Earticle

본 연구의 목적은 최소의 시간으로 또래상담자를 양성하고 이들을 배척아동에 대한 멘토로 활용하여 배척아동의 사회적지위를 향상시키는데 있었다. 이를 위하여 멘토아동 5명이 배척아동 5명을 대상으로 번갈아가면서 멘토역할을 수행했지만 배척아동의 사회적지위는 거의 변화되지 않았다. 더욱이 멘토로 활동한 아동들마저 사회적지위 유형이 하락하여 본 연구의 일차적인 목적은 달성되지 못하였다. 그러나 멘토활동과 같은 학급집단내 촉진적 활동은 학급아동의 개인선택수를 증가시키는 것으로 나타났다. 이러한 변화는 여자아동보다 남자아동이 뚜렷하였다. 여자아동들은 학급집단의 촉진적 활동과는 다소 무관하게 자기들 나름데로 고유한 변화와 방향이 있는 것으로 보였다. 따라서 초등학교 5학년 수준의 아동은 성별간에 학급역동이 서로 다를 가능성이 시사되었다. 성별에 따른 학급역동의 차이와 행렬표에 나타난 선택 및 배척의 방향을 종합해 볼 때, 사회성측정은 동성간지명을 사용해야 할 것으로 판단된다. 또한 본 연구의 전체적 결과로 볼 때 배척아동에 대한 개인문제별 처치접근과 담임교사가 교과와 연계한 배척아동의 중재방법을 연구할 필요성이 있다.

The purpose of this study is to train peercounselors within the minimum period and use them as mentors for rejected children in order to raise the social status of those children. To do so, five mentors were assigned to five rejected children but their social status did not show significant difference. Not only that, even the social status of the mentors was decreased so the primary purpose of this study was not achieved. However, the activities in the class such as the mentor activity increased the choices that students can get. These changes were definite in the male student groups rather in female student groups. Female students had their own way of change and direction regardless of the class activities. Therefore, there is a possibility that 5th graders in the elementary school have different classroom dynamics according to their genders. The different classroom dynamic by genders and the choice and direction of rejection shown in the matrix table indicate that it is proper to use same-sex peer nomination for sociometry. Also, the results of this study raise the necessity for further studies regarding individual approaches for rejected children and the intervention methods that teachers use for those children.

Purpose: The transtheoretical model (TTM) was used to provide tailored nursing for lifestyle management such as diet, physical activity, and smoking cessation. The present study aims to assess the provision of intervention delivery methods, intervention elements, and stage-matched interventions, in order to identify ways in which information technology is used in the TTM-based research. Methods: The relevant literature was selected by two researchers using inclusion criteria after searching for “TTM (transtheoretical or stage of change)” and “nursing” from the databases PubMed and CINAHL. The selected studies were categorized in terms of study characteristics, intervention delivery method, intervention element, and use and level of stage-matched intervention. Results: A total of 35 studies were selected including eight studies that used information communication technology (ICT). Nine different intervention delivery methods were used, of which “face-to-face” was the most common at 24 times. Of the 35 studies, 26 provided stage-matched interventions. Seven different intervention elements were used, of which “counseling” was the most common at 27 times. Of all the intervention elements, tailored feedback used ICT the most at seven instances out of nine, and there was a significant difference in the rate of ICT usage among intervention elements. Conclusions: ICT is not yet actively used in the TTM-based nursing interventions. Stage-matched interventions and TTM concepts were shown to be in partial use also in the TTM-based interventions. Therefore, it is necessary to develop a variety of ways to use ICT in tailored nursing interventions and to use TTM frameworks and concepts.

Purpose: To sustain behavior change, an intervention strategy that considers the contribution of affect to daily physical activity behavior regulation is needed. Although virtual reality-based physical activity interventions have the potential to improve emotional status, interventions using virtual reality videos in a free-living environment are lacking. This pilot study assessed the feasibility and preliminary efficacy of a home-based intervention using 360-degree virtual videos and wearable activity trackers to improve mood and physical activity. Methods: A one-group pilot study of 12 middle-aged migrant women asked participants to watch virtual reality videos and perform moderate-intensity walking 5 days per week for 4 weeks, then complete surveys and focus group interviews. The intervention’s feasibility and preliminary efficacy were assessed by examining recruitment, retention, adherence, acceptability, mood, physical activity, and exercise self-efficacy. Results: A word-of-mouth approach was effective for recruiting participants. Although the weekly intervention adherence rate ranged from 53.5% to 83.5%, retention (92.3%) and acceptability (91.7%) were high. Participants were satisfied with the “visual status indicators,” “sense of accomplishment and confidence,” “emotional engagement and sense of presence,” “joy from exercise,” “external motivation through supervision,” “easy to control virtual reality device,” and “extra benefits” of the intervention. Participants had significant decreases in negative affect (p=.016). Positive affect, physical activity, and exercise self-efficacy showed trends toward improvement. Conclusion: This home-based intervention employing virtual reality videos and Fitbit activity trackers is feasible and shows preliminary efficacy in improving mood. Further research is warranted to evaluate its effectiveness in a more rigorous randomized controlled trial.

