http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
북한이탈주민에 대한 정착지원정책 합리화의 함의도출을 위한 인식조사
장인봉(張仁鳳)(In-Bong Jang) 경인행정학회 2010 한국정책연구 Vol.10 No.3
본 연구는 문헌연구방법을 통해 북한이탈주민들의 현황 및 우리 정부의 정착지원방안에 대한 분석과 함께 북한이탈주민들의 남한생활과 정착지원방안에 대한 인식조사를 통하여 정착지원정책의 합리화를 위한 구체적인 정책적 함의를 도출해 보고자 하였다. 본 연구의 주요 결과와 그에 대한 정책적 함의를 논의하면 다음과 같다. 첫째, 북한이탈주민들의 성공적인 남한사회 정착 및 통합을 위해서는 먼저 그들 스스로의 정체성 확립이 우선되어야 한다. 둘째, 북한이탈주민들이 우리 사회에서 사회경제적으로 어려움을 겪는 것은 남한 내 사회적 연결망이 부족하기 때문이므로 사회적 연결망을 확충함으로써 남한사회 내 대인관계 적응력을 높여 주어야 한다. 셋째, 북한이탈주민의 정착 및 통합을 위해 가장 중요한 전제는 경제적 자립이므로 경제적으로 적응하도록 지원하는 것이 가장 중요하며 우선시되어야 한다. 넷째, 북한이탈주민들이 느끼는 우리 정부의 정착지원제도의 만족도를 높이기 위해서는 일시적이고 임시방편적인 지원정책이 아닌 장기적 자립 정착을 유도할 수 있는 방향으로 지원정책이 원칙과 일관성을 가지고 지속되어야 한다. 마지막으로, 북한이탈주민의 남한사회 정착 및 통합을 위해 정부는 지방정부는 물론이고 NGO 또는 민간단체, 기업 등과 파트너십 형성을 통해 거버넌스적인 입장에서 다양하게 북한이탈주민문제에 접근해야 한다. 결국 북한이탈주민문제의 해결에 있어서 잊지 말아야 할 측면은 그들을 우리 사회 내에 정착 및 통합하기 위한 역할주체들 즉, 중앙정부, 지방정부, 시민단체 및 민간단체들, 기업들과의 지역사회 거버넌스 체제의 형성과 함께 이를 통한 북한이탈주민 스스로의 자율적 문제 해결 영역의 확대라고 할 것이다. On November, 2010, the count for North Korean Refugees in South Korea was 20,000. In the near future it is predicted that the number of refugees will increase to an extraordinary number as 30,000. In the past when the count of refugees was at a low number, the government had control and support system for the refugees, which gave little concern to the civilized people. However now the number has risen so highly that the government cannot give the same treatment to their problems nor can they supply their needs. If the refugees are accepted into the society, they are soon accustomed to the South Korean lifestyles and given the same rights as those within the society. Actually helping the refugees means volunteering time and allowing them citizenship into the country. This is a process that is to take a long time, therefore the government, the citizens and the society has to give effort in order for this is to become possible. This study results suggest that priority in North Korean Refugees settlement support program should be placed on mental health support such as depression counselling program rather than vague nonspecific efforts to enhance life satisfaction.
