hours’, and 133 people (64.6%) were ‘mixed (authoritative + democratic)’ as the parenting type they perceived. 2. The stress of infectious disease (COVID-19) of this study was 4.42 points out of 10. Daily life stress was found to be 54.22±24.97 points on average out of 135 points, and in the sub-areas, 'family-related stress' 14.05±6.99 points, 'friend-related stress' 12.66±5.74 points, and 'academic stress' 11.22±5.03 points, 'Teacher-related stress' was 9.92±5.29 points, and 'body-related stress' was 6.38±3.34 points. Depression showed an average of 57.89 points out of 81 points, and in the sub-domains, 'interesting loss' 14.41±2.87 points, 'depressive emotion' 10.92±2.05 points, 'behavioral disorder' 10.92±2.05 points, and 'self-defense' 8.84±2. In the order of 1.59 points, 'physical symptoms' and 8.42±1.56 points, 'interesting loss' was the highest. Social support was high with an average of 75.25 points out of 115 points, and in the lower areas, 'family support' was highest with 27.72±6.40 points, 'teacher support' 25.54±6.15 points, and 'friend support' 21.99±6.96 points in order. Aggression showed an average of 50.49 points out of 135 points, and in the sub-areas, 'physical aggression' 18.93±5.27 points, 'hostility' 16.21±5.526 points, 'anger feeling' 11.77±2.45 points, 'verbal aggression' 10.00± 'Physical aggression' was the highest in the order of 3.87 points. 3. The stress of infectious disease (COVID-19) according to the general characteristics of this study subject was grade (F=7.82, p=.001), life satisfaction (F=6.75, p=.001), physical activity (t=2.54, p=.012), sleep time per day (F=14.31, p<.001), and parenting attitudes of parents perceived by themselves (F=10.86, p<.001). There were statistically significant differences. Life stress was grade (F=3.13, p=.046), subjective health status (F=25.56, p<.001), life satisfaction (F=69.71, p<.001), and physical activity (t=3.02, p=.003), 1 day sleep time (F=21.20, p<.001), and there were statistically significant differences according to parental attitudes (F=38.85, p<.001) perceived by the parents. Depression was gender (t=-2.10, p=.037), grade (F=6.77, p=.001), subjective health status (F=39.77, p<.001), and life satisfaction (F=92.11, p=.037). <.001), physical activity (t=3.47, p=.001), sleep time per day (F=25.46, p<.001), parenting attitude perceived by parents (F=30.81, p<.001), there was a statistically significant difference. Social support includes gender (t=2.72, p=.007), grade (F=3.56, p=.030), subjective health status (F=28.37, p<.001), and life satisfaction (F=68.22, p=.<.001), physical activity (t=3.19, p=.002), sleep time per day (F=32.44, p<.001), parenting attitude perceived by parents (F=42.53, p<.001), there was a statistically significant difference, and the subject's aggressiveness was grade (F=7.71, the subject's aggression was grade (F=7.82, p=.001), and life satisfaction (F=6.75, p=.001), the presence or absence of physical activity (t=2.54, p=.012), sleep time (F=14.31, p<.001), and the parenting attitude perceived by the parents (F=10.86, p<.001). There was a significant difference. 4. As a result of correlation analysis of this study, aggressiveness was infectious disease (COVID-19), stress (r=0.206, p=.003), daily life stress (r=0.413, p<.001), depression (r=.371, p) There was a statistically significant positive correlation with <.001), and a significant negative correlation with social support (r=-0.708, p<.001). 5. Factors influencing aggressiveness in this study were social support (β=-.70, p<.001), depression (β=.22, p=.018), grade (β=-.18, p= .002). These influencing factors accounted for 36% of middle school students' aggression, and the highest influencing factor was social support. Overall, it was found that middle school students' aggression was affected by social support, depression, and grade. Therefore, the lower the social support, the higher the degree of depression, and the lower the grade, the greater the aggression, so it is necessary to develop an educational program that can reduce the aggression of middle school students based on this and apply it in the actual school field. Keyword : Middle school students, aggressiveness, infectious disease (COVID-19) stress, daily life stress, depression, social support

      • 간호학생의 COVID-19에 관한 지식, 건강신념, 불안이 예방적 건강행위에 미치는 영향

        사혜원 공주대학교 일반대학원 2021 국내석사

        RANK : 249647

        The purpose of this study is to prepare an appropriate infectious disease prevention education program for nursing students and basic data to find effective preventive health behavior action plans by identifying the effects of nursing students' knowledge, health beliefs, and anxiety about COVID-19 on preventive health behaviors. The subjects of this study were convenience sampling of 192 students from 1st to 4th year enrolled in nursing departments at two universities located in C. It was measured using a structured questionnaire to identify nursing students' knowledge, health beliefs, anxiety, and preventive health behavior regarding COVID-19 and data collection was confirmed by t-test, ANOVA, Pearson's Correction coefficient, and multiple regression analysis with the SPSS 24.0 program. The results of this study are as follows. 1. Nursing students' knowledge about COVID-19 had an average score of 15.08±1.70 out of 23. Health beliefs scored an average of 3.72±0.32 out of 5, and among the subvariables, benefit was the highest at 4.66±0.45, followed by severity at 4.26±0.53, trigger of action at 3.37±0.64, sensitivity at 3.16±0.52, disability a 3.13±0.78. The average of nursing students' anxiety was 3.29±3.84 out of 21, and preventive health behavior was 3.23±0.34 out of 4. 2. As a result of examining the difference in knowledge about COVID-19 according to the general characteristics of nursing students, there were no statistically significant differences according to age, gender, grade, religion, clinical practice experience after the COVID-19 outbreak, experience in receiving COVID-19 related education, and cohabitants. 3. As a result of examining the difference in health beliefs according to the general characteristics of nursing students, there was a statistically significant difference in religion(t=-2.20, p=.029) in sensitivity which is a sub-variable. In severity, there was a statistically significant difference according to gender (t=-2.18, p=.031), and in benefit and disability, there were no statistically significant differences according to age, gender, grade, religion, clinical practice experience after COVID-19 outbreak, and experience in receiving COVID-19 related education, and cohabitants. There was a statistically significant difference in trigger of action from the religion(t=-2.69, p=.008) and the experience of receiving education related to COVID-19(t=4.19, p<.001). 4. As a result of examining the difference in anxiety according to the general characteristics of nursing students, there were no statistically significant differences according to age, gender, grade, religion, clinical practice experience after the COVID-19 outbreak, experience in receiving education related to COVID-19, and cohabitation. 5. There were statistically significant differences in the preventive health behaviors according to the general characteristics of nursing students in grade (F=3.34, p=.020) and cohabitation (t=2.18, p=.031), and as a result from the post- hoc through Scheffe's test the preventive health behavior of 4th graders was significantly higher than that of 1st, 2nd, and 3rd graders. 6. Anxiety showed a statistically positive correlation between severity (r=-.16, p=.028) and benefit (r=-.15, p=.040) which are sub-concepts of health beliefs, and preventive health behavior was related to health showed a statistically positive correlation with the benefit of the belief (r=.29, p=.000) and the trigger of the action (r=.28, p=.000). 7. As a factor influencing the preventive health behavior on nursing students, the benefit of health belief (β=.27, p=0.001) was the highest, and knowledge about COVID-19 (β=.18, p=.013), trigger of action of Health beliefs(β=.19, p=.018), gender (β=-.17, p=.025), and cohabitation (β=-.16, p=.031) were identified in that order.. . The explanatory power of these variables was 19.6%. Through the above results, it was confirmed that nursing students' gender, cohabitants, knowledge about COVID-19, and the benefits of health beliefs and triggers of behavior were factors that affect preventive health behavior. In order to increase the preventive health behavior of nursing students, it is necessary to provide education to raise the knowledge level of COVID-19 and to provide training programs to strengthen health beliefs. Key words : nursing students, COVID–19 knowledge, health beliefs, anxiety, preventive health behavior 본 연구는 간호학생의 COVID-19에 관한 지식, 건강신념, 불안이 예방적 건강행위에 미치는 영향을 파악하여 간호학생들에게 적절한 감염성 질환 예방 교육 프로그램의 마련과 효과적인 예방적 건강행위의 실천방안을 모색하는데 기초자료를 마련하고자 시도되었다. 연구대상은 C소재의 2개 대학교 간호학과에 재학 중인 1∼4학년 학생 192명을 대상으로 편의표집 하였다. 간호학생의 COVID-19에 관한 지식, 건강신념, 불안과 예방적 건강행위를 파악하기 위해 구조화된 설문지를 이용하여 측정하였으며 자료수집은 SPSS 24.0 program을 이용하여 t-test, ANOVA, Pearson’s Correlation coefficient, multiple regression analysis로 확인하였다. 본 연구의 결과는 다음과 같다. 1. 간호학생의 COVID-19에 관한 지식은 23점 만점 중 평균평점 15.08±1.70점이었다. 건강신념은 5점 만점 중 평균 3.72±0.32로, 하위변인 중에서는 유익성이 4.66±0.45점으로 가장 높고, 심각성 4.26±0.53, 행동의 계기 3.37±0.64, 민감성 3.16±0.52, 장애성 3.13±0.78 순으로 높았다. 간호학생의 불안은 총점 21점 중에서 평균은 3.29±3.84점으로 나타났으며, 예방적 건강행위는 4점 만점 중 3.23±0.34점이었다. 2. 간호학생의 일반적 특성에 따른 COVID-19에 관한 지식의 차이를 살펴본 결과 연령, 성별, 학년, 종교, COVID-19 사태 이후 임상실습 경험, COVID-19 관련 교육을 받은 경험, 동거인에 따른 통계적으로 유의한 차이가 없었다. 3. 간호학생의 일반적 특성에 따른 건강신념의 차이를 살펴본 결과 하위변인인 민감성에서 종교(t=-2.20, p=.029)는 통계적으로 유의한 차이가 있었다. 심각성은 성별(t=-2.18, p=.031)이 통계적으로 유의한 차이가 있었으며 유익성과 장애성은 연령, 성별, 학년, 종교, COVID-19 사태 이후 임상실습 경험, COVID-19 관련 교육을 받은 경험, 동거인과 통계적으로 유의한 차이가 없었다. 행동의 계기는 종교(t=-2.69, p=.008)와 COVID-19 관련 교육을 받은 경험(t=4.19, p<.001)과 통계적으로 유의한 차이가 있었다. 4. 간호학생의 일반적 특성에 따른 불안의 차이를 살펴본 결과 연령, 성별, 학년, 종교, COVID-19 사태 이후 임상실습 경험, COVID-19 관련 교육을 받은 경험, 동거인에 따라 통계적으로 유의한 차이가 없었다. 5. 간호학생의 일반적 특성에 따른 예방적 건강행위는 학년(F=3.34, p=.020), 동거인(t=2.18, p=.031)에서 통계적으로 유의한 차이가 있었으며, Scheffe’s test를 통한 사후검증결과 4학년의 예방적 건강행위는 1학년, 2학년, 3학년보다 유의미하게 높은 것으로 나타냈다. 6. 불안은 건강신념의 하부개념인 심각성(r=-.16, p=.028), 유익성(r=-.15, p=.040)간에 통계적으로 정의 상관관계가 있었고 예방적 건강행위는 건강신념의 유익성(r=.29, p=.000), 행동의 계기(r=.28, p=.000)와 통계적으로 정의 상관관계가 있었다. 7. 간호학생의 예방적 건강행위에 미치는 영향요인으로는 건강신념의 유익성(β=.27, p=0.001)이 가장 높았으며 COVID-19 에 관한 지식(β=.18, p=.013), 건강신념의 행동의 계기(β=.19, p=.018), 성별(β=-.17, p=.025), 동거인(β=-.16, p=.031)의 순으로 확인되었다. 이들 변수의 설명력은 19.6%였다. 이상의 결과를 통해 간호학생은 건강신념의 유익성이 높고, COVID-19에 관한 지식수준이 높을수록, 건강신념의 행동계기가 높을수록, 여성이면서 동거인이 없을경우 예방적 건강행위가 더 높았다. 간호학생의 예방적 건강행위를 높이기 위해서는 COVID-19의 지식수준을 높이기 위한 교육을 제공하고 건강신념을 강화시킬 수 있도록 인지적 프로그램이 제공되도록 하는 노력이 필요하다. 주요어 : 간호학생, COVID-19에 관한 지식, 건강신념, 불안, 예방적 건강행위

