농촌 노인의 건강실태와 의료서비스욕구에 관한 연구

김숙자 원광대학교 2007 국내석사

본 연구의 목적은 농촌지역에 거주하는 노인을 대상으로 농촌 노인의 건강 실태와 의료서비스욕구를 실증적으로 파악하는 데 목적이 있다. 이를 위해 농 촌 노인을 대상으로 설문조사를 실시하였는데, 대상은 호남의 전형적인 농촌 인 정읍 시에 거주하는 노인으로 삼았다. 조사결과를 요약ㆍ정리하고, 우리나라 농촌 노인을 위한 보건의료서비스제 도에 시사하는 바와 그 정책적 의미를 분석하여 정리하면 다음과 같다. 첫째, 건강상태이다. 주관적 건강상태는 스스로 건강하지 않다고 생각하는 노인의 비율이 훨씬 높았다. 시력, 청력, 통증ㆍ불편감 등 기초적인 건강상태 도 좋지 않은 것으로 나타났다. 만성질병 유병률도 매우 높았다. 둘째, 건강관리이다. 건강의 관심도와 건강관리 비율이 높은 것으로 나타났 다. 건강관리 방법은 대부분 주변에서 구하기 쉬운 보약을 먹거나 걷기와 같 은 간단한 운동으로 건강관리를 하고 있는 것으로 확인되었다. 노후건강관리 에 관한 지식 보유율은 매우 낮았다. 예방접종율은 대단히 높았으나, 정기적인 건강검진율은 매우 낮았다. 병원 조력자나 간병인은 직계가족이 주류를 이루 는 것으로 나타났고, 주변의 도움을 전혀 받을 수 없다고 생각하는 노인도 일 정 정도 있었다. 감기 등 단기적인 질병에 걸렸을 경우는 대부분의 노인들이 보건소를 방문해서 해결한다고 응답하였다. 그리고 공공보건의료기관 이용율 도 대단히 높은 것으로 확인되었다. 셋째, 의료복지서비스이다. 노인의료복지서비스의 인지도와 만족도는 매우 낮았다. 희망하는 노인의료복지서비스는 장기요양보험, 노인무료건강검진제도, 노인전문병원, 노인요양시설 등 주로 노인의 수발(케어)과 관련된 서비스가 많 았다. 노인재가복지서비스에 대한 인지도와 만족도는 매우 높게 나타났다. 넷째, 교차분석 결과이다. 통계학적으로 의미 있는 것은 많지 않은 것으로 나타났다. 교차분석 결과 중 정책적으로 의미가 있는 것은 건강보험 종류별 차이점인데, 건강보험 종류가 노인의 사회경제적 지위를 잘 보여주는 변수란 점을 감안 할 때 의미가 있는 것으로 사료된다. 예를 들어 직장건강보험 대상 노인이 의료급여 대상 노인보다, 즉 노인의 사회경제적 지위가 높을수록 자신 의 건강에 대해 자신하는 비율이 높았고, 건강관리에 대한 관심도 높았으며, 최우선으로 원하는 노인의료복지제도에서도 의료급여 대상 노인은 의료급여의 확대를 가장 많이 원하고 있고, 직장 건강보험 대상 노인은 노인전문병원 지 역 내 설치를 가장 많이 희망하고 있으며, 지역 건강보험 대상 노인은 의료급 여 확대와 노인전문병원 지역 내 설치 양쪽을 원하고 있는 것으로 나타났다. 노인의 사회경제적 지위별로 희망하는 노인의료복지제도가 확연히 다르다는 것이다. 이러한 조사결과가 우리나라 농촌 노인 보건의료서비스정책에 시사하는 바 를 정리하면 다음과 같다. 첫째, 농촌 노인의 주관적ㆍ객관적 건강상태 모두 양호하지 않고, 건강관리방법 역시 별로 효과가 없는 것으로 나타났다. 유병률 도 대단히 높고, 고혈압, 관절염 등 만성적ㆍ기능적 질병을 많이 갖고 있다. 이러한 사실은 농촌 노인의 보건의료 욕구가 대단히 높다는 것을 의미한다. 따라서 농촌 노인을 위한 보건의료서비스를 확대하고 개선할 필요가 있다. 둘째, 노후건강관리에 관한 지식 보유율이 대단히 낮았고, 정기적인 건강검 진율도 매우 낮았다. 병원 조력자나 간병인은 배우자나 자녀 등 직계가족이 대부분이고, 도와줄 사람이 아예 없다는 노인도 일정 비율 있었다. 이러한 사 실들은 농촌 노인의 건강에 관한 지식을 향상시켜 줄 수 있는 프로그램과 정 기적인 건강검진 수검율을 높일 수 있는 방안이 강구되어야 하고, 간병인에 대한 대책도 필요하다는 것을 말해 주고 있다. 셋째, 농촌 노인의 공공보건의료기관 이용율이 대단히 높았다. 이는 농촌 노 인이 질병이 발생할 시 주로 공공보건의료기관에 의존하고 있다는 사실을 잘 말해 주는 것이다. 따라서 농촌 노인을 위한 공공보건의료기관에 대한 정부지 원을 더욱 확대할 필요가 있다. 넷째, 노인의료복지서비스제도에 대한 인지도는 매우 낮은 반면에 노인재가 복지서비스에 대한 인지도와 만족도는 매우 높은 것으로 나타났다. 수급대상 자인 노인이 노인의료복지서비스에 대해 잘 모르고 있다는 것은 문제가 있다. 따라서 노인의료복지서비스에 대한 홍보를 강화해야 한다. 그리고 노인재가복 지서비스에 대한 인지도와 만족도가 높은 만큼 앞으로 노인재가복지서비스를 질적으로나 양적으로 더욱 개선하여 농촌 노인에게 반드시 필요한 노인복지프 로그램으로 자리 잡도록 정부는 노력을 아끼지 않아야 할 것이다. Social welfare academy says that need is different from want. While want means emotional situation that something needed is lack, need means objective conditions that something needed and are evaluated by professionals, such as social workers, social welfare professors, economists and etc. For measuring need, the criteria must first be established and the categories in terms of which needs should be estimated or measured are by no means self-evident. Recently measuring health and welfare needs of the aged is becoming important in Korean society. The major reason is rise of the aged society and unprecedentedly high speed of ageing rate. The purpose of this study was to empirically survey health conditions and welfare needs of the aged in rural areas which have already become the aged society. For the purpose, 136 old aged living in rural areas of Jongeup City were sampled and interviewed to collect informations about health conditions and medical needs for a questionnaire. On the basis of previous studies on health needs and current living conditions of the aged, the questionnaire consists of 45 items. Data was collected using questionnaires and analyzed by frequency, X² and t-test. On the results of this survey, health conditions and medical needs of the aged in rural areas are summarized as follows; First, subjective and objective health conditions of the aged living in rural areas are weak and poor. Most of them have chronic deceases and high rates of sickness. Second, they have poor knowledge about health conditions, and only a few aged persons are regularly checking their health conditions. Third, they heavily depend on the public health institutions such as public health clinics and local branches of public health clinics. Fourth, they don't know about social welfare systems for the aged well, but know about in-home service programs for the aged and are satisfied about them.