본 연구는 한국에서 점차 증대되고 있는 장애영아 발달지원의 필요성에 의해 독일에서 효과적으로 사용되어온 J. Kiphard 심리운동연습처치(PMÜ)를 장애영아 조기중재 방법으로서 적용 가능성을 연구하는 것을 목적으로 한다. 이를 위해 첫째, 독일 심리운동연습처치의 문헌 및 선행연구를 탐구하였다. 둘째, 장애영아의 신체, 인지, 언어, 사회성 발달과 관련된 문헌 및 선행연구를 분석하였다. 셋째, 위 연구를 바탕으로 심리운동연습처치를 적용한 장애영아의 조기중재 실행방법을 구체적으로 제시하였다. Kiphard 심리운동연습처치의 초기 움직임인 감각-신체도식 연습, 신중함과 자기통제 연습, 리듬-음악적 연습, 조작하고 수행하는 연습을 구조화해 구체적으로 장애영아의 발달을 지원하는 체계를 갖도록 하였다. 이러한 시도는 심리운동연습처치가 장애영아의 전반적인 발달을 지원할 수 있는 효과적인 조기중재 방법임을 시사한다. 본 연구는 독일에서 활발하게 적용하고 있는 심리운동연습처치를 소개하여 한국에서의 장애유아의 조기중재 방법에 대한 다양성을 제시하고, 향후 한국에서 구체적으로 적용할 수 있는 프로그램 개발과 효과성 연구의 기초가 될 것이다.

The purpose of this study is to study the possibility of applying J. Kiphard’s Psychomotorik practice treatment method(PMU), which has been effectively used in Germany, as a method of early intervention for infants with disabilities due to the increasing need for development support for infants with disabilities in Korea. To this end, first, literature and prior research on Psychomotorik practice treatment method in Germany were explored. Second, literature and prior studies related to the development of physical, cognitive, language, and social skills of infants with disabilities were analyzed. Third, based on the above study, the method of implementing early intervention for infants with disabilities applying Psychomotorik practice treatment method was specifically presented. The initial movements of Kiphard's Psychomotorik practice treatment method were sensory-body diagram exercises, prudence and self-control exercises, rhythm-musical exercises, and manipulation and performance exercises to have a system that specifically supports the development of disabled infants. These attempts suggest that psychomotor training is an effective early intervention method that can support the overall development of disabled infants. This study presents the diversity of early intervention methods for infants with disabilities in Korea by introducing Psychomotorik practice treatment method applied in Germany, and the basis for the development of programs and effectiveness studies that can be specifically applied in Korea in the future will be.

목적 : 본 연구는 노인의 허약 관련 요소들이 인지 저하와 어떤 상관관계가 있는지에 대한 체계적 문헌고찰을 실시하고 허약 노인의 중재를 위한 기초 자료를 제공하고자 한다. 연구방법 : 2011년 1월부터 2021년 1월까지 PubMed, Embase, CINAHL을 사용하여 최종 8편의 무작 위대조시험(RCT) 연구를 선정했다. 중재를 진행한 실험연구와 중재를 진행하지 않은 관찰 연구 모두 수집했으며, 노인 허약 및 인지 저하의 위험요소에 대항하여 기능 향상에 도움이 되는 중재법을 고찰했다. 결과 : 허약 노인의 위험요소인 골격근, 염증, 영양, 우울증, 호르몬은 인지 저하와 연관성이 있는 것으로 나타났으며 중재는 신체 운동, 식이 조절, 문제 해결 요법을 각각 단일로 적용한 것과 다영역으로 적용한 것으로 구분된다. 결론 : 본 연구를 통하여 노인 허약 요소들이 신체 능력 감소와 더불어 인지적 취약성에 미치는 영향을 확인했다. 또한 두 영역을 포함한 복합적인 다영역 중재가 유용한 전략이 될 수 있음을 확인했다. 신체, 인지, 영양을 포함한 다영역 중재로 노인 허약의 예방 및 중재 방법을 제시한다.

Objective : The purpose of this study was to examine how frailty-related factors in older adults correlate with cognitive decline and provide basic data for multidisciplinary mediation in older adults. Methods : We searched the PubMed, Embase and CINAHL databases, from January 2011 to January 2021. Eight randomized controlled trial were found. Both clinical trial studies that conducted interventions in research and observation studies without intervention were collected, and the interventions were considered to help guard against the risk factors of frail elderly and cognitive decline. Results : Skeletal muscle, inflammation, nutrition, depression and hormones which were the risk factors of frail elderly were analyzed, and the defects were found to be physically and cognitively related. The single intervention about physical exercise, diet, PST was allied separately and included all of these, multidisciplinary intervention was confirmed. Conclusion : Through this study. we identified that the factor of frail in older adults could reduce physical ability and it made cognitive decline. We also confirmed multidisciplinary interventions including those two domains, that focus on the body, cognition, and nutrition can help prevent frail syndrome.