      • 사회복지전공 대학생의 진로역량이 진로준비행동에 미치는 영향

        김한솔 공주대학교 일반대학원 2020 국내석사

        RANK : 249647

        University students are having difficulties in determining their career due to the recent rise in youth unemployment, and they need to recognize the importance of career capabilities amid changes in the world of work requiring the cultivation of skilled manpower. Therefore, the purpose of this study is to examine how much influence of career competence of social welfare university students on their career preparation behavior. The Collected data for this study were included open-ended surveys and questionnaires, interviews from social welfare in Chung-cheong-nam-do province directly for 15 days from September 2 to September 17, 2019, and the total of 236 questionnaires were used for the final analysis. The Collected data were for included frequency analysis, descriptive statistical analysis, t-test, ANOVA analysis, correlation analysis, and regression analysis using the SPSS 25.0 statistical program. First, as the result of analyzed career competency and career preparation behavior level, career competency level was 3.60 points (five points) or higher, and career preparation behavior level was 3.18 points (five points). Second, the result of analysis of the differences between career capabilities and career preparation behaviors according to general characteristics, the career preparation activities for the students who got high grade or completed internship training were higher than the other students who have not done. Third, as a result of analyzed the mutual relation between characteristics and career competencies, information gathering behaviors, tool preparation behaviors, and goal achievement behaviors, which are sub-factors of the overall career preparation behaviors and career preparation behaviors, were grade, field experience, career capability, career significant positive correlations were found among reflection, self-reflection, self-expression, networking, career search, and career management. Fourth, the results of a regression analysis to identify the variables that impact on the career preparation activities of university students majoring in social welfare showed that the career preparation behaviors of the students who were experienced and completed internship were higher than the students have not done. In addition, when the level of networking, career searching, and career management as the sub-factors of career competency is higher, the career preparation activities are higher. Also Information collection activities are higher than the others when the students were experience and completed internship training. Variations affecting tool preparation behavior, which is a sub-factor of career preparation behavior, were higher in grade, and higher in self-examination, career exploration, and career management among lower factors of career competency, higher in tool preparation behavior. Variables that affect target attainment behavior, which is a sub-factor of career preparation actions, had experience in field practice, and among the lower factors of career capabilities, the higher the networking, career exploration and career management, the higher the target attainment behavior. In conclusion, the sub-factors of career competence of social welfare university students are networking, career search, and career management and it was showed that the sub-factors provided the positive impacts on their career preparation activities through the analysis on sub-factors. Suggestions from the analysis results of this study are as follows. First suggestion is that university students of social welfare are required the measures to improve their career competencies as the sub-factors; networking, job searching, and career management. Through the analysis of sub-factors, if the students have their high career competencies, they have high career preparation activities. Therefore, in order to improve their career competencies constantly on the sub-factors; networking, job searching, and career management, the university needs to open the new courses in the university curriculum related to the sub-factors of career competencies. Second, the field practice of university students majoring in social welfare requires various forms and reinforcement. suggestion is that students’ job internship showed a positive impact on career competencies and the university students of social welfare need to complete their internship training with a short term or a long term program to build their positive career preparation activities and make their career preparation experiences. To this end, it is necessary to implement internship development cooperation between social welfare institutions and universities by securing field training institutions and developing programs. 대학생들은 최근 청년 실업의 증가로 진로결정에 대한 어려움을 겪고 있으며, 숙련된 인력양성을 요구하는 직업세계의 변화 속에서 진로역량에 대한 중요성을 인식할 필요가 있다. 따라서 본 연구의 목적은 사회복지전공 대학생의 진로역량이 진로준비행동에 어떠한 영향을 미치는지 알아보는데 있다. 본 연구의 자료수집은 충청남도 소재의 사회복지전공 대학생을 중심으로 2019년 9월 2일부터 9월 17일까지 약 15일간에 걸쳐 직접 설문지를 배부하고 회수하였으며, 총 236부의 설문지를 최종분석에 사용하였다. 수립된 자료는 SPSS 25.0 통계프로그램을 사용하여 빈도분석, 기술통계 분석, t검정, 일원배치분산분석, 상관관계분석, 회귀분석 등을 실시하였으며, 그 결과는 다음과 같다. 첫째, 진로역량과 진로준비행동 수준을 분석한 결과, 진로역량의 수준은 3.60점(5점 기준)으로 보통 이상이며, 진로준비행동 수준은 3.18점(5점 기준)으로 나타났다. 둘째, 일반적 특성에 따른 진로역량과 진로준비행동의 차이를 분석한 결과, 진로준비행동은 학년이 높을수록, 현장실습 경험이 있을수록 높았다. 셋째, 일반적 특성과 진로역량 간의 상관관계를 분석한 결과, 진로준비행동 전체와 진로준비행동의 하위요인인 정보수집행동, 도구준비행동, 목표달성행동 등은 학년, 현장실습 경험, 진로역량, 진로성찰, 자기성찰, 자기표현, 네트워킹, 진로탐색, 진로관리 등과 유의미한 정적(+) 상관관계를 나타내었다. 넷째, 사회복지전공 대학생의 진로준비행동에 영향을 미치는 변인을 알아보기 위해 회귀분석을 실시한 결과, 진로준비행동 전체를 종속변수로 하였을 때, 학년이 높을수록, 현장실습 경험이 있을수록 진로준비행동이 높았다. 또한, 진로역량의 하위요인인 네트워킹, 진로탐색, 진로관리 등이 높을수록 진로준비행동이 높았다. 진로준비행동의 하위요인인 정보수집행동은 학년이 높을수록, 진로역량의 하위요인 중 자기표현, 진로탐색, 진로관리 등이 높을수록 높았다. 진로준비행동의 하위요인인 도구준비행동은 학년이 높을수록, 진로역량의 하위요인 중 진로탐색, 진로관리 등이 높을수록 높았다. 진로준비행동의 하위요인인 목표달성행동은 현장실습 경험이 있을수록, 진로역량의 하위요인 중 네트워킹, 진로탐색, 진로관리 등이 높을수록 높았다. 이상의 결론을 종합해 보면, 사회복지전공 대학생의 진로역량의 하위요인인 네트워킹, 진로탐색, 진로관리 등은 진로준비행동에 긍정적인 영향을 주는 것으로 나타났다. 이 연구의 분석 결과를 통한 제언은 다음과 같다. 첫째, 사회복지전공 대학생의 진로역량의 하위요인인 네트워킹, 진로탐색, 진로관리 등을 높일 수 있는 방안이 요구된다. 이는 사회복지전공 대학생의 진로역량이 높을수록 진로준비행동이 높은 것으로 나타났기 때문이다. 따라서 사회복지전공 대학생의 진로역량의 하위요인인 네트워킹, 진로탐색, 진로관리 등을 지속적으로 향상시키기 위해서는 대학교육과정에서 진로역량과 관련된 교양강의를 개설하는 것이 필요하다. 둘째, 사회복지전공 대학생의 현장실습은 다양한 형태와 강화가 필요하다. 사회복지전공 대학생의 일반적 특성인 현장실습 경험이 진로준비행동에 긍정적인 영향을 미치는 것으로 나타났기 때문이다. 따라서 사회복지전공 대학생의 긍정적인 진로준비행동을 위해서는 단기 또는 장기의 현장실습, 학기제 현장실습 등의 다양한 형태의 현장실습교육이 이루어져야 할 것이다. 이를 위해 현장실습기관의 확보와 프로그램의 개발을 통해 사회복지기관과 대학교 간의 인턴십 개발협력을 구현할 필요가 있다.

