간질아동 가족통정감(Family Coherence)과 아동의 사회적응에 관한 연구
A Study of Family Coherence and Social Adaptation of Children with Epilepsy
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가족통정감은 내적, 외적환경으로부터 오는 자극이 구조화되고, 예측적, 설명적이며, 보유하는 자원들은 요구를 충족시키는데 유용하며, 요구들은 관여할만한 가치가 있는 역동적 확신감으로 정의된다(Antonovsky, 1987). 이 요인은 가족전체적 건강과 복지를 포함하여 질환, 또는 장애를 지닌 아동의 적응에도 정적 영향을 미치는 가족강점요인으로 알려진다. 본 연구는 간질아동 가족통정감이 아동의 사회적응에 미치는 영향을 알아보기 위한 목적을 갖고 연구되었다. 연구대상은 만 8세부터 17세 사이의 간질을 갖고 있는 아동의 어머니로서 최종분석에 사용된 사례는 141명이다. 분석은 다중회귀분석(Multiple Regression Analysis)을 사용하여 분석하였다. 분석결과, 가족통정감은 간질아동의 사회적응에 유의미한 정적 영향을 미치는 변인으로 기능하였다. 또한 가족스트레스의 부적 영향력을 완충하는 조절효과(moderate effect)를 나타내는 것으로 분석되었다. 부의 건강, 가족 월 소득 등 가족의 인구사회학적변인들은 아동의 사회적응에 유의미한 정적 영향을 미치는 변인으로 기능하였다. 경련횟수, 동반장애등의 질병변인들은 아동의 적응에 불리한 영향을 미치는 변인으로 기능하였다. 이 연구는 가족통정감 강화를 위한 연구의 임상실천에서의 함의와 함께 가족탄력성 연구의 이론 정립을 위한 후속연구의 필요성을 제기하였다.
Abstract
Family coherence was defined as a global orientation that expresses the extent to which one has a feeling of confidence that one's internal and external environments are comprehensible, manageable, and meaningful. The purpose of this study is to examine the family coherence of children with epilepsy that may influence the level of social adaptation of children with epilepsy. This study used the sample of 141 family of children with epilepsy. This study showed that using 4 point scale, mean of family coherence is 3.24, family stress is 2.10, social adaptation of children with epilepsy is 2.67. By using Multiple Regression Analysis, it was found that family coherence influenced positive effect on social adaptation of the children with epilepsy. Especially family coherence showed moderate effect on social adaptation of the children with epilepsy. The health of the father and family income were positive effect on the social adaptation of children with epilepsy. This finding suggests us family coherence significant practical implications for social work intervention and the direction of future research in family strength.
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