Purpose: This study compared nursing frequency, nursing time, and nursing intervention priorities depending on the method of neonatal induced hypothermia. Methods: We observed 15 neonatal subjects receiving therapeutic hypothermia for 3 days each. Forty-five nurses experienced with nursing neonatal patients under therapeutic hypothermia provided responses about nursing intervention priorities. Analyses with the chi-square, the Fisher exact test, the paired t-test, the Wilcoxon signed rank test, and the Wilcoxon rank-sum test were performed on the data using SAS version 9.4. Results: The frequency of nursing activities was higher for selective head therapeutic hypothermia (SHTH) than for systemic therapeutic hypothermia (STH), and nursing time was also significantly longer. In terms of nursing intervention priorities, there were priority differences in "risk for ineffective thermoregulation" and "risks for impaired skin integrity" for SHTH compared to STH. Conclusion: Since SHTH for neonatal therapeutic hypothermia requires more nursing time and frequent nursing activities than STH, STH is therefore recommended if the therapeutic efficacy is similar. Appropriate nursing personnel should be allocated for neonatal SHTH nursing. Nurses should be aware of nursing interventions for therapeutic hypothermia as the priorities are different for different methods of neonatal therapeutic hypothermia.

본 연구는 재난 대응 인력을 대상으로 심리교육과 심신중재요법을 결합한 단기 집단 심리개입 프로그램 ‘마음, 쉼표’의 효과성을 검증하였다. 연구 대상은 ‘마음, 쉼표’ 프로그램 참여자(실험군)와 동일 기간 중 국가트라우마센터에서 실시한 재난 정신건강 교육 프로그램에 참여한 집단(대조군)으로 구성되었으며, 비동등성 대조군 전후 설계를 적용하였다. 총 63명(실험군 29명, 대조군 34명)을 대상으로 사전, 사후, 1개월 추적 시점에서 반복측정 자료를 수집하였고, 혼합효과 선형 회귀 모형으로 분석하였다. 또한 실험군 참여자 5명을 대상으로 심층 면담을 실시하여 프로그램 참여 경험과 변화 과정을 질적으로 분석하였다. 분석 결과, 실험군은 대조군에 비해 외상 후 스트레스 증상 및 신체증상이 추적 시점에서 유의하게 감소하였으며, 건강관리 자기효능감과 신체자각은 사후 또는 추적 시점에서 유의한 향상을 나타냈다. 특히 신체자각의 향상은 추적 시점의 신체증상 감소를 유의하게 예측하였다. 질적 분석에서는 프로그램 참여 경험과 이후 변화 과정을 통해 ‘내적 자기 인식의 확장’과 ‘자기조절 역량 강화’라는 두 가지 핵심 주제가 도출되었다. 참여자들은 자기 이해와 신체자각의 증진을 바탕으로 일상생활 속에서 자기조절 전략을 활용하며 스트레스 완화와 심리적․신체적 회복을 경험하였다고 보고하였다. 양적․질적 통합 분석 결과, 양적 분석에서 확인된 정신건강 및 회복 관련 변화는 질적 자료를 통해 참여자들의 자기 인식 확장과 자기조절 전략의 일상적 활용 경험과 연관된 양상으로 나타났다. 본 연구는 단기 집단 심리개입 프로그램이 재난 대응 인력의 정신건강 증진과 그 효과가 일정 기간 유지될 수 있음을 보여주었으며, 재난 대응 인력을 위한 근거 기반 프로그램의 효과성 근거를 제시하였다는 점에서 의의가 있다.

This study aimed to examine the effectiveness of Maeum, Pause, a short-term group psychological intervention integrating psychoeducation and mind-body activities for disaster response personnel. Employing a non-equivalent control group pretest-posttest design, the study compared an intervention group (n=29) with a comparison group (n=34) that received disaster mental health education during the same period. Quantitative data were collected at baseline, post-intervention, and a one-month follow-up, and analyzed using mixed-effects linear regression models. In addition, in-depth interviews were conducted with five participants and analyzed using thematic analysis to explore participants’ experiences and perceived changes following program participation. Results indicated that the intervention group exhibited significantly greater reductions in post-traumatic stress symptoms and somatic symptoms at follow-up compared to the comparison group. Self-efficacy for health practices and interoceptive awareness also significantly improved following the intervention, with increases in interoceptive awareness significantly predicting reductions in somatic symptoms at follow-up. Qualitative findings identified two core themes: expansion of internal self-awareness and enhancement of self-regulation capacity. Participants reported that heightened interoceptive awareness facilitated the application of self-regulation strategies in daily life, promoting both psychological and physical recovery. Integrated findings further showed that the mental health and psychological changes observed following program participation were generally consistent with participants’ reported experiences of expanded self-awareness and self-regulation. Our results suggest that even short-term group interventions can promote improvements in mental health among disaster response personnel, with these benefits maintained over time. This study provides empirical support for evidence-based programs for disaster response personnel.

