성조숙증 여아의 자아존중감 영향요인
Factors affecting Self-esteem of Girls with Precocious Puberty
- 주제(키워드) 성조숙증 , 자아존중감
- 발행기관 고려대학교 교육대학원
- 지도교수 오원옥
- 발행년도 2018
- 학위수여년월 2018. 2
- 학위구분 석사
- 학과 교육대학원 간호교육전공
- 원문페이지 101 p
- 실제URI http://www.dcollection.net/handler/korea/000000080134
- 본문언어 한국어
- 제출원본 000045931471
초록/요약
The purpose of this study is to identify the degree of self-esteem of girls with precocious puberty according to self-esteem, sexual maturity, mature anxiety, body image and parenting attitude, to investigate the relationship between variables and to provide the basic data for the development of the program improving the self-esteem of children with precocious puberty by confirming the influential factors. This study was conducted as a descriptive study at a pediatric endocrinology clinic of K University hospital in Seoul. A total of 286 copies of the data collected from the ages of 8 to 11-year-old girls who has been diagnosed with precocious puberty and undergoing gonadotropin-releasing hormone agonist (GnRHa) therapy and their parents, visiting the hospital to get GnRHa injection once every 4 weeks, are analyzed. The research tool included the following items: sex maturity (which are measured on the basis of the medical records written by the pediatric endocrionologist), general characteristics of children and their parents, self-esteem of child, mature anxiety, body image, social support and parenting attitude (which are measured by questionnaire from parents). Descriptive statistics, t-test, ANOVA, Duncan test, Pearson's Correlation Coefficient and Stepwise multiple regression were used for data analysis using SPSS 21.0. The results of this study are as follows. First, the degree of self-esteem of the girls was found to be 2.56(±0.26) points in the range of 1-3 points; sexual maturity was 2.89(±0.81) in the score range of 1-4 points; mature anxiety was 2.12(±0.40) in the range of 1-4 points; body image was 4.28(±0.67) in the range of 1-5 points; parenting attitude was 3.77(±0.32) in the 1-5 score range and social support was 4.39(± 0.57) point in the 1-5 score range. Second, the difference of self-esteem according to the general characteristics of the girls with precocious puberty showed a statistically significant difference - the recognition of the rate of body development (F =3.701, p=.027), recognition of the intimacy with mother (F=18.707, p <.001) and the recognition of the intimacy with father (F=7.800, p=.001) Third, the self-esteem of the girls with precocious puberty had a significant positive correlation with body image(r=.484, p<.001), parenting attitude(r=.245, p=.003), and social support(r=.706, p<.001). On the other hand, there was a negative correlation with mature anxiety(r=-.165, p=.049). Fourth, the factors that influenced the self-esteem of the girls with precocious puberty appeared to be friend support(β=.518, p<.001), family support(β=.198, p=.015), and the recognition of intimacy with mother((β=.185, p=.005), respectively. Through this study, it was confirmed that friend support, family support and the recognition of intimacy with mother were closely related to self-esteem. Based on these results, we found that it is necessary to form a positive relationship with family members including parents and to intervene the direction of promoting the support of family and friends in order to promote the self-esteem of the girls with precocious puberty. Moreover, the intervention program considering these factors is thought to be developed necessarily.
more목차
Ⅰ. 서론
1. 연구의 필요성 1
2. 연구목적 5
3. 용어의 정의 6
Ⅱ. 문헌고찰
1. 아동의 성적 성숙과 성조숙증 10
2. 성조숙증 아동의 자아존중감 관련요인 13
Ⅲ. 연구방법 및 절차
1. 연구설계 25
2. 연구대상 25
3. 연구도구 26
4. 자료수집 방법 31
5. 자료분석 방법 32
6. 윤리적 고려 33
Ⅳ. 연구결과
1. 일반적 특성 34
2. 성조숙증 여아의 자아존중감, 성적성숙도, 성숙불안, 신체상, 부모양육태도, 사회적지지 정도 38
3. 성조숙증 여아의 일반적 특성에 따른 자아존중감의 차이 41
4. 성조숙증 여아의 자아존중감, 성적성숙도, 성숙불안, 신체상, 부모양육태도,
사회적지지 간의 상관관계 43
5. 성조숙증 여아의 자아존중감 영향요인 44
Ⅴ. 논의 47
Ⅵ. 결론 및 제언 60
참고문헌 65
부 록 81
Abstract 91
