저신장증 아동과 정상 아동의 신체상, 자아존중감 및 문제행동
Comparison of Body Image, Self-Esteem and Behavior Problems between Children of Short and Normal Stature
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본 연구 결과, 저신장증 아동의 신체상, 자아존중감, 문제행동은 정상 아동과 비교해볼 때 차이가 있는 것으로 나타났다. 특히 문제행동의 하위영역인 위축, 우울/불안이나 주의집중 문제는 정상아동과 저신장증 아동이 차이가 나타난 것은 학령기아동의 사회적∙정서적 영역뿐만 아니라 학업성취와도 관련이될 것으로 예상되므로 추후 일선학교에서는 저신장증 아동을위한 특별 프로그램을 개발하여 운영할 필요가 있음을 시사하고 있다. 이상의 결과를 토대로 다음과 같은 제언을 하고자 한다. 첫째, 연구 대상자를 일 지역에 국한하였으므로 전국 단위의저신장증 아동을 대상으로 한 간호학적 후속연구가 이루어지기를 제안한다. 둘째, 저신장증 아동의 건강 문제를 조기에 발견하고 삶의 질을 향상시킬 수 있도록 저신장증 아동을 위한 다각적인 연구가뒤따라야 할 것이다
Abstract
Purpose: The purpose of this study was to examine the relationship of body image, self-esteem, and behavior problems comparing children of short stature and children of normal height, and to enhance growth development through early detection of social or emotional problems in children of short stature. Methods: The data were collected from June 2 to September 25, 2008. The participants were 38 children who were diagnosed with short stature and their mothers and 38 children of age appropriate stature and their mothers selected from 311 elementary students in D city. The participants were matched by using propensity analysis for controlling confounding variables. Sapiro-Wilk test, t-test, Wilcoxon test, and Pearson correlation coefficients with SPSS/WIN 14.0 program were used to analyze the data. Results: There were significant differences in body image and behavior problems between children of short stature and children of age appropriate stature. There was no significant difference in self-esteem between the two groups. Positive correlation was found between body image and self-esteem. In children of age appropriate stature, a negative correlation was found between body image and behavior problems. Conclusion: A specialized program which focuses on behavior problems, body image, and self-esteem should be developed to help children of short stature in school-based settings.
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