구강 감각·운동 훈련이 뇌성마비아동의 구강운동 기능과 씹기 및 침흘리기에 미치는 영향

김숙자 우석대학교 교육대학원 2003 국내석사

This study aimed to find out the effect of the oral sensory · motor training on oral motor function, chewing and drooling in children with cerebral palsy; three children(A, B, C) of cerebral palsy with 2 - 4 years of age, who were selected through oral motor function tests, were given the training of oral sensory · motor training (touching stimulus on oral - facial, chewing movement with tongue, lips and jaws) for 30 periods of time, and the time needed for 1 period was 20 minutes. The conclusions that go after the results obtained through the procedures in the above are like the following. First, the oral sensory · motor training has had affirmative effects on the oral motor function of the children with cerebral palsy. When seeing the subordinate realms, before the oral sensory · motor training, there were abnormal muscle tone, reflective movement or no response toward food at all; however, after the training, enhancement in controls of jaws, lips and tongue led to another progress in performing functions of jaw closing, lip closing, decrease of the amounts and frequency of food loss when swallowing food, and the chewing has been progressed up to a functional movement. Second, the oral sensory · motor training has had affirmative effect on the chewing frequency enhancement of the children with cerebral palsy. In chewing, the testee children did not have any response to the food but had tonic bite reflex action, and that caused depreciation in chewing; but since the training, chewing frequency has been increased by the enhancements of the controls of the tongue and jaws, even though there were differences in chewing frequency according to the qualities of the food. Before the training, the child A showed 1 chewing when cookies were given; but after the training, the frequency was increased to 23 times; in case of jelly, he showed 43 times of chewing, the highest enhancement; in case of B and C, chewing cookies showed the enhancement of chewing frequency; but in case of jelly, there was little change. Third, the oral sensory · motor training has had affirmative effects on decreasing the amount and frequency of drooling of the children with cerebral palsy. The amount and frequency of the drooling were decreased because of the enhancement of the control of the lips and jaws and swallowing. The testee children continuously salivated before the training; after the training, the child A showed no more salivation and he could control the salivation by verbal instruction; in case of the child C and B, the amount and the frequency of drooling were decreased to the least degree as to wetting lips only.