      • 인프라 자산관리를 위한 유지관리 예산규모 추정에 관한 연구 : 일반국도를 중심으로

        우지원 공주대학교 일반대학원 2021 국내박사

        RANK : 249647

        This study was started to provide guidance on government policy direction and budget estimates based on variety social issues, such as the collapse of aging infrastructure. This year, the "Sustainable Infrastructure Management Act" was enacted and announced by forming a social consensus on the importance of maintenance of existing infrastructure facilities and the maintenance of facilities was carried out in accordance with this laws. This is to provide a framework for "proactive management" and investment efficiency-based away from the "reactive management" method. It is expected to be able to analyze the overall budget size and optimal management point to derive the most appropriate time to enable the best maintenance strategy. In this study, based on the maintenance cost calculation method derived from the recently performed national highway maintenance cost calculation method study, estimating the required budget for maintenance according to the facility size of the infrastructure after incense estimated the aging of the infrastructure facilities over time. Maintenance costs are largely calculated by dividing the general section (earthwork and general bridge), the tunnel section and the cable bridge, such as a cable-stayed bridge, suspension bridge is proposed to be calculated as a special bridge. In the case of the general section, including the earthwork and the general bridge, similar to the existing study, the tunnel section is proposed to be calculated separately. In the case of improvement, each itemized replacement cycle is proposed by a comprehensive review of the replacement cycle criteria and maintenance cost performance data for each facility. According to the results of this study, the required budget for the maintenance of the National Highway is continuously increased year by year, and in 2050, it was estimated to be 2.2675 billion KRW, which means that this year's budget is approximately 1.5 times the cost in 2019.. In addition, it was estimated the aging size of the national road infrastructure using the benchmark year method. The result of estimating show that even if the estimated maintenance costs are executed in a timely manner, because of aging 73.970.8 billion KRW of national road infrastructure facilities should be reconstructed in 2050. Therefore, if the government to establish a mid-to-long-term master plan to prepare for the timely commitment of the budget for the management of aging infrastructure facilities, it is possible to believe that more advanced management in terms of maintenance aspects and to use the facility more safetly.

      • 응급실 간호사의 폭력경험과 폭력반응 및 회복탄력성이 간호업무성과에 미치는 영향

        김경은 공주대학교 일반 대학원 2021 국내석사

        RANK : 249647

        This study is a descriptive survey research to identify the effect of the experience of violence in emergency department nurses and the effect of violence reaction and resilience on nursing work performance. The study subjects were 190 nurses who have at least 6 months of working experiences in Regional medical institutions and Regional emergency medical center located in C province, G province, and K province. The data were collected from September 10 to September 18, 2020 using structured self-reported survey to measure general characteristics, experience of violence, response to violence, resilience, and performance of nursing work. The collected data were analyzed by t-test, ANOVA, Pearson's Correlation Coefficients, and Multiple Regression Analysis using SPSS/WIN 25.0 program. The study results are as follows: 1. The average experience of violence among emergency department nurses was 2.04 (±0.73) out of 5, the average of violence response was 2.71 (±0.79) out of 5, the average of resilience was 3.62 (±0.79) out of 5, and the average of nursing work performance was 3.72 (±0.54) out of 5. 2. Statistically significant differences of violence experience were found by age (F=3.18, p=.044), total Clinical Career (F=3.35, p=.011) and job satisfaction of emergency department (F=8.10, p<.001) according to the general characteristics of emergency department nurses. 3. Statistically significant differences of violence response were found by gender (t=2.54, p=.012), age (F=5.85, p=.003), total clinical career (F=5.77, p<.001), emergency department work experience (F=6.00, p<.001) and experience of turnover due to violence (t=3.93, p<.001) according to the general characteristics of emergency department nurses. 4. Statistically significant differences of resilience were found by martial state (t=-2.61, p=.010), total clinical career (F=3.19, p=.015) and emergency department work satisfaction (F=7.16), p<.001) according to the general characteristics of emergency department nurses. 5. Statistically significant differences of nursing work performance by age (F=14.22, p<.001) martial state (t=-4.17, p<.001), final education (F=4.07, p=.018), total clinical career (F=7.69, p<.001), emergency department work experience (F=4.97, p=.001), job position (F=8.64, p<.001), emergency department work satisfaction (F=5.38, p<.001) and types of emergency department (t=2.15, p=.032) according to the general characteristics of emergency department nurses. 6. Statistically significant positive correlations were observed, which is between violence experience and resilience(r=.62, p<.001), between nursing work performance and violence response (r=20, p=.004). 7. Influencing factors upon nurse work performance of emergency department nurses were resilience (β=.55, p<.001), violence response(β=.15, p=.008), emergency department work experience over 10 years (β=.20, p=.017). Total explanatory power of these factors was 49%(F=8.98, p<.001) on nurse work performance. In conclusion, it is observed that the major influencing factors on the nurse work performance were violence response, resilience, and emergency department work experience over 10 years. Hence it is necessary to strengthen the resilience and to provide education and training in hospital working sites where they can express and manage violence response, and especially to manage a work environment where nurses can work for more than 10 years and empowerment, in order to enhance work performance of emergency department nurses. In addition, contents dealing with prevention and coping drill of violence within hospital should be included to undergraduate nursing education course and reflected to the curriculum, so that they can be trained in advance. Key words: violence experience, violence response, resilience, nurse work performance, emergency department nurse 본 연구는 응급실 간호사의 폭력경험과 폭력반응 및 회복탄력성이 간호업무성과에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 연구의 대상은 C도에 위치한 지역응급의료기관 2개소, 지역응급의료센터 5개소, G도에 위치한 지역응급의료기관 1개소, 지역응급의료센터 3개소, K도에 위치한 지역응급의료센터 1개소 등 12개소 응급의료기관에서 6개월 이상 근무하고 있는 간호사 190명이었다. 자료는 일반적 특성, 폭력경험, 폭력반응, 회복탄력성, 간호업무성과를 측정하기 위해 구조화된 자가보고식 설문지를 이용하여 2020년 9월 10일부터 9월 18일까지 수집하였다. 수집된 자료는 SPSS/WIN 25.0 프로그램을 이용하여 t-test, ANOVA, Pearson’s correlation coefficient, multiple regression analysis로 분석하였다. 연구결과를 요약하면 다음과 같다. 1. 응급실 간호사의 폭력경험은 5점 -ⅰ- 만점 중 평균평점 2.04(±0.73)점, 폭력반응은 5점 만점 중 평균평점 2.71(±0.79)점, 회복탄력성은 5점 만점 중 평균평점 3.62(±0.79)점, 간호업무성과는 5점 만점 중 평균평점 3.72(±0.54)점이었다. 2. 응급실 간호사의 일반적 특성에 따른 폭력경험은 연령(F=3.18, p=.044), 총 임상경력(F=3.35, p=.011), 응급실 근무만족도(F=8.10, p<.001)에서 통계적으로 유의한 차이를 나타냈다. 3. 응급실 간호사의 일반적 특성에 따른 폭력반응은 성별(t=2.54, p=.012), 연령(F=5.85, p=.003), 총 임상경력(F=5.77, p<.001), 응급실 근무경력(F=6.00, p<.001), 폭력으로 인한 이직경험(t=3.93, p<.001)에서 통계적으로 유의한 차이를 나타냈다. 4. 응급실 간호사의 일반적 특성에 따른 회복탄력성은 결혼상태(t=-2.61, p=.010), 총 임상경력(F=3.19, p=.015), 응급실 근무만족도(F=7.16, p<.001)에서 통계적으로 유의한 차이를 나타냈다. 5. 응급실 간호사의 일반적 특성에 따른 간호업무성과는 연령(F=14.22, p<.001), 결혼상태(t=-4.17, p<.001), 최종학력(F=4.07, p=.018), 총 임상경력(F=7.69, p<.001), 응급실 근무경력(F=4.97, p=.001), 직위(F=8.64, p<.001), 응급실 근무만족도(F=5.38, p<.001), 응급실 유형(t=2.15, p=.032)에서 통계적으로 유의한 차이를 나타냈다. 6. 응급실 간호사의 폭력경험, 폭력반응 및 회복탄력성과 간호업무성과 간의 상관관계에서는 간호업무성과와 회복탄력성간에는 통계적으로 유의한 정의 상관관계가 나타났고(r=.62, p<.001), 간호업무성과와 폭력반응 간에는 통계적으로 유의한 정의 상관관계가 나타났다(r=.20, p=.004). -ⅱ- 7. 응급실 간호사의 간호업무성과에 미치는 영향요인으로는 회복탄력성(β=.55, p<.001), 폭력반응(β=.15, p=.008), 10년 이상의 응급실 근무경력(β=.20, p=.017)으로 나타났다. 이들 요인이 간호업무성과의 영향 변인에 대한 설명력은 49%이었다(F=8.98, p<.001). 결론적으로 응급실 간호사의 간호업무성과는 폭력반응, 회복탄력성, 10년 이상의 응급실 근무경력이 중요한 영향요인으로 확인되었다. 따라서 응급실 간호사의 간호업무성과를 높이기 위해 회복탄력성을 강화하고, 폭력반응을 표현하고 관리할 수 있는 병원 실무 현장에서의 교육 및 훈련이 제공되어야 할 것이고, 특히 간호사가 10년 이상 근무할 수 있는 환경 조성과 임파워먼트를 적극 도모해야할 것이다. 또한 병원 폭력발생 예방 및 대처와 관련된 내용이 학부과정 간호교육프로그램에 포함시켜 미리 훈련되도록 교육과정에 반영이 요구된다. 주요어: 폭력경험, 폭력반응, 회복탄력성, 간호업무성과, 응급실 간호사