Time series data are influenced by the external events such as holiday, strike, oil shock, and political change, so the external events cause a sudden change to the time series data. We regard the observation as outlier that occurred as a result of external events. In general, it is called intervention if we know the period and the reason of external events, and it makes an analyst difficult to establish a time series model. Therefore, it is important that we analyze the styles and effects of intervention. In this paper, we considered the linear time series model with invention and compared with nonlinear time series models such as ARCH, GARCH model and also we compared with the combination prediction method that Tong(1990) introduced. In the practical case study, we compared prediction power with RMSE among linear, nonlinear time series model with intervention and combination prediction method.

본 연구는 발달지체유아를 대상으로 한 심리운동 중재 실험연구의 중재방법과 증거기반실제에 기반 한 질적 지표를 분석하여 발달지체유아를 위한 연구의 방향과 시사점을 제공하는데 목적이 있다. 이를 위하여 분석대상으로 2008년부터 2020년 6월까지 국내에서 연구된 발달지체유아를 대상으로 한 심리운동 중재 실험연구 학위논문 24편과 학술지에 등재된 5편 총 29편을 선정하였다. 이에 따른 분석결과는 다음과 같다. 첫째, 발달지체유아를 대상으로 한 심리운동 중재 실험연구의 중재방법 연구에서, 많은 중재목적 가운데 신체 및 사회⋅정서가 높게 나타났고, 중재자는 교사와 연구자 중 연구자가 많았으며, 신뢰도, 타당도는 제시하지 않은 연구가 많았고, 중재충실도는 제시한 연구가 많았다. 둘째, CEC(2014) 질적 지표를 적용한 질적 지표 분석에서는 전 영역이 대체적으로 충족된 것으로 나타났다. 이를 바탕으로 본 연구의 분석결과에 기초하여 발달지체유아를 대상으로 한 심리운동 중재 실험연구에 대한 논의 및 결론과 향후 연구의 시사점을 제시하였다.

The purpose of this study is to provide the direction and implications of research for children with developmental delays by analyzing interventional methods and qualitative indicators. The interventional method was psychomotor intervention. The qualitative indicator was based on evidence-based practices(EBP). To this end, 24 studies of thesis on psychomotor intervention experiments and 5 articles listed in academic journals were selected from 2008 to June 2020. The results of the analysis were as follows. First, in the intervention method study of the psychomotor intervention experiment study for children with developmental delay, it was found that among the many types of the purpose of the intervention was high utilizing the body, social & emotional. There were more researchers than teachers as intervention. Many studies did not provide reliability, but many studies supplied fidelity of intervention. Second, in the qualitative indicator analysis using the CEC (2014) qualitative indicator, it was found that the whole area was generally satisfied.Based on the analysis results of this study, discussions and conclusions on psychological exercise intervention experiments for children with developmental delay and suggestions for future studies were presented.

연구 목적: 이 연구에서는 이야기 중재와 관련된 국내 연구 문헌을 대상으로 이야기 평가, 이야기 중재 방법, 대상에 대해 분석함으로써 이야기 중재 방법과 효과에 대해 살피고자 하였다. 연구 방법: 온라인 데이터베이스에서, ‘이야기 중재, 이야기 다시 말하기, 이야기 평가’ 등 키워드로 검색하고 논문의 선정 기준에 맞추어 최종 39편의 논문을 분석하였다. 분석 방법으로는 대상 분석, 중재 방법 분석, 중재 평가 및 결과 분석을 실시하였다. 연구 내용: 연구대상 분석 결과, 총 39편 중 저학년을 대상으로 한 연구가 20편으로 가장 많았으며, 장애유형의 경우 자폐스펙트럼장애를 다룬 연구가 15편으로 가장 많았다. 중재 방법에서는 상황 이야기를 중재 방법으로 한 연구가 15편으로 가장 많았다. 마지막으로 언어의 의미적인 영역을 종속변수로 포함한 연구가 14편으로 가장 많았다. 결론 및 제언: 이야기 중재 및 평가와 관련한 연구를 통해 이야기 중재는 아동이 이야기를 논리적으로 표현하기 시작하는 학령 초기 언어 수준 아동에게 특히 효과적인 방법이 될 수 있음을 알 수 있었다. 특히 이야기 중재는 자폐스펙트럼 장애 아동의 원활한 의사소통을 위해 사용되는 경우가 많았으며, 언어의 의미, 화용적인 측면뿐만 아니라 구문 등 다양한 영역에서 효과 있는 중재 방법임을 알 수 있었다.