환에 관한 몇가지 성질과 Banach algebra의 예

김숙자 전북대학교 1986 국내석사

인과관계 연결어미 '-어서'와 '-니까'의 교수·학습 방안 연구

김숙자 한성대학교 대학원 2013 국내석사

인과관계 연결어미 ‘-어서’와 ‘-니까’는 대부분 초급 단계에서 형태적 특성과 통사적 특성을 중심으로 학습이 이루어져 왔기 때문에 학습자들이 ‘-어서’와 ‘-니까’를 변별하여 사용하는데 많은 어려움이 있었다. 이에 본 논문에서는 초급 단계에서 ‘-어서’와 ‘-니까’의 의미·형태·통사적 특성을 분석하여 교육 내용을 제시하고 중급 단계에서는 형태·통사적 특성뿐만 아니라 의미·화용적 특성을 중심으로 반복·심화 학습할 수 있는 교수·학습 방안을 제시하여 학습자들이 실생활에서 ‘-어서’와 ‘-니까’를 변별하여 자연스럽게 표현하고 이해할 수 있도록 하는 데 목적이 있다. ‘-어서’와 ‘-니까’의 국어학 이론은 통사적 특성과 화용적 특성을 중심으로 전개되어 있었지만 화용적 특성은 의견이 분분하여 정립되지 않은 상태이다. 반면에 한국어교육학 이론은 대부분 의미·화용적 특성 보다는 통사적 특성 중심으로 실제적인 교육 방안에 초점을 두고 있다. 그러므로 본 연구에서는 국어학과 한국어 교육학에서 그동안 잘 활용되지 않았던 ‘-어서’와 ‘-니까’의 화용적 의미에 대한 필요성을 강조하고, 나아가 이를 활용한 실제적인 교육 방안을 구축하고자 하였다. 이를 위해 ‘-어서’와 ‘-니까’의 통사적 특성과 의미·화용적 특성을 살펴보고 초급 단계와 중급 단계로 나누어 교수·학습 방안을 모색하였다. 초급 단계에서는 ‘-어서’와 ‘-니까’의 개별 교육 내용으로 한 의미적 특성, 형태적 특성, 통사적 특성으로 나누어 분석하였다. 중급 단계에서는 초급의 교육 내용의 간단한 반복 학습과 의미·화용적 특성을 중심으로 한 교수 모형을 제시함으로써 실제적인 교수·학습 방안을 마련하고자 하였다. 【주요어】한국어교육, 연결어미, 인과관계, ‘-어서’, ‘-니까, 교재 분석, 통사적 특성, 화용적 특성, 교수-학습 방안

초등학교 시 창작 교육 방법 연구

김숙자 한남대학교 2010 국내박사

Poetry-writing education in elementary school is a pedagogical approach for realizing true education, which aims to help children have big dreams, enrich their feelings and emotions and ultimately make them tolerant and generous individuals. In this respect, the educational significance of poetry-writing on children's development seems fairly considerable. However, it is unfortunate that children just read and understand the meaning of poems offered in the textbook, not even try to write a poem in poetry class. Now 'writing literary works' is a matter of grave concern in the 7th national curriculum and its revised one. So according to this educational trend, poetry-writing education also should be developed in more desirable and various ways, and the instructional approaches to writing poems need to be diversified. Recently, by the influence of 'process-based writing', a variety of writing techniques have been introduced and commonly used in class, such as mind-mapping and brainstorming. Yet, children are not likely to write their own literary work through working on those writing techniques even though those are useful methods for content-generation of literary work, because these writing works tend to end up as activities which are steps for, but not connected to process-writing ultimately. Writing literary works is for emphasizing the value of literary works and boosting the production of literary works by helping children experience various works and actively try to write a piece of their own poetry, not for raising poets. Through this process, children can understand steps of poem formation and approach the essence of poetry more easily. The purposes of teaching poetry and making children write a poem are to enrich children's lives, develop their linguistic competence, and finally lead them to live full lives through developing their ability to look at literature. Writing literary works aims at developing 'self-directed learning' of children in order for them to communicate with and understand other cultures. For that purpose, it is necessary to investigate and design the instructional methods and models for creative writing, and always keep in mind that creativity should take priority over completion in poetry-writing So, this study investigated useful teaching techniques and suggested the followings for more systematic and versatile poetry-writing education: techniques through image construction, metaphoric expressions, experience inferences, imitation, use of media, portfolio and cooperative learning. And consequently, it is expected that there will be the poetry-writing education that are oriented to both understanding and expressing the genuine intentions of writers, not that focus on technicalism.