      • 탄광부 진폐증 입원환자의 우울, 죽음불안, 가족기능 및 삶의 질의 관계

        조성희 공주대학교 일반대학원 2020 국내석사

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        국문초록 탄광부 진폐증 입원환자의 우울, 죽음불안,가족기능 및 삶의 질의 관계 조 성 희 공주대학교 대학원 간호학과 간호학 전공 본 연구는 탄광부 진폐증 입원환자를 대상으로 우울, 죽음불안, 가족기능 및 삶의 질의 정도를 파악하고, 이들 간의 관계를 파악하기 위해 실시하였다. 대상자는 경상북도 1개, 대전광역시 1개, 충청남도 2개, 충청북도 1개의 진폐전문병원에 입원한 환자 165명이고, 자료수집 기간은 2019년 6월부터 8월까지였다. 수집된 자료는 SPSS/WIN 23.0 통계 프로그램을 이용하여 빈도, 백분율, 평균, 표준편차, t-test, ANOVA, Scheffé test, Pearson’s correlation coefficient로 분석하였다. 연구 결과를 요약하면 다음과 같다. 1) 탄광부 진폐증 입원환자의 우울 정도는 평균 8.73점(15점 만점), 죽음불안 정도는 평균 93.29점(144점 만점), 가족기능 정도는 평균 5.93점(10점 만점), 삶의 질의 정도는 평균 53.10점(100점 만점)였다. 2) 탄광부 진폐증 입원환자의 일반적 특성에 따른 우울의 차이를 살펴본 결과, 배우자(t=-9.12, p<.001), 월평균 소득(t=3.39, p<.001), 종교(t=-7.16, p<.001), 교육수준(F=10.96, p<.001), 진단 후 경과 기간(F=3.14, p=.027), 총 입원기간(F=3.94, p=.009)에서 유의미한 차이를 보였다. 3) 탄광부 진폐증 입원환자의 일반적 특성에 따른 죽음불안의 차이를 살펴 본 결과, 배우자(t=-12.70, p<.001), 월평균 소득(t=2.19, p=029), 종교(t=-87, p<.001), 교육수준(F=9.14, p<.001), 진단 후 경과 기간(F=2.85, p=.039), 진폐 합병증 경험(F=6.04, p=.003)에서 유의미한 차이를 보였다. 4) 탄광부 진폐증 입원환자의 일반적 특성에 따른 가족기능의 차이는 없었다. 5) 탄광부 진폐증 입원환자의 일반적 특성에 따른 삶의 질의 차이를 살펴본 결과, 배우자(t=-24.81, p<.001), 월평균 소득(t=4.61, p<.001), 종교(t=-9.56, p<.001), 교육수준(F=17.10, p<.001), 진단 후 경과 기간(F=3.85, p=.011), 진폐 합병증 경험(F=5.11, p=.007)에서 유의미한 차이를 보였다. 6) 탄광부 진폐증 입원환자의 우울은 죽음불안(r=.80, p<.001) 또는 삶의 질r=.70, p<.001)과 정 상관관계가 있었고, 죽음불안도 삶의 질과 정 상관관계가 있었다(r=.76, p<.001). 즉, 우울이 높을수록 죽음불안은 높았고, 삶의 질은 낮았으며, 죽음불안이 높을수록 삶의 질은 낮았다. 이와 같은 결과를 통해 탄광부 진폐증 입원환자의 우울, 죽음불안, 삶의 질 간의 강한 상관관계가 있음을 확인하였다. 따라서 탄광부 진폐증 입원환자의부정적 감정을 해소하고, 정서적 안정을 찾을 수 있도록 관심을 기울여야 하며, 삶의 질 향상을 위해 우울과 죽음불안을 고려한 간호 중재 프로그램 개발이 필요하겠다. 주요어: 우울, 죽음불안, 가족기능, 삶의 질, 탄광부 진폐증 ABSTRACT The Relationship between Depression, Death Anxiety, Family Function and Quality of Life in inpatients with Coal Worker's Pneumoconiosis. Sung hee Cho Department of nursing Graduate School of Kongju National University Gong Ju, Korea (Supervised by Professor : Ok-Hee Cho) The study was conducted to identify the degree of depression, death anxiety, family function, and quality of life for inpatients with coal worker' s pneumoconiosis and to identify the relationship between them. The participants were 165 patients who were hospitalized for treatment o f pneumoconiosis. The hospital is at one in Gyeongbuk, one in Daejeon Me tropolitan City, two in Chungnam, one in Chungbuk. And the data were collected between June and August 2019. For data analysis, SPSS 23.0 statistics package was used, and the study employed frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffe test, Pearson’s correlation coefficient analysis. The findings may be summarized as follows: 1) Depression score of inpatients with coal worker's pneumoconiosis was an average of 8.76 out of 15; for death anxiety an average of 93.29 out of 144 ; for family function an average of 5.93 out of 10; for quality of life an average of 53.10 out of 100 points; 2) The level of depression according to the general characteristics of inpat ients with coal worker's pneumoconiosis differed in the spouse(t=-9.12, p<.001), monthly income(t=3.39, p<.001), religion(t=-7.16, p<.001), education level(F=10.96, p<.001), period after diagnosis(F=3.14, p=.027), and hospitaliza tion period(F=3.94, p=.009). 3) The level of death anxiety according to the general characteristics of in patients with coal worker's pneumoconiosis differed in the spouse (t=-12.70 , p<.001), monthly income(t=2.19, p=029), religion(t=-8.87, p<.001), education level(F=9.14, p<.001), period after diagnosis(F=2.85, p=.039), and Experience complications(F=6.04, p=.003). 4) There were no differences in family functions depending on the general characteristics of inpatients with coal worker's pneumoconiosis. 5) The level of quality of life according to the general characteristics of inpatients with coal worker's pneumoconiosis differed in the spouse (t=-24. 81, p<.001), monthly income(t=4.61, p<.001), religion(t=-9.56, p<.001), educa tion level(F=17.10, p<.001), period after diagnosis(F=3.85, p=.011), and Exper ience complications(F=5.11, p=.007). 6) Depression of inpatients with coal worker's pneumoconiosis was positiv ely correlated with death anxiety(r=.80, p<.001) or quality of life(r=.70, p<.001), and death anxiety was also positively correlated with quality of life (r=.76, p<.001). In other words, the higher the depression, the higher the death anxiety, and the lower the quality of life. And the higher the death anxiety, the lower the quality of life. These results confirmed that there is a strong correlation between depression, death anxiety, and quality of life among inpatients with coal worker's pneumoconiosis. Therefore, attention should be paid to resolve the negative feelings of inpatients with coal worker's pneumoconiosis. And to find emotional stabilit y, and the development of a nursing arbitration program considering depres sion and death anxiety is needed to improve the quality of life Key words: Depression, Death anxiety, Family function, Quality of life, Inpatients with coal worker's pneumoconiosis.