This study aimed to examine the methods and effects of narrative intervention by analyzing the evaluation, narrative intervention technique, and subject of intervention, targeting domestic research literature related to narrative intervention. In the online database, total 39 studies were finally analyzed according to the selection criteria of our study after searching for keywords such as ‘narrative intervention, story retelling, narrative evaluation’. As analysis methods, object analysis, intervention method analysis, intervention evaluation/result analysis were conducted. As a result of the analysis of the research subjects, among the total of 39 studies, 20 studies targeting lower grades accounted for the highest rate. In addition, 15 studies dealing with autism spectrum disorders accounted for the highest rate among 39 papers. Finally, studies that included the semantic domain of language as a dependent variable accounted for the highest rate with 14 studies. Through research related to narrative intervention and evaluation, it can be seen that this method is effective for children at the language level of the early school age who begin to express stories logically. In particular, narrative intervention was often used as an intervention method for smooth communication among children with autism spectrum disorder among various disabilities. In addition, it was found that it is an effective inversion method in various areas such as syntax as well as semantic and pragmatic aspects of language.

본 연구는 발달장애아의 조기지도 방법으로 신경학적 지도법에 대하여 검토하였다.뇌성마비아에 대하여 Bobath박사의 신경발달학적치료(NDT)와 감각통ㅎ바 장애아에 대하여 Ayres박사의 감각통합훈련의 양 지도법에 대하여 그 특징을 파악하고자 하였다.그 결과 양 지도방법은 각각 독특한 지도기법으로 그 특징을 가지고 있으나 상호보완적기능을 수행 할 수 있어, 뇌성마비아 및 감각통합장애아에게 유용하게 사용할 수 있으리라 생각된다. 따라서 지도방법에 대한 충분한 이해와 각각의 특징을 밝혀 현장에서 유용하게 사용되어지기를 기대할 수 있다.

One of the purposes of this study was to identify the characteristics of the Neuro-Developmental Treatment(NDT) by Bobath and Sensory-Integration(SI) by Ayres as intervention methods for developmentally Disordered Children specially for cerebral-palsy and sensory integration. Also, this study is presenting investigation about mutual supplementary function and some notices in clinical setting using NDT and SI. The result are as follows; First, NDT and SI can have mutual supplementary function in treatment for develomentally disordered children. Second, NDT is focused on the importance of postural maintenance and its effects on physical function. Third, SI is focused on the sensory aspect and its effects on motivation, attention, movement and social emotional status. Fourth, NDT can be used parallel with SI in clinical setting for cerebral-palsy and sensory-integration disordered children. Fifth, in the case of using NDT parallel with SI, the clinician should understand both of the theories very well and apply those characteristics clinically.

본 연구는 해소되고 있지 않는 사회적 문제일 뿐만 아니라 최근 급속하게 증가하는 성적일탈행동의 문제를 직면하여 해소방안을 모색하기를 시도하였다. 청소년의 성적 일탈행동은 개인적 자기통제력, 성별차이, 가족구조, 음란매체 노출과 같은 환경적 영향 등 다양한 요소들에 의하여 영향을 받는다. 따라서 청소년의 성적일탈행동의 문제에 영향을 미치는 주요 원인들과 관련된 기존 연구물들을 분석하여, 이 연구결과에 기반 한 증거력 있는 치료 및 개입방법들을 살펴보아 청소년의 성적일탈행동을 개선하기 위한 기초자료를 제공하는 것이 필요하다. 연구결과는 청소년의 성문제행동특성과 가족특성 등을 파악하여 관련욕구에 기반을 둔 개입, 성 비행행동 및 청소년의 성행동 인식개선과 책임감 회복을 위하여 책임민감화 프로그램(Vicarious Sensitization, VS), 피해아동·청소년에게 발생한 외상후 충격과 연계된 스트레스와 부적응행동을 개선하기를 목적하는 외상 후 충격과정분석모델(Trauma Outcome Process Assessment Model, TOPA), 성문제행동 아동·청소년과 그 가족을 대상으로 인지행동치료, 행동기법개발, 집중가족치료, 부모훈련, 학교 등 관련 집단 개입 등 다차원적인 접근을 시도하는 ‘성행동문제 청소년 다차원적 치료(Mutisystemic Therapy for Youth with Problem Sexual Behaviors, MST-PSB)이 청소년의 성문제행동 개선에 긍정적인 역할을 하는 것으로 나타났다.