호텔의 내부마케팅이 종사원의 감정노동과 서비스 제공수준에 미치는 영향 연구

김숙자 우송대학교 경영대학원 2012 국내석사

대전은 국토의 중심지에 위치하고 있어 전국 규모의 각종대회와 국제행사가 특별한 생산시설이 없는 대전지역 경제에 매우 중요한 역할을 한다. 특히 대전컨벤션센터의 개관으로 인한 국제회의 참가자의 수요를 충족시켜주기 위해 경쟁이 치열해지면서 호텔기업은 경쟁수단으로 고객을 위한 더 나은 서비스 제공에 많은 관심을 기울이고 있다. 대전지역의 호텔기업은 치열한 경쟁 상황, 고객선호의 다양성 욕구, 정보기술의 혁신, 세계화 등으로 무한경쟁시대 속에서 기업으로서의 존립기반과 안정적인 기업이윤을 추구하기 위해 적극적인 마케팅활동을 하고 있다. 특히 호텔산업은 인적서비스의 의존도가 대단히 높고 고객들의 요구사항은 정당하고 당연히 받아들여야 한다는 사고가 보편적이다. 대인접촉을 해야 하는 서비스업 종사원의 경우 이들의 직무활동에서 행동이나 노동결과물 뿐만 아니라 개인의 감정, 사고, 의도 등도 통제의 대상이 된다.

朝鮮朝 陶磁에 關한 硏究 : 粉靑沙器를 中心으로

김숙자 建國大學校 敎育大學院 1985 국내석사

It is known that the ceramic arts and crafts of our country are devided into two big eras : Koryo dynasty is called era of "Blue Porcelain" and Yi dynasty is called era of "White Porcelain" because "White Porcelain" is the principal production of that period. Yi dynasty which succeeded Koryo, because of the environment of the time, could only produce the "Punchong Porcelain". It is only later that the White era came to the surface. So one can say the Punchong played the bridge between the Blue and the White ages of porcelain. While the Blue Porcelain is decorative, the porcelain of Yi dynasty is popular in its usefulness and the ceramic arts and crafts took forms from the life of common people. The craftsmen of Yi produced the porcelains with genuine technics and their sentiments were expressed so simply and naturally through their arts that their products became the form of ceramic arts of Yi dynasty. During 15th and 16th Century due to the practice of Confucianism the demand of the Punchong porcelains grew rapidly and it exceeded the supply. So this is the period when the Punchong was most prosperous using various materials available, and appeared as an art form of its own. But the quality because of its mass production left much to be desired. The ceramic arts and crafts passed from the culture of the nobility of Koryo characterized by its subtlety into the culture of common people of Yi dynasty characterized by its simple beauty. The typical porcelain of Yi dynasty that lasted 500 years, however, remains still the White. In the "Pure White porcelain" regarded as the best by the high society of 15th century, the influence of Myong dynasty of China is clearly visible, but the elegance and the simplicity of Yi dynasty gave a typical art form to the White Porcelain of this period. Around 15th century Korea and China were the two big porcelain making countries in the world. In "Archives of Sejong" and "Review of Geography", it is said 136 official ceramic factories were spread all over Korea and the number of factories making Punchong porcelain reached to 185. But these factories had suffered misfortune by the Japanese invasion in 1592. Factories were destroyed or stripped off by the invasion, production of porcelains was paralyzed, and Punchong porcelains which had two hundreds years of tradition ceased to be manufactured. The Japanese invaders loved the porcelains of Korea. So they captured hundreds of Korean ceramists and they took them to Japan with equipments and utensils needed for the porcelain making. This is the beginning of ceramic arts and crafts in Japan. In Japan of 17th century Korean ceramists were producing porcelains, building factories in Kyu Shu Island. In Korea the interruption of the production of Punchong porcelain is continued by other kinds of porcelains such as "Pure White Porcelain" and "White Porcelain with Blue Pictures". These White porcelains were produced in the local factories of Kwangju county in Kyung Ki Province, As the decline of Yi dynasty approached, the official factories faced the financial difficulties. In 1883 (19th year of Ko Jong) Government owned factories were transferred to private hands and they made an attempt to import the procelains from Japan, but failed. Porcelain of Yi dynasty having the characteristics such as simplicity and the gracefulness, the nature of Korean people who love peace and tranquility is well expressed through the porcelains. Division of ages in the development of Yi dynasty's porcelain is as follows : - Early period - Golden age of "Punchong Porcelain" (ca.100years) - Mid period - Age of "White Porcelain" (ca. 150 years) - Later period - Golden age of "White Porcelain with Blue pictures" (ca. 200 years) - Last period - Decline of "White Porcelian with Blue Pictures" (ca. 50 years) This study has an objective of proving that the ceramic crafts of Yi dynasty are truly an art and that the Punchong porcelain of early period of Yi dynasty is the production resulting from the creativity and wisdom of Korean people through his craftsmanship. The Punchong procelain of Yi dynasty with its color, pattern and usefulness takes a special place in the history of ceramic arts and crafts of Korea. This study also examined the general development of porcelains of Yi dynasty, by studying the characteristics, the historical background, the classification of technics, the evolution, the variety of patterns and the factories concerning the "Punchong Porcelain". As a conclusion, the "Punchong Porclain" is the production of Korean people whose life is simple and humble obeying the law of nature and possessing the natural creativity that originated a new form of Art. We who received such a great heritage from our ancestors should not imitate what they have done but try to adapt ourselves to our time in order to creat new forms of arts and crafts that should be useful to all of us.