      • 대학생의 자기초점주의 성향과 대학 생활 적응의 관계 : 대인관계 유능성의 매개효과

        전지은 공주대학교 일반대학원 2021 국내석사

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        본 연구는 대학생의 자기초점주의와 대학 생활 적응의 관계에서 대인관계 유능성의 매개효과를 검증하고자 하였다. 연구목적을 달성하기 위하여 전국 대학교 1∼4학년 남녀 학생을 대상으로 온라인 설문을 실시하여 211명의 자료를 분석하였다. 연구 문제는 다음과 같이 제시하였다. 첫째, 대학생의 자기초점주의의 일반적 자기초점주의와 자기몰입, 대학 생활 적응, 대인관계 유능성은 어떤 관계가 있는가? 둘째, 대학생의 자기초점주의의 일반적 자기초점주의와 자기몰입은 대학 생활 적응과 대인관계 유능성에 어떠한 영향을 미치는가? 셋째, 대학생의 자기초점주의의 일반적 자기초점주의와 자기몰입과 대학 생활 적응 간의 관계에서 대인관계 유능성이 매개 역할을 하는가? 각 변인의 측정도구는 다음과 같다. 이지영과 권석만(2005)이 개발한 자기초점주의 성향 척도(SDSAS), Baker와 Siryk(1989)가 개발하고 이윤정(1999)이 번안하고 수정한 대학 생활 적응척도(SACQ), Buhrmester, Furman, Wittenberg와 Reis(1988)가 개발한 대인관계능력 검사지(Interpersonal Competence Questionnaire: ICQ)를 한나리와 이동귀(2010)가 한국 대학생들을 대상으로 번안하여 타당화한 한국판 대인관계 유능성 척도(K-ICQ)를 사용하였다. 통계분석을 위해 IBM SPSS 22.0를 사용하여 빈도분석, 내적합치도(Cronbach’s α) 산출, 기술통계 분석, 왜도와 첨도 확인, Pearson의 상관분석, 다중선형회귀분석과 Baron & Kenny의 매개회귀분석을 실시하였다. 연구 결과는 다음과 같다. 자기초점주의는 방향성이 다른 2개의 하위요인으로 구성되어 있어서 전체 합으로 구하지 않고 서로 다른 두 성향을 각각의 독립변인으로 분석하였다. 첫째, 일반적 자기초점주의는 대학 생활 적응과 정적 상관관계가 있는 것으로 나타났고, 자기몰입은 대학 생활 적응과 부적 상관관계가 있는 것으로 나타났다. 또한 일반적 자기초점주의는 대인관계 유능성과 정적 상관관계가 있는 것으로 나타났고, 자기몰입은 대인관계 유능성과 부적 상관관계가 있는 것으로 나타났다. 대학 생활 적응과 대인관계 유능성은 정적 상관관계가 있는 것으로 나타났다. 둘째, 일반적 자기초점주의보다 자기몰입이 대학 생활 적응에 상대적으로 높은 부적 영향을 주는 것으로 나타났다. 반면에 대인관계 유능성에 대해서는 자기몰입보다 일반적 자기초점주의가 상대적으로 높은 정적 영향을 주는 것으로 나타났다. 셋째, 일반적 자기초점주의와 자기몰입과 대학 생활 적응과의 관계에서 대인관계 유능성의 매개효과는 통계적으로 유의하다고 검증되었다. 일반적 자기초점주의와 대학 생활 적응과의 관계에서 대인관계 유능성은 완전 매개효과가 나타났고, 자기몰입과 대학 생활 적응과의 관계에서 대인관계 유능성은 부분 매개효과가 나타냈다. 본 연구는 대학생의 자기초점주의와 대학 생활 적응, 대인관계 유능성의 관계를 실증적으로 검증하였으며, 자기초점주의의 방향성이 다른 두 가지 성향이 각각 대학 생활 적응과 대인관계 유능성에 미치는 영향과 관계에 있어서 중요한 매개효과를 확인하였다. 이는 대학생들의 상담 장면에서 자기초점주의 성향을 지닌 대학생들이 불안이나 우울을 경험할 때, 대인관계 유능성에 중심을 두고 개입하는 것이 효과적임을 시사한다. 또한 부적응적인 자기초점주의를 적응적인 자기초점주의로 전환할 수 있는 긍정적 자기 자각을 활성화하여, 심리적 부적응으로 인한 문제를 완화한다면, 보다 적응적인 대학 생활에 도움이 될 것으로 기대한다. 따라서 대학 생활 적응을 높이기 위하여 대인관계 유능성을 향상시키기 위한 방안을 모색한다면, 보다 적응적인 대학 생활에 도움이 될 것으로 기대한다. 본 연구는 대학 생활 적응에 도움을 주기 위하여 교육현장이나, 상담장면에서 활용할 수 있는 상담기법과 적응 프로그램 개발 등을 위해 기초자료로 유용하게 활용될 수 있을 것이라는 점에서 의의가 있다. This study sought to verify the intermediate effectiveness of interpersonal ability in the relationship between college students' self-focused attention and college life adaptation. In order to achieve the purpose of research, data were analyzed by conducting an online survey of 211 male and female students in the first through fourth grades of colleges nationwide. The research questions were presented as follows. First, what is the relationship between general self-focused attention and self-immersion, college life adaptation, and interpersonal competence of college students? Second, how do the general self-focused attention and self-immersion of college students affect their college life adaptation and interpersonal competence? Third, does interpersonal competence play a mediating role in the relationship between general self-focused attention and self-immersion in college students' self-focused attention and college life adaptation? The measurement tools for each variable are as follows: The Scale for Dispositional Self-focused Attention in Social situations (SDSAS), developed by Ji-young Lee and Seok-man Kwon (2005), the Student Adaptation to College Questionnaire (SACQ) developed by Baker and Siryk (1989) and modified and revised by Yun-jung Lee (1999), the Interpersonal Competence Questionnaire (ICQ) developed by Reis (1988) and adapted and validated to the K-ICQ by Han Na-ri and Dong-Gwi Lee (2010) for Korean college students. For statistical analysis, IBM SPSS 22.0 was used for frequency analysis, Cronbach's α calculation, descriptive statistical analysis, skewness and kurtosis verification, Pearson's correlation analysis, multiple linear regression analysis, and Baron & Kenny's parametric regression analysis. The study results are as follows. Since self-focused attention is composed of two sub-factors with different directions, the two different dispositions were analyzed as independent variables, rather than as a total sum. First, general self-focused attention was found to have a positive correlation with college life adjustment, and self-immersion was found to have a negative correlation with college life adjustment. Additionally, general self-focused attention was found to have a positive correlation with interpersonal competence, and self-immersion was found to have a negative correlation with interpersonal competence. There was also a positive correlation between college life adaptation and interpersonal competence. Second, self-immersion had a relatively higher negative effect on college life adaptation than general self-focused attention. On the other hand, on interpersonal competence, general self-focused attention had a relatively higher positive effect than self-immersion. Third, the mediating effect of interpersonal competence in the relationship between general self-focused attention and self-immersion and college life adaptation was verified to be statistically significant. In the relationship between general self-focused attention and college life adaptation, interpersonal competence showed a fully mediating effect, and in the relationship between self-immersion and college life adaptation, interpersonal competence showed a partial mediating effect. This study empirically verified the relationship between university students' self-focused attention, college life adaptation, and interpersonal ability, and identified the significant mediating effects of two different orientations on university life adaptation and interpersonal ability, respectively. This suggests that intervention focusing on interpersonal competence is effective when college students with self-focused dispositions experience anxiety or depression in the college counseling scene. In addition, it is expected that it will be helpful for a more adaptive college life if the problem caused by psychological maladaptation is alleviated by activating positive self-awareness that can convert maladaptive self-focusing into adaptive self-focusing. Therefore, if we are looking for ways to improve interpersonal competence in order to increase college life adaptation, it is expected that it will be helpful for a more adaptive college life. This study is meaningful in that it can be usefully used as basic data for the development of counseling techniques and adaptation programs that can be used in the educational field or in the counseling scene to help them adapt to university life.