일부 농촌 지역 노인 만성질환자 가족의 부담감에 관한 연구
장인순,Jang, In-Sun 한국가정간호학회 1995 가정간호학회지 Vol.2 No.-
The purpose of this study was to analysis level on family caregiver's burden for the elderly with chronic disease in a rural area and to choose priority care group, thereby facilitating the development of interventions to reduce the caregiver's burden. For this purpose, data were collected by questionaire from June 10 to October 8, 1994. The instruments for data collection were Caregiver Burden Inventory by Novak(1989) and Zarit et al(1982), severity of dementia by Hughes Scales(1982), ADL by Lawton(1971), patients' family caregiving activity by pre-survey and reference review(Lee, 1993 ; Jang, 1990 ; Yoo, 1982). The subjects were 213 family caregiver of elderly with chronic disease in a rural area. The data was analysed by the use of t-test, ANOVA, correlation and multiple regression. The results were as follows ; 1. Total burden was evaluated below average, the mean of family burden was 46.98. By the diagnostic classification, Hypertension was 27.37, DM 32.46, CVA 62.96, Dementia 61.24. 2. Significant variables which were correlated to the family caregiver's burden were the patient's disease diagnosis (F=33.82, p<0.001), severity of dementia(F=30.52, p<0.001), the status of disease management(F=11.53, p<0.001), ADL(F=10.54, p<0.001), PADL(F=7.50, p<0.001), income(F=7.17, p<0.001), caregiver's health status(F=24.53, p<0.001), a view of patient's prognosis (F=22.17, p<0.001), relationship with the patient(F=33.82, p<0.001), the number of hours per day spent on caregiving(F=77.52, p<0.001), level of intimacy of caregiver and patients(F=8.75, p<0.001), level of helping(F=4.90, p<0.01), the frequency of caregiving activity(F=3.80, p<0.01), the number of admission(F=5.54, p<0.01), the length of caregiving(F=4.43, p<0.01), other chronic patient in family(t=2.81, p<0.01), caregiver's job(F=3.11, p<0.01), the duration of illness(F=2.98, p<0.05), caregiver's religion(F=2.93, p<0.05), medical security(F=3.89, p<0.05), caregiving's helper(t=2.42, p<0.05). 3. PADL was the most important predictor to family caregiver burden(R2=0.6611). In addition to this, IADL, caregiver's health status, the length of caregiving. level of intimacy of caregiver and patients, patient's age, the patient's disease diagnosis and patient's job accounted for 76% of family caregiver burden. 4. The criteria of priority care group were as follows ; the mean of family caregiver burden was above 58, above of moderate ADL, the number of hours per day spent on caregiving above of 8 hours, above of moderate dementia. By the diagnostic classification, number of priority care group, Hypertension was 4 (8.0%), DM 4(8.0%), CVA 34(64.1%), Dementia 45(75.0%).
장인석 ( In Seok Jang ),박준범 ( Jun Beom Park ),홍석호 ( Seock Ho Hong ),김정훈 ( Jeong Hoon Kim ),김창진 ( Chang Jin Kim ),이정교 ( Jung Kyo Lee ) 대한뇌종양학회 2005 대한뇌종양학회지 Vol.4 No.2
Objective£ºMalignant meningioma constitutes a rare subset of meningiomas and it is difficult to manage them. There has been continuing debate on the subject of malignant meningioma, but few studies of large series have been reported. We studied the local control and survival rates of patients with this aggressive meningioma. Method£ºPathologically proven 28 malignant meningioma patients were retrospectively reviewed. Surgical specimens were re-examined blindly by neuropathologist without any patient information, and the diagnosis of malignant meningiomas was based on the 2000 World Health Organization classification of tumors of the nervous system. Extent of surgical resection was determined according to Simpson`s classification by reviewing the chart and postoperative scan if possible. Various factors concerning outcome were analyzed. Results£ºTen(35.7%) had local recurrence during the follow-up, of which 7(35.0%) of 20 complete excisions and 3 (37.5%) of 8 incomplete excisions. The overall 3-, 5-, and 10-year local control rates were 67.0%, 62.3%, and 54.5%, respectively. Eight(28.6%) died during follow-up period. The overall 3-, 5-, and 10-year survival rates were 77.0%, 72.8%, and 63.7%, respectively. The extent of surgical excision was one of the important significant prognostic factors not for local control but for survival(p=0.3020 and 0.0314, respectively). Extracranial metastasis was not seen in our cases. Conclusion£ºComplete surgical excision was the most important factor in improving survival. We consider that the administration of adjuvant radiotherapy following initial resection is crucial to long-term control. Careful long-term follow-up is mandatory because malignant meningioma shows a broad range of aggressiveness and natural history.