살풀이 춤의 硏究 : 살풀이 춤의 根源과 生成過程을 中心으로

김숙자 수도여자사범대학 1978 국내석사

부부의 맞벌이 환경이 유아의 정서지능에 미치는 영향

김숙자 신라대학교 2005 국내석사

At a time when double-income families are on the increase amid societal changes, this study examined how parents' child-rearing styles influence the emotional education of children. This study in particular focused on: first, whether the emotional intelligence of preschool children of dual-income families differs depending on general tendency, sex, and age; second, whether the emotional intelligence of preschool children of double-income families differs depending on both parents' working periods and preschool attendance periods. The subjects of this study included 180 children of double-income families who are aged three, four or five and attending preschools located in Busan, South Korea. This study used the Preschool Children Emotional Intelligence Evaluation Tool by Teacher Evaluation developed by Lee et al.(2000). This tool used a questionnaire consisting of questions developed based on 16 elements that include the four emotional intelligence domains of Mayer and Salovey (1997) (i.e. emotional recognition and expression; thought promotion by emotion; use of emotional knowledge; and reactive adjustment of emotion) and the four sub-levels of each domain. This study represents a research conducted using questionnaires. The study optionally selected eight private preschools in Busan that have classes of three-, four-, and five-year-old children and asked teachers to assess the evaluation scales presented in the Preschool Children Emotional Intelligence Evaluation Tool by Teacher Evaluation. Data analysis was conducted using the SPSS Win 10.1 program. In addition, the differential test by the one-way layout ANOVA was conducted to investigate whether the emotional intelligence of children differs depending on age, sex, both parents' working periods, preschools, and preschool attending periods. The major results of this study can be summarized as follows: With respect to the general characteristics of the subjects, the research was conducted on the three-, four- and four-year-old children of double-income families who are attending eight private preschools in Busan and the male and female children accounted for 52.2 percent and 47.8 percent, respectively. First, there was no significant difference in the emotional intelligence depending on sex of the preschool children of double-income families. Second, there was significant difference in the emotional intelligence depending on age of the preschool children of working couples. The one-way layout ANOVA showed that the emotional intelligence increased with the increase in age. Third, the emotional intelligence of the preschool children of dual-income families was not influenced by the couples' working periods. Fourth, there was no difference in the emotional intelligence depending on the preschool attending periods of the preschool children of working couples. In conclusion, the investigation of the emotional intelligence sub-factors of the double-income family children showed that the emotional intelligence increased with the increase in age but that both parents' working periods and children's sex and preschool attending periods had no effect on the children's emotional intelligence. This means that both parents' working is irrelevant to children's emotional intelligence. Accordingly, this study found a positive aspect that both parents' working does not necessarily get in the way of child education.

간호사의 직무만족도와 이직의사에 관한 연구

김숙자 고려대학교 1992 국내석사