      • 종합병원 간호사의 소명의식과 자기효능감이 환자안전관리활동에 미치는 영향

        이지영 공주대학교 일반대학원 2021 국내석사

        RANK : 249647

        This descriptive research examines the extent to which the calling and self-efficacy of general hospital nurses relate to patient safety management activities. 170 nurses from two general hospitals with a capacity of more than 300 beds in C-city participated in this study. The data were collected using a structured questionnaire between August and September 2021 to measure general characteristics, calling, self-efficacy, and patient safety management activities. Analysis of the collected data was performed with an independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS/WIN 25.0. software. The study results are summarized as follows. 1. In terms of the participants’ general characteristics, 151(88.8%) were women, and 88 (51.8%) were in their 20s. 98 participants(57.6%) had no religion, and 133(78.2%) had bachelor’s degrees. 46 participants(27.1%) had clinical experiences of more than one year and less than three years. General ward ranked as the top working environment with 101 participants(59.4%). General nurse was the most popular position to take up 131(77.1%) among the total research participants. 2. The level of research participants’ calling was 2.39±0.59 out of 4 points, and among the sub-domains, ‘purpose/meaning’ was the highest at 2.57±0.72 points, and ‘transcendental calling’ was the lowest at 2.13±0.68. 3. The level of research participants’ self-efficacy was 3.63±0.55 out of 5 points, the highest sub-domain was ‘effort’ at 3.75±0.63, and the lowest sub-domain was ‘beginning of action’ at 3.20±0.85. 4. The level of research participants’ patient safety management activities was 4.30±0.45 out of 5 points. Among the sub-domains, ‘fall prevention’ was the highest with a score of 4.60±0.50, and ‘administration of medicine’ was the lowest with a score of 3.95±0.65. 5. As a result of analyzing the level of the calling, according to the general characteristics of the participants, the calling showed significant statistical correlations with age (F=6.97, p=.001), religion (t=-2.81, p=.006), education (F=7.90, p= .001), work department (F=3.97, p=.004), and nursing position (F=4.09, p=.018). 6. The level of self-efficacy according to the participants’ general characteristics differed depending on education levels (F=3.47, p=.033). Participants with a master’s degree or higher scored 4.02±0.44 points, which was higher than those with a 4-year college degree with 3.59±0.53 points. 7. The level of patient safety management activities according to the general characteristics of the participants showed significant statistical difference depending on age (F=3.62, p=.029), religion (t=-2.07, p=.040), and education level(F=4.32, p=.015). 8. As a result of analyzing the relationship between the participants’ calling, self-efficacy, and patient safety management activities, it turned out that patient safety management activities had statistically positive correlations with calling (r=0.30, p<.001) and self-efficacy (r=0.30, p<.001). 9. As a result of performing multiple regression analyses to identify factors that affect patient safety management activities, the factors that affect patient safety management activities turned out to be self-efficacy (β=.24, p=.002), calling (β=.19, p=.015), and the model's explanatory power was 13% (F=6.05, p<.001). Based on the results of this study, calling and self-efficacy are both factors influencing patient safety management activities. Therefore, to improve general hospital nurses' patient safety management activities, there is a need to develop various educational programs capable of enhancing self-efficacy and calling. 본 연구는 종합병원 간호사의 소명의식과 자기효능감이 환자안전관리활동에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 연구대상자는 C시에 소재한 300병상 이상 2개의 종합병원에서 근무하고 있는 간호사 170명이었다. 자료는 일반적 특성, 소명의식, 자기효능감, 환자안전관리활동을 측정하기 위해 구조화된 설문지를 이용하여 2021년 8월부터 9월까지 조사하였다. 수집된 자료는 SPSS/WIN 25.0 프로그램을 이용하여 independent t-test, one-way ANOVA, Pearson's correlation coefficient, multiple regression으로 분석하였다. 연구결과는 다음과 같다. 1. 대상자의 일반적 특성 중 성별은 여자가 151명(88.8%), 연령대는 20대가 88명(51.8%), 종교는 없는 경우가 98명(57.6%), 4년제 대학교 졸업자가 133명(78.2%)으로 가장 많았다. 임상경력은 1년 이상 3년 미만이 46명(27.1%), 근무부서는 일반병동이 101명(59.4%), 직위는 일반간호사가 131명(77.1%)으로 가장 많았다. 2. 대상자의 소명의식 정도는 4점 만점에 2.39±0.59점이었고, 하위영역 중 목적/의미가 2.57±0.72점으로 가장 높았고, 초월적 부름이 2.13±0.68점으로 가장 낮았다. 3. 대상자의 자기효능감 정도는 5점 만점에 3.63±0.55이었고, 가장 점수가 높았던 하위영역은 노력으로 3.75±0.63점이었고, 가장 낮았던 하위영역은 행동의 시작으로 3.20±0.85점이었다. 4. 대상자의 환자안전관리활동 정도는 5점 만점에 4.30±0.45점이었다. 하위영역 중 낙상예방이 4.60±0.50점으로 가장 높았고, 투약은 3.95±0.65점으로 가장 낮았다. 5. 대상자의 일반적 특성에 따른 소명의식 차이를 분석한 결과 소명의식은 연령대(F=6.97, p=.001), 종교유무(t=-2.81, p=.006), 학력(F=7.90, p=.001), 근무부서(F=3.97, p=.004)와 직위(F=4.09, p=.018)에서 통계적으로 유의한 상관관계를 보였다. 6. 대상자의 일반적 특성에 따른 자기효능감 정도는 학력에 따라 차이가 있어(F=3.47, p=.033), 대학원이상 4.02±0.44점으로 4년제 대학교졸업 3.59±0.53점보다 높았다. 7. 대상자의 일반적 특성에 따른 환자안전관리활동 정도는 연령대(F=3.62, p=.029), 종교유무(t=-2.07, p=.040)와 학력(F=4.32, p=.015)에 따라 통계적으로 유의한 차이를 보였다. 8. 대상자의 소명의식, 자기효능감, 환자안전관리활동의 관계를 분석한 결과, 환자안전관리활동은 소명의식(r=0.30, p<.001), 자기효능감(r=0.30, p<.001)과 통계적으로 유의한 상관관계를 보여주었다. 9. 대상자의 환자안전관리활동에 영향을 미치는 요인을 확인하기 위해 다중회귀분석을 시행한 결과, 환자안전관리활동에 미치는 영향요인은 자기효능감(β=.24, p=.002), 소명의식(β=.19, p=.015) 순이었으며, 모형의 설명력은 13%이었다(F=6.05, p<.001). 본 연구결과를 통해 종합병원 간호사의 자기효능감, 소명의식이 환자안전관리활동에 영향력이 있는 변수임을 확인할 수 있었다. 따라서 종합병원 간호사의 환자안전관리활동을 개선시키기 위해서는 소명의식과 자기효능감을 향상시킬 수 있는 다양한 프로그램을 개발하는 연구가 필요하다.