This study attempted to explore the fast growing sexually deviant behaviors which were unsolved social matter among young people. It is known that adolescent sexually deviant behaviors are affected by individual self-control, sex difference, familial structure, and environmental factors. Therefore, it is necessary to provide foundational materials to reduce those problems, based on the evident research results stemmed from reliable therapy and intervention methods. The analysis results showed that Vicarious Sensitization(VS) designed for reducing deviant arousal, Trauma Outcome Process Assessment Model(TOPA) to assess the effects of abusive traumatic experiences, and Mutisystemic Therapy for Youth with Problem Sexual Behaviors(MST-PSB) designed to reduce problem sexual behaviors, antisocial behaviors, and out-of-home placements demonstrated effectiveness in reducing problem sexual behaviors.

가정폭력은 지속적인 폭력의 한 형태로서 피해여성에게 영적·심리적·정서적·신체적 고통을 인생전반에 걸쳐 줄 수 있으며, 가정폭력 목격·피해 아동의 경우에는 더욱 심각한 문제를 유발시킨다. 우리나라는 OECD 국가들 가운데 가장 심각한 가정폭력 발생국임에도 불구하고 그 발생빈도가 매년 증가추세에 있고, 교회도 안전지대가 아닌 것으로 추정된다. 이처럼 가정폭력에 대한 한국교회의 인식과 적절한 대응이 부족한 것에 대하여 본 연구는 (1)가정폭력 문제에 대한 성경의 제시를 찾고, (2)진보된 외국의 가정폭력 사례들을 일반사회·교회기반 기반 프로그램으로 분류, 그 특성을 분석하며, (3)이러한 성경적 관점 탐색과 외국사례들의 장점들을 기초하여 교회역할방안을 제안하였다. 연구결과는 (1)개별차원에서: 사례관리를 통한 전문 교회 사회복지 실천, (2)교회적차원에서: 가정폭력문제에 대한 성경적 관점의 지속적 연구, 가정폭력발견과 상담을 위한 기독교전문가 훈련, 목회현장에 구체적 실천, 설교를 통해 가정폭력의 문제거론, 그리고 (3)사회적 차원에서: 가정폭력에 관한 교회 사회복지 관련정보개발·유포·지역사회와의 연대를 교회개입방안으로 제시하였다.

Domestic violence is common in countries, and causes lasting spiritual·psychological·emotional·physical damages to the victim's health. But Korean churches have tolerated or ignored domestic violence, although church is not a safety-zone for domestic violence. In addressing domestic violence, pastoral efforts may have an important role both in prevention and intervention, by on-going research on the biblical perspectives of domestic violence, Christian training for finding and counseling of domestic violence within church, ministerial focus on domestic violence issues, awareness raising publically via preaching and church social work information development·dissemination·community networking about domestic awareness.

본 연구는 언어발달을 촉진하기 위한 중재 방법의 적용에 대한 연구동향을 알아보기 위하여 수행되었다. 2010년부터 2018년까지의 언어발달 중재 방법과 관련된 논문 43편을 분석하였다. 연구동향의 변인은 논문발표연도별, 연구대상별, 그리고 중재 방법별 요소로 구분하였다. 연구결과는 첫째, 발표연도별에 따른 분포는 2010년부터 2012년까지 37.21%, 2013년부터 2015년까지 32.56%, 그리고 2016년부터 2018년까지 30.23%의 비율로 나타났다. 둘째, 연구대상별에 따른 분포는 개인대상 67.44%, 가족대상 11.63%, 또래대상 4.65%, 그리고 그룹대상 16.28%로 나타났다. 셋째, 중재 방법에 따른 분석은 통합 27.90%, 책읽기 16.28%, AAC활용 13.94% 등의 순서로 나타났다. 그리고 중재 방법에서 사용되는 전략은 듣고 말하기 및 읽고 쓰기 방법 등에 대한 형식적 접근으로 한정하였다. 특히 언어발달 중재 방법에 관한 연구의 수는 감소하는 추세이다.

This study analyzed the research trends of the articles related to the language development intervention method from 2010 to 2018. The analysis variables were classified by year of publication, research subjects, and intervention methods. The results of this study were that: (a) the analysis according to the year of release showed 37.21% from 2010 to 2012, 32.56% from 2013 to 2015, and 30.23% from 2016 to 2018; (b) 67.44% of individuals, 11.63% of family members, 4.65% of peers and 16.28% of groups were analyzed according to research subjects; and (c) the analysis according to the arbitration method showed 16.28% in reading, 2.33% in experience, 2.33% in music, 2.33% in psychology, 11.63% in role play, 13.94% in AAC, 6.98% in total language instruction, 6.98% Centered 4.65%, listening centered 4.65% and integrated 27.90%. This study suggested implications for research trend analysis of language development intervention methods. Research trends on language development intervention methods are on the decline based on the number of papers. Based on the characteristics of language development, it is most frequently used for individuals. The research suggests that the strategy used in the intervention method is limited to the formal approach to listening, speaking, and reading and writing.

