13 research outputs found
A Study of the Pregnant Woman's Attitude toward Maternal Health Services in a Rural Area
๋ณด๊ฑดํ๊ณผ/์์ฌ[์๋ฌธ]
[ํ๊ธ]
A Study of the Pregnant Woman's Attitude toward Maternal Health Services in a Rural
Area
Kim, Ki Soon
Department of Public Health, Graduate School, Yonsei University
(Directed by Professor Jae Mo Yang)
A survey was made, in September 1972, of the pregnant woman's attitude toward
maternal health services among women eligible for maternal health services during
1972 in Hachungmyun, Kojegun, Kyungsangnamdo. the purpose of this study was to find
a better way of providing health services in this area so that as many pregnant
women as possible could participate in the maternal health program of the Koje
Community Health and Development Project. A total of 222 women were studied; of
these 119 women delivered after January 1st, 1972 and 103 women were pregnant as of
September 1st, 1972.
The results were as follows:
1. The prevalence rate of self-reported illnesses during the last pregnancy was
48.2%; of these 29% of the sick women received treatment while the rest (71%)
received none. As to the sources of treatment, 16% of the 29% received treatment
from a hospital, 11% from a drug store and 2% from a herb doctor.
2. 38% of the women received prenatal check-ups, but most only once and 3%
received prenatal check-ups more than 3 times.
3. 99% of the women used their homes as the place for delivery of their most
recent babies and only 1% were delivered at a hospital.
4. During labor, 12% of the women were attended by a person with medical
experience, two thirds of whom were unlicensed.
5. For cutting the umbilicus of the newborn, 82% of women used an unsterilized
scissor or knife at home, while 7% of women used the home delivery kit distributed
by the government maternal health program.
6. 74% of women expressed a desire to participate in the prenatal care services
of the Koje Community Health and Development Project.
7. When asked to state their choice as to the preferral type of practitioner
delivering the prenatal health care, 64% of women chose a female doctor, 32% chose
a midwife and only 2% chose a male doctor. As to their attitude about undergoing a
vaginal examination by a male doctor, during the prenatal check-up, 19% expressed a
willingness to do so but 62% stated that they would refuse. On the other hand 76%
and 74% respectively stated that they would be willing to undergo such an
examination by either a female doctor or a midwife.
8. For W00($1.25), the cost of prenatal care including drug fee; 59% of women
thought that such a charge was fair or too low while 2% of women thought that it
was too expensive.
9. As to the location of the prenatal check-up, 47% of women expressed a
willingness to come to the clinic for their check-up while 34% of women felt that a
team from the Project should come to their village for prenatal care.
10. The willingness to travel to the clinic for prenatal care increased with the
women's level of education; in contrast, the willingness to travel decreased with
an increase in age, with an increase in their distance from the clinic, and in
habituated group to traditional customs related to pregnancy.
11. In regard to their next delivery, 95% of women considered their homes the
preferred place of delivery, and only 1% of women hoped for a hospital delivery.
12. Of those who wanted a home delivery, 27% asked that the birth be attended at
their home by staff personnel of the Koje Community Health and Development Project.restrictio
Changes in health care utilization patterns in a rural area by the introduction of health care delivery system and health insurance
์ํ๊ณผ/์์ฌ[ํ๊ธ]
้ซ็ๅณ้้ซ็ณป ๋ฐ ้ซ็ไฟ้ช ๅฐๅ
ฅ์ด ่พฒๆไฝๆฐ์ ้ซ็๏ง็จๅบฆ ๋ฐ ้ซ็๏งคๅฎนๆจฃ็ธ์ ๋ฏธ์น๋ ๅฝฑ้ฟ์ ์์ ๋ด๊ณ ์ ๅฏฆ้ฉ็ ๆจกๅ์ ่จญๅฎํ์ฌ ็ก็ฉถํ์๋ค.
็ก็ฉถๅฐๅ์ผ๋ก๋ ไบฌ็ฟ้ ๆฑ่ฏ้ก 4ๅ้ข์ ้ธๆํ์๋ค. 4ๅ้ขไธญ 1ๅ้ข์๋ ้ซ็ๅณ้้ซ็ณป๋ง์ ๅฐๅ
ฅํ๊ณ 1ๅ้ข์๋ ้ซ็ๅณ้้ซ็ณป ๅฐๅ
ฅ๊ณผ ๅๆ์ ้ซ็ไฟ้ช ๅ ๅ
ฅ์ ่ชๅฐํ์์ผ๋ฉฐ ๅฐ็
ง็พค 2ๅ้ข์๋ ์๋ก์ด ้ซ็ๅณ้้ซ็ณป๋ ้ซ็ไฟ้ช์ ๅฐๅ
ฅํ์ง ์์๋ค.
่ณๆ่้์ ๅฏฆ้ฉไบๆฅญ ๅฐๅ
ฅๅๅพ 2ๆฌก์ ๊ฑธ์ณ์ ๅฏฆๆฝํ์๋ค. ไบๅ่ชฟๆป๋ ๅฏฆ้ฉไบๆฅญ ๅฐๅ
ฅๅ์ธ 1975ๅนด 11ๆ์ 3,037ๅ์ผ๋ก๋ถํฐ ไบๅพ่ชฟๆป๋ ๅฐๅ
ฅๅพ 2ๅนด์ด ๊ฒฝ๊ณผํ 1977ๅนด 11ๆ์ 3,733ๅ์ผ๋ก๋ถํฐ ๆฝ่กํ์๋ค. 1, 2ๆฌก ่ชฟๆป ๋ชจ๋ ๊ฐ์ ๆนๆณ์ผ๋ก ้ขๆฅ่ชฟๆปํ์ฌ ้ซ็ๅฟ
่ฆๅบฆ ๋ฐ ้ซ็๏งคๅฎน์ ๊ดํ ไบ้
์ ่้ํ์๋ค.
้ซ็ๅณ้้ซ็ณป ๅฐๅ
ฅ็พค, ้ซ็ไฟ้ช ๅ ๅ
ฅ็พค ๋ฐ ๅฐ็
ง็พค้์ ๅฏฆ้ฉไบๆฅญ ๅฐๅ
ฅๅๅพ ้ซ็๏ง็จ๏ฅก ๋ฐ ้ซ็๏ง็จๆจฃ็ธ์ ๆฏ่ผ ่ๅฏํ์ฌ ๋ค์๊ณผ ๊ฐ์ ็ตๆ๋ฅผ ์ป์๋ค.
1. ไบๅ่ชฟๆป์์๋ ็ฎ่ชฟๆป่
์ 13.4%๊ฐ 2้ฑ๋์ ๆฅๆง็พๆฃ์ ์์์ผ๋ฉฐ ๆ
ขๆง็พๆฃ ๆ็
๏ง์ด 24.2% ์ธ๋ฐ ๋นํด ไบๅพ่ชฟๆป์์๋ 2้ฑ๋์ ๆฅๆง็พๆฃ ็ผ็๏ง 12.2%, ๆ
ขๆง็พๆฃ ๆ็
๏ง 21.4%๋ก ไบๅ่ชฟๆป์์๋ณด๋ค ๊ฐ์๋ ๊ฒฝํฅ์ ๋ณด์ฌ์ฃผ์๋ค.
2. ไฝๆฐ์ ้ซๅธซ่จชๅๅๆธ๋ก ๆธฌๅฎ๋ ้ซ็๏ง็จ๏ฅก์ ้ซ็ๅณ้้ซ็ณป ๅฐๅ
ฅ็พค์์ ๅฐๅ
ฅๅ ๅนด้ 1ไบบ็ถ 0.6ๅ๋ก๋ถํฐ ๅฐๅ
ฅๅพ 1.1ๅ๋ก ๅขๅ ๋์์ผ๋ ๅฐ็
ง็พค์์ ์ญ์ ๊ฐ์ ์๊ธฐ์ 0.5ๅ๋ก๋ถํฐ 1.3ๅ๋ก ๅขๅ ๋์ด ๋น์ทํ ์ถ์ธ๋ฅผ ๋ณด์๋ค. ไบๅพ่ชฟๆป์์ ้ซ็ไฟ้ช ๅ ๅ
ฅ็พค์ ้ซ็๏ง็จ๏ง์ ๅนด้ 1ไบบ็ถ 1.6ๅ๋ก์ ๊ฐ์ ์๊ธฐ์ ่ชฟๆป๋ ๅฐ็
ง็พค, ้ซ็ๅณ้้ซ็ณป ๅฐๅ
ฅ็พค์ ้ซ็๏ง็จ๏ฅก๋ณด๋ค ๋์๋ค.
3. ๆ้ ๅฎถๅฃๆถๅ
ฅ์ ๋ฐ๋ฅธ ้ซ็๏ง็จ๏ฅก์ ไบๅพ่ชฟๆป์์ ๋ณด๋ฉด ๅฐ็
ง็พค์ ๅข้ ้ซๆๅพ็พค์ด ไฝๆๅพ็พค๋ณด๋ค ๋์ ้ซ็๏ง็จ๏ฅก์ ๋ณด์ธ๋ฐ ๋ฐํด ้ซ็ๅณ้้ซ็ณป ๅฐๅ
ฅ็พค์ด๋ ้ซ็ไฟ้ช ๅ ๅ
ฅ็พค์์๋ ๆ้ ๅฎถๅฃๆถๅ
ฅ์ ๊ด๊ณ์์ด ๅนณๆบๅ๋ ้ซ็๏ง็จ๏ฅก์ ๋ณด์๋ค.
4. ๅฎถๅฃไธป ๆ่ฒ็จๅบฆๅฅ ้ซ็๏ง็จ๏ฅก์ ๅฐ็
ง็พค์์๋ ๆ่ฒ็จๅบฆ๊ฐ ๋์์๋ก ๏ง็จ๏ฅก์ด ๅขๅ ํ๋ ๏ฅงๅ่กก์ ๋ณด์์ผ๋ ้ซ็ๅณ้้ซ็ณป ๅฐๅ
ฅ็พค์ด๋ ้ซ็ไฟ้ช ๅ ๅ
ฅ็พค์ ๅนณๆบๅ๋ ้ซ็๏ง็จ๏ฅก์ ๋ณด์๋ค.
5. ๅฐ็
ง็พค์์๋ ๋ฒ์คํ๋ ้่ทฏ์์ ่ท้ข๊ฐ ๋ฉ์๋ก ํ์ ํ ้ซ็๏ง็จ๏ฅก์ด ๊ฐ์ํ์์ผ๋ ้ซ็ๅณ้้ซ็ณป ๅฐๅ
ฅ็พค์ด๋ ้ซ็ไฟ้ช ๅ ๅ
ฅ็พค์์๋ ้ ่ท้ขๅฐๅ์์๋ ๆฏ่ผ็ ๋์ ้ซ็๏ง็จ๏ฅก์ ๋ณด์๋ค.
6. ็พ็
่ช่ฆบ่
ไธญ ้ซๅธซ๏ง็จ๏ฅก์ ไบๅพ่ชฟๆป์์ ไบๅ่ชฟๆป์์๋ณด๋ค ็ด 2ๅ ๋ ๅขๅ ๋์์ผ๋ฉฐ ไบๅพ่ชฟๆป์์ ้ซ็ไฟ้ช ๅ ๅ
ฅ็พค์ด 12.2%๋ก ๊ฐ์ฅ ๋์ ๏ฅก์ ๋ณด์๋ค.
7. ๅฏฆ้ฉไบๆฅญ็พค์ ๆฒป็่ๅฅ ้ซ็๏ง็จๆจฃ็ธ์ ๅฐ็
ง็พค๊ณผ ๆฏ่ผํ๋ฐ ้ซ็ๅณ้้ซ็ณป ๅฐๅ
ฅ็พค์์๋ ่ฅๅฑ ๏ง็จ์ ๋ณ ่ฎๅ๊ฐ ์์๊ณ ้ซๅธซ๏ง็จ ้จๅ์ด ์ฝ๊ฐ ์ฆ๊ฐํ๊ณ ๅ
ถไป ๆฒป็่ ์ฆ ํ์ฝ๋ฐฉ๋