      • 공주교육대학교의 역사와 교육도시 공주의 이미지 형성

        전진희 공주대학교 일반대학원 2022 국내박사

        RANK : 249647

        The purpose of this study is to clarify the history of Gongju National University of Education from its origin to the early 1970s. The reason why Gongju National University of Education was chosen was because of its unique status. The school was reorganized into Gongju National University following the context of Gongju Women's Normal School in Japanese colonial period and Gongju Normal School after liberation. The transition of this school served as a regional or periodical significance in two ways. First, it is the consistent purpose of fostering elementary school teachers. The name and system of the school have changed several times, but the purpose of fostering elementary school teachers has remained unchanged from its origin to the present. Therefore, it can be said that the history of this school is directly related to the history of fostering elementary school teachers in Korea. The following is the link between the school and the community. Gongju Women's Normal School was established as an alternative to overcome the economic crisis in the region caused by the relocation of Chungcheongnam-do. Local residents attempted to urbanize education as a way to overcome the identity of the administrative city lost due to the relocation of the provincial government. The community continued to campaign for the attraction and establishment of the school, making it an important asset of their city, and the school communicated with the community through high-quality human resources and direct and indirect economic feasibility. In Chapter II, Gongju Women's Normal School was the result of the residents' strong campaign to attract schools using the Joseon Governor-General's policy to expand the teacher's school. The goal of fostering female teachers by the Governor-General of the Joseon Dynasty was to emphasize "Home Economics" and meet the "for war preparations" with diligence and thrift within the family. In addition, practical subjects and Physical education subjects were strengthened in line with the war preparations system. In order to strengthen such a curriculum, a life guidance center was built and the dormitory system was adhered to. Gongju Women’s Normal School teacher education had a strong state-led nature and received full economic and administrative support from the Joseon Governor-General. The school was seen by local residents as a reward for the relocation of the Chungcheongnam-do Provincial Government. Residents organized an established association to attract government-run teachers' schools and even raised a large donation of 100,000 won from the local residents. In other words, the Japanese colonial government used the wishes of local residents to extract the expenses necessary for the establishment of the teacher school and the construction of the teacher. However, it has an important regional historical meaning in that it is an important image symbolizing Gongju, an educational city of Gongju Women's Normal School during this period. Chapter III, After Korea's liberation from Japanese colonial rule, Japanese-style education was conducted by the U.S. military government without being liquidated. Naturally, Gongju's training of teachers was difficult and revealed her limitations. In order to overcome this, Gongju Women's Normal School and the local residents asked for the establishment of a Kongju Normal College, more actively to save the region. In order to establish the Kongju Normal College, the Gongju Women's Normal School not only gave away the School building, but also used human resources, the faculty. The three departments opened at the time of the establishment of Kongju Normal College, they were Korean literature, Mathematics, and Home Economics. In order to emphasize the subject of the "Home Economics," Gongju Women's Normal School was equipped with school buildings and teachers related to Home Economics, including life guides. By utilizing this, Kongju Normal College was able to be established by conducting a campaign to persuade the authorities that it was possible to establish a teacher's college at a low cost. After liberation, there was a widespread perception among local residents that Gongju needed to develop into an educational city. In Chapter IV, the transformation and reorganization of Gongju Normal School from 1951 to 1962 were intensively reviewed and discussed. As the elite-centered women's Normal school changed to a coeducational system, it had a very positive effect on the community. The reorganization of the coeducational system during the Korean War guaranteed military service benefits for male students and employment after graduation. Many male students in the area who were able to obtain such information quickly entered Gongju Normal School. The fact that 57.4% of Gongju Normal School graduates in 1954 are from Gongju proves this. With the existence of Gongju Normal School, small forms of commerce for schools and students along with boarding have developed in the community. This landscape of the Gongju area clearly revealed its distinctiveness from other regions and made it unique as the 'local color of Gongju'. A structure has been established in which the community benefits economically through the Gongju Normal School. This fact means that Gongju Normal School has been 'localized' by strengthening its identity as 'Gongju’s School' rather than simply a school in the region. In Chapter IV, the Gongju College of Education started uneasily. At that time, the symbolism of the teacher changed due to the lack of appointment and low treatment of elementary school teachers. This fact also had a negative impact on the community. Most of the students are children of rural families, and Gongju College of Education students who will become teachers in rural areas after graduation have been given the role of enlightenment and mental reform in rural areas to revive the rural economy. By government authorities and schools, students had limited club activities and were actively mobilized for volunteer work in rural areas. The rural volunteer work of shift students was intertwined with the interests of the local community and the school. Previously, the profits gained by the local community through schools changed more actively from passive methods such as Boarding house and Small consumption activities to Volunteer activities in rural areas and the mobilization of students without pay. First, the conclusion of this study was to examine the meaning of school history itself. In the future, it is necessary to pay attention to the relationship with the local community by using an academic approach. Second, the meaning of local history of school history was considered. In particular, Gongju is an "educational city," and it can be seen that the impact on the local community was significant due to the periodical transition of the Gongju shift, the Japanese colonial period. If the community was cut off from the government-run Gongju Women's Normal School, the teacher's school after liberation interacted with the community and changed to 'localization of schools'. Third, the meaning of school history in educational history was considered. It can be said that the periodical changes and educational policies of Gongju National University of Education were significant as a way to check in detail how they were being realized at the school site when the Ministry of Education announced its policy. Fourth, the student life culture, student culture, youth culture, or teacher culture for each period were examined by period by reflecting the awareness of problems such as life culture history. As a result, it was found in detail that Gongju Women's Normal School and Gongju Normal School, the roots of Gongju National University of Education, were not established independently, but were obtained through strong aspirations and establishment movements of local residents, and sometimes "fighting" of sacrificial fundraising and cost investment. Other schools may be the case, but especially in the case of Gongju National University of Education, the school and the community have been able to maintain their reputation and reputation for a long time as they interact like this. Gongju area is a city that is recognized externally as an "educational city." The strongest background and foundation that forms the basis is the existence of a teacher training institution. Gongju National University of Education should be considered to have formed a deep bond with the local community as a university that performs a consistent purpose of fostering elementary school teachers. Therefore, the history of this Gongju shift cannot be considered entirely as that of Gongju shift. Some of the history can be regarded as for local residents.

