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NTIS 바로가기Journal of Korean academy of nursing = 대한간호학회지, v.50 no.2, 2020년, pp.255 - 270
Purpose: This study explored experiences of mothers caring for children with precocious puberty. Methods: Q-methodology was used for analyzing individual subjectivity. Seventy Q-statements were selected and scored by 50 participants on an 11-point scale. The collected data were analyzed using the PC...
핵심어 | 질문 | 논문에서 추출한 답변 |
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성조숙증이란 무엇인가? | 건강보험심사평가원의 진료 인원 분석 결과[3]에 따르면 2006년부터 2016년까지 10년간 성조숙증 진료 인원은 6,400명에서 86,000명으로 13배 이상 증가하였다. 성조숙증이란 2차 성징이 여아에서 8세 미만, 남아에서는 9세 미만에 빨리 나타나는 것을 의미한다[2]. 사춘기는 신체적, 정신적, 사회적으로 아동으로부터 성인으로 이행하는 가장 극적인 변화가 나타나며[4], 성적 성숙 및 수정 능력을 갖추기 위해 성선 및 시상하부-뇌하수체-성선 축의 기능이 활성화되는 시기이다[5]. | |
과민한 최고지향형의 어머니가 자녀에게 미치는 영향과 개선하기 위한 방안은 무엇인가? | 아이의 키가 조금이라도 더 크는 것이 절실하고, 아이의 질병이 주변 사람들에게 소문이 나서 결함이 있는 아이로 보이는 것에 대해 예민하게 반응하는 경쟁적인 유형이었다. 어머니의 완벽주의 성향으로 인해 행동이나 심리적으로 통제받으며 자란 아동들은 자아에 대한 분노와 내면의 갈등을 갖게 되므로[21] I-1유형의 대상자에게 나타나는 과민한 정서를 먼저 파악하여 어머니의 양육 태도를 변화시킬 수 있는 중재가 요구된다. 또한, 적극적으로 돌봄에 참여하는 I-1유형의 순기능적 역할을 극대화하기 위해 성조숙증에 대한 부정적인 인식을 개선하는데 중점을 두고, 아동에게 미칠 수 있는 어머니의 부정적인 정서에 대해 어머니 스스로 인식하게 하는 것이 필요하다. | |
성조숙증 아동의 수가 증가하는 원인은 무엇인가? | 과도한 영양섭취, 비만, 환경호르몬과 스트레스의 영향으로 아동의 사춘기 시작 시기가 빨라짐에 따라 전 세계적으로 성조숙증 아동의 수가 뚜렷하게 증가하고 있다[1]. 국내에서도 성조숙증은 소아 내분비질환 중 환아 수가 가장 많은 질환이다[2]. |
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