Objectives: The purpose of this study was to evaluate program methods for effective smoking cessation and prevention through systematic review of studies published during recent 3 years in Korea. Methods: Electronic searches were conducted in DBPIA, RISS, KISS and other databases looking for studies published from 2010 to 2012 that dealt with the effects of intervention on smoking prevention and cessation. A total of 25 studies were included in the final analysis. Three independent reviewers critically evaluated the study quality and evidence of effectiveness based on The Community Guide methodology. Results: Multi-component intervention showed strong evidence of effectiveness for adolescents and sufficient evidence for patient smokers. Cognitive-behavioral intervention for adolescents and child-parent interaction program for adults demonstrated sufficient evidence of effectiveness on the smoking cessation and its determinants. There was insufficient evidence showing effectiveness of smoking prevention programs. Conclusion: Improving the quality and quantity of the intervention studies on smoking could help to expand evidence base for effective intervention methods and strategies on smoking.

정신질환자의 위기상황에 가장 처음 대처해야 하는 법집행기관은 경찰관이다. 경찰이 대면하는 정신질환자는 점차적으로 증가하고 있고, 정신질환 범죄자의 수 또한 증가하고 있지만 우리나라 경찰은 정신건강과 관련된 훈련이나 교육을 충분히 받지 못하고 있다. 현존하는 매뉴얼도 현장의 경찰관에게 필요한 도움을 충분히 주지 못하고 있다. 미국의 경우 경찰관이 정신질환자를 대처하는 방법과 기술에 관한 모델인 위기개입팀(Crisis Intervention Team)이 존재하는데, 실무적으로나 경제적으로나 효과성이 있는 것으로 보고되고 있다. 본 연구에서는 미국에서 개발되고 활용되는 위기개입팀의 내용과 사용모델을 개관하고, 이를 바탕으로 국내 경찰관들의 교육과 훈련에 주는 시사점에 대하여 연구하고자 한다. 더불어 본 연구의 의의, 시사점, 그리고 후속 연구 방향에 대하여 논의하였다.

Police officers are often the first law enforcement responders to incidents involving people with mental illness. In Korea, encounters between police and people with mental illnesses are common, and the prevalence of mentally disordered offenders has been increasing. Even though the police are responsible for maintain public order and defuse volatile situations involving persons who are mentally ill, they often feel inadequately equipped or supported to deal with the crises involving person with mental illness. In the U.S, the use of police response model, such as the Crisis Intervention Team (CIT model) was developed and adopted for police departments nationally, as the CIT model intervene more effectively and humanely in situations involving troubled individuals. CIT can be thought of as a method for reducing the risk of injury to police officers and mentally ill persons, diverting persons to mental health treatment instead of jail. The legal and theoretical implications of the results and future directions for research are discussed.

명성황후의 한글 편지 146통을 분류한 결과 황후가 인사 문제와 국정 전반에 관여한 내용, 청의 동향을 파악하면서 국제문제에 관심을 기울인 편지, 대원군 측의 동향과 소식을 엿보고자 하는 내용 등은 전체의 63%에 해당한다. 그 특징을 살펴보면 첫째, 황후의 편지는 1882년 임오군란 직후부터 1894년동학농민혁명이 발생한 시기에 걸쳐 주로 생산되었다. 둘째, 인사 문제에서 황후는 중앙의 주요 관직, 지방관직을 막론하고 무차별적으로 개입하고 있었다. 황후의 개입 경로와 방식은 민영소와 그 주변 인물의 소개로 금전이 결합된청탁을 받고 고종에게 의논해 직위와 가부(可否)를 결정해 알리는 방식이었다. 황후의 권력 행사 방식은 고종의 동의와 허락, 암묵적 동조하에서만 행할 수있는 제한적인 것이었다. 셋째, 황후는 조정에 올라오는 상소를 당일에 바로 받아볼 정도로 정치적 현안에 민감하게 반응하고 있었다. 넷째, 대원군과 황후양측은 권력을 사이에 두고 긴장하는 속에서 알력 관계를 유지해 왔음을 확인할 수 있었다. 다섯째, 명성황후는 조선을 둘러싼 국제정세에 대해서도 기민하게 파악하고 대처했다. 원세개, 이홍장, 마건충, 왕석창 등 인물들의 동향을 살피면서 청의 주요한 행사를 챙기며 당면한 정세를 분석하려 했다. 여섯째, 황후는 자신이 파악한 정보와 자료를 친정 식구인 민씨일족에게 제공하면서 그들의행동반경에 지침이 되도록 함은 물론, 고종 정권의 안정을 위해 노심초사하는모습도 살필 수 있었다.

As a result of classifying 146 Korean letters written by Empress Myeongseong, the contents regarding Empress’ involvement in personnel issues and overall state affairs, letters concerning international issues while understanding trends of Qing, and letters that attempted to eavesdrop on the Daewongun’s trends and news account for 63% of the total letters. As for characteristics, first, the Empress’s letters were mainly written from immediately after the Im-O Military Revolt in 1882 to the period when the Donghak Peasant Revolution broke out in 1894. Second, the Empress indiscriminately intervened in personnel issues including major central government posts, local government posts. The Empress received requests combined with money through Min Yeong-so and people around him, and then consulted with Emperor Gojong to decide and inform the positions and approvals of such posts. The Empress’s way of exercising her power was limited and could only be done with Emperor Gojong’s consent, permission, and implicit agreement. Third, the empress was very sensitive to political issues enough to receive the petitions submitted to the court on the same day. Fourth, the empress maintained conflicting relationship with Daewongun amid tensions over power. Fifth, Empress Myeongseong also quickly understood and responded to the international situation surrounding Joseon. She observed the movements of people such as Yuan Shikai, Li Hongzhang, Ma Jianzhong, and Wang Shichang, and tried to analyze immediate political situations by keeping track of major events in the Qing Dynasty. Sixth, the empress provided the information and data she had earned to her family, the Min clan so that they could use them as guidelines for their actions, while she was very anxious to stabilize the Gojong regime.

자폐스펙트럼 장애 아동은 다양한 섭식문제를 보이며 그 중 편식행동을 가장 빈번하게 보고한다. 편식을 치료하는 데에 가장 효과적이라고 밝혀진 근거기반치료는 응용행동분석으로, 이에 근거한 자폐스펙트럼 장애 아동의 편식 치료 연구가 활발히 이루어지는 국외와 달리 국내 연구는 매우 제한된 실정이다. 본 연구에서는 최근의 국외 자폐스펙트럼 장애 아동을 대상으로 한 편식행동 치료 연구를 체계적으로 고찰하여 치료 요소 및 아동 요소에 따른 치료 프로그램과 그 효과성의 차이를 분석하였다. 그 결과 치료 방법, 주치료자의 전문성 여부, 그리고 아동의 나이와 편식 심각도에 따른 프로그램과 효과성의 차이가 관찰되었다. 이를 바탕으로 국내 임상 현장에서 해당 사례에 맞는 프로그램을 선정하고 치료 연구를 통하여 그 효과성을 검증하는 노력이 필요하다고 사료된다.

Children with ASD(Autism Spectrum Disorder) often report various feeding problems and food selectivity is one of the most frequently reported problematic eating behaviors. Applied Behavior Analysis(ABA) is the Evidence-Based Treatment(EBT) related to feeding problems for children with ASD and numbers of studies have proved treatments based on ABA to be effective. However there are almost no researches done in Korea and so analyzing previous researches done abroad would become a guideline for future studies and treatment cases in clinical settings. The purpose of this study is to review recent studies about treating food selectivity shown by children with ASD and analyze the difference according to various aspects related with the treatment and the subject of the intervention. Considering the results, It is expected for Korean researchers and clinical practitioners to select the most effective treatment programs and make progress in the field of research in feeding problems with ASD.

The elderly abuse has recently been a hot issue, because family bondage has become weaker and weaker, and single households consisted of elderly has become rising. In this regard, some argues that a special legislation is necessary to punish or to educate elderly abusers. This paper suggests that private law approach work more efficiently than criminal law approach to prevent and reduce elderly abuses. It emphasizes that what is needed is to provide elderly with various future planning tools such as advanced directives to care and medical treatments, contractual guardianship similar to lasting power of attorney, and trusts and so on rather than to search abusers and punish them. The argument of this paper is based on the premise that elderly abuses take place because elderly lose the mental and/or physical capacity to deal with his and her property and personal welfare. If they have in advance made future planing to deal with losing capacity, most abuses can be properly prevented.

Purpose: This study compared nursing frequency, nursing time, and nursing intervention priorities depending on the method of neonatal induced hypothermia. Methods: We observed 15 neonatal subjects receiving therapeutic hypothermia for 3 days each. Forty-five nurses experienced with nursing neonatal patients under therapeutic hypothermia provided responses about nursing intervention priorities. Analyses with the chi-square, the Fisher exact test, the paired t-test, the Wilcoxon signed rank test, and the Wilcoxon rank-sum test were performed on the data using SAS version 9.4. Results: The frequency of nursing activities was higher for selective head therapeutic hypothermia (SHTH) than for systemic therapeutic hypothermia (STH), and nursing time was also significantly longer. In terms of nursing intervention priorities, there were priority differences in "risk for ineffective thermoregulation" and "risks for impaired skin integrity" for SHTH compared to STH. Conclusion: Since SHTH for neonatal therapeutic hypothermia requires more nursing time and frequent nursing activities than STH, STH is therefore recommended if the therapeutic efficacy is similar. Appropriate nursing personnel should be allocated for neonatal SHTH nursing. Nurses should be aware of nursing interventions for therapeutic hypothermia as the priorities are different for different methods of neonatal therapeutic hypothermia.