      • 치매노인들의 공간인지와 보행행태, 동네 만족도에 영향을 미치는 근린환경특성 분석 : 용인시 기흥구 신갈동을 대상으로

        박주현 공주대학교 일반대학원 2020 국내석사

        RANK : 249647

        As the aging society increases, the number of dementia patients, one of the senile diseases, is increasing. Accordingly, research on dementia has been actively conducted in various fields. In addition, in order to overcome the problem of dementia, various policies such as the national responsibility system for dementia have been introduced, but in reality, the scope of such activities is limited, such as expansion of welfare facilities and improvement of program projects. In a situation where improvement measures for the elderly with dementia to live together in the neighborhood as members of society are vague, this study examined the behavioral characteristics of the elderly with dementia in the neighborhood to solve the dementia problem at the urban planning level. Accordingly, this study intended to develop a dementia-friendly neighborhood environment. Specifically, the area of ​​cognitive perception by the elderly with dementia, urban image, sphere of neighborhood life, walking behavior, neighborhood environmental factors affecting way-finding behavioand neighborhood environment affecting neighborhood satisfaction and quality of life. Based on analysis of these, the neighborhood environmental characteristics necessary for a dementia-friendly neighborhood environment were derived. This study analyzed the differences between spatial cognition factors and intelligibility between the elderly and the elderly with dementia. As a result, the two groups showed statistically significant differences in the elements with selective characteristics such as education, play, and rest. These results show that the range of selective activities is more limited in the elderly with dementia than in the general elderly because of the physical and mental characteristics of elderly with dementia and simple lifestyles. As a result of comparing the cognitive characteristics according to the cognitive map of the elderly and the elderly with dementia in the spatial type related to the development of cognitive ability, the elderly with dementia were 'scattered 42.86%' and 'mosaic 14.29%'. In the case of 'scattered', the elderly people tended to perceive the neighborhood centered on special landscapes, places, and landmarks, and it was confirmed that Kevin Lynch was highly aware of the 'landmark' element among the five city image elements. As a result, the elderly with dementia are considered to be aware of the space around factors that are meaningful or important to them. Next, we compared and analyzed GPS mapping drawings constructed based on our neighborhood range mapping data and daily logs to derive the difference in the range of pedestrian life and the characteristics of pedestrian behavior between the elderly and elderly with dementia. As a result of the analysis, 41.66% of elderly with dementia people only perceived the inside as our neighborhood. Compared to the general elderly (27.27%), it was found that the elderly with dementia had a smaller range of living than the elderly. After analyzing the actual range of activity using our neighborhood range mapping data and GPS data, the general elderly recognized about 21.8ha as their neighborhood in the perceived neighborhood range, and this was about 18.2ha for the elderly with dementia. In addition, as a result of analyzing the actual range of activities established based on the daily logs, the average range of activity of the elderly was 5.5ha, and the range of activity of the elderly with dementia was 4.4ha. The two groups differed in the perceived range of neighborhood life and actual walking activity, and the elderly with dementia perceived range of neighborhood life and walking activity were narrower than those of the elderly. In addition, there were statistically significant differences between the two groups in the walking distance according to the walking patterns. In addition, most of the facilities used in the neighborhood were using only welfare facilities, and the variety of facilities used was low. There was no statistical difference in the way-finding ability assessed by each individual with respect to way-finding, but valuating individual path finding ability in the third person perspective during the companion investigation, there was a statistically significant difference between the two groups in finding a destination and being confused. In addition, the dementia elderly took more time to find their route in the neighborhood, and the average walking speed was also slower than that of the general elderly. Regarding factors of path finding in the neighborhood, factors such as pedestrian environment, intersection, and roadway affected the path finding for the elderly with dementia, and it was found that the path was searched around specific facilities (landmarks). In addition, regarding finding a route in the neighborhood, the general elderly found routes mainly by reference to facilities, compared to finding a route using various criteria such as signs, buildings, streets, and places. These results indicate that the dementia elderly have poor spatial cognitive ability in the pathfinding process, and the neighborhood environment affects the dementia of the elderly. Regarding the neighborhood environment characteristics affecting the neighborhood satisfaction and quality of life of the elderly and elderly with dementia by using the structural equation model, the elderly people with dementia showed low neighborhood satisfaction and quality of life. In addition, the higher the comfort and familiarity, the higher the neighborhood satisfaction and quality of life. Next, we analyzed the neighborhood environment characteristics affecting neighborhood satisfaction by classifying the elderly and the elderly of dementia through the ordinal logistic regression analysis. As a result, the general elderly showed comfort and accessibility as a neighborhood environmental factor positively affecting the satisfaction of the neighborhood, and the showed that the comfort and familiarity affected the elderly of dementia. The two groups had a high level of satisfaction with the neighborhood when they felt comfortable in the neighborhood, and the general elderly had a higher level of satisfaction with the accessibility of major facilities appear. On that basis, it is judged that the neighborhood environment characteristics of accessibility had an effect on neighborhood satisfaction because the elderly had a higher chance of accessing various services in the neighborhood than the elderly with dementia. In the case of the elderly with dementia, the neighborhood environment characteristics of familiarity affected the satisfaction with the neighborhood because they were sensitive to changes in the environment and memory loss. 고령화에 따른 노령인구의 증가로 노인성 질환 중 하나인 치매 환자의 수도 함께 증가하고 있으며, 이에 따라 여러 분야에서 치매 관련 연구들이 활발히 진행되고 있다. 또한 치매 문제를 극복하기 위해 국가 차원에서는 치매국가책임제 등 다양한 정책이 도입되고 있지만, 실상은 복지시설의 확충 및 프로그램 사업의 개선 등 그 범위가 한정되어 나타나고 있다. 사회 구성원으로서 동네에서 함께 생활해야 할 치매노인에 대한 개선방안이 막연한 상황에서 본 연구는 치매 문제를 도시 계획적 차원에서 해결하기 위해 근린 내에서 나타나는 치매노인들의 행태 특성을 파악하고 치매친화적인 근린환경 조성방안을 마련하기 위한 연구를 진행하였다. 구체적으로 근린 내 치매노인들이 실제 인지하는 공간인지 구성요소 및 도시 심상이미지, 근린생활권 범위와 보행행태 특성, 길 찾기 행동에 영향을 미치는 근린 내 환경요인 그리고 동네 만족도와 삶의 질에 영향을 미치는 근린환경특성을 분석하였으며, 이를 바탕으로 치매 친화적인 근린환경 조성에 있어 필요한 근린환경특성들을 도출하였다. 본 연구에서는 일반노인과 치매노인의 공간인지 요소 및 명료도의 차이를 분석하였으며, 그 결과 두 집단은 명료도와 함께 교육요소, 놀이 및 휴게요소 같은 선택적인 특성을 갖는 요소에서 통계적으로 유의미한 차이가 나타났다. 이와 같은 결과는 치매노인의 경우 신체적, 정신적인 특성과 일정한 생활패턴으로 인해 일반노인보다 선택적 활동요소의 인지 영역이 한정적임을 보여준다. 일반노인과 치매노인의 인지도에 따른 인지 특성을 인지 발달과 연관이 있는 공간적 유형으로 비교한 결과, 치매노인의 경우 산재형 42.86%, 모자이크형 14.29%로 나타났다. 치매노인에게서 가장 많이 나타난 산재형의 경우 구체적인 결과를 살펴보면 치매노인의 경우 동네를 특수한 경관, 장소, 지표물 등을 중심으로 인지하는 성향이 강하게 나타났으며, 케빈 린치의 도시이미지 5요소 중 랜드마크 요소를 높게 인지하고 있다는 것을 확인하였다. 결과적으로 치매노인은 위상적으로 본인에게 의미 있거나 중요한 특징을 갖는 요소를 중심으로 공간을 인지하고 있는 것으로 판단된다. 다음으로 일반노인과 치매노인의 근린생활권 범위와 보행행태 특성 차이를 도출하기 위해 우리 동네 범위 매핑자료와 통행일지를 기반으로 구축된 GPS 매핑 도면을 비교 분석하였다. 분석 결과, 치매노인의 경우 41.66%가 단지내부를 우리 동네로 인지하고 있었는데, 일반노인의 경우(27.27%)와 비교하면 치매노인이 일반노인보다 생활영역의 범위가 작다는 것을 알 수 있다. 이어서 우리 동네 범위 매핑자료와 GPS 자료를 활용한 실제 활동 범위를 분석한 결과, 인지된 동네 범위에서 일반노인은 약 21.8ha를 우리 동네라고 인지하고 있었으며, 치매노인의 경우 약 18.2ha를 우리 동네라고 인지하고 있는 것으로 나타났다. 또한 통행일지를 기반으로 구축된 실질적인 활동범위를 분석한 결과 일반노인은 5.5ha로 나타났으며, 치매노인의 활동범위는 4.4ha로 나타났다. 이처럼 인지된 근린생활권 범위와 실제 보행 활동 범위에서 두 집단은 차이가 나타났으며, 치매노인의 경우 일반노인에 비해 인지하고 있는 근린생활권 범위와 보행 활동 범위 모두 좁은 것으로 나타났다. 또한 보행 패턴에 따른 이동거리에서도 두 집단은 통계적으로 유의미한 차이가 있었으며, 두 집단의 전체적인 보행 패턴과 주요 이용시설을 중첩해서 비교한 결과, 치매노인의 경우 실제 활동하는 반경이 좁고 사회적 활동이 일반노인에 비해 일관된 패턴으로 나타났다. 또한 근린 내에서 이용하는 시설을 보면 대부분 복지시설만을 이용하고 있었으며, 이용하고 있는 시설의 다양성이 낮은 것으로 나타났다. 길 찾기와 관련하여 각 개인이 스스로 평가한 길 찾기 능력은 통계적으로 차이가 없었으나 동행조사 과정에서 조사원들이 개별 길 찾기 능력을 3인칭 관점에서 평가한 결과 목적지를 찾는 것과 혼란스러운 모습에서 두 집단 간 통계적으로 유의미한 차이가 있는 것으로 나타났다. 또한 치매노인의 경우 근린 내 길을 찾는데 소요된 시간이 일반노인보다 길었으며, 평균 보행속도 또한 일반노인과 비교하였을 때 느린 것으로 나타났다. 근린 내 길 찾기 영향요인을 분석한 결과 치매노인의 경우 보행환경과 교차로, 대로와 같은 요인이 길 찾기에 영향을 미치는 것으로 나타났으며, 특정 시설물(랜드마크)을 중심으로 길을 찾는 것으로 나타났다. 또한 근린 내에서 길을 찾는 기준에서도 일반노인의 경우 간판, 건물, 가로, 장소와 같은 여러 가지 기준을 활용하여 길을 찾는 것에 비해 치매노인은 주로 시설을 중심으로 길을 찾는 모습이 나타났다. 이와 같은 결과는 치매노인의 경우 길 찾기 과정에서 공간인지 능력이 떨어지며, 근린환경이 치매노인의 길 찾기에 영향을 미치는 것으로 판단된다. 일반노인과 치매노인의 동네 만족도 및 삶의 질에 영향을 미치는 근린환경특성을 구조방정식 모형을 활용하여 분석한 결과, 치매노인의 경우 동네 만족도와 삶의 질이 낮게 나타났으며, 근린환경특성 중 편안함과 익숙함이 높을수록 동네만족도와 삶의 질이 높게 나타났다. 이어서 일반노인과 치매노인을 구분하여 동네 만족도에 영향을 미치는 근린환경특성을 순서형 로지스틱 회귀분석을 통해 분석하였다. 분석결과, 일반노인의 경우 동네 만족도에 긍정적인 영향을 미치는 근린환경요소로 편안함과 접근성이 나타났으며, 치매노인의 경우 편안함과 익숙함이 영향을 미치는 요소로 나타났다. 두 집단에서 공통적으로 근린 내에서 편안함을 느끼면 동네에 대한 만족도가 높았으며, 일반노인의 경우 주요 시설의 접근성이 높을수록 동네 만족도가 높았고 치매노인은 동네가 익숙하다고 느낄수록 동네에 대한 만족도가 높은 것으로 나타났다. 결과적으로 일반노인의 경우 근린 내 다양한 서비스를 접할 기회가 치매노인보다 높기 때문에 접근성이라는 근린환경특성이 동네 만족도에 영향을 미친 것으로 판단되며, 치매노인의 경우에는 치매노인의 특성상 환경의 변화와 기억 손실에 민감하기 때문에 익숙함이라는 근린환경특성이 동네 만족도에 영향을 미친 것으로 판단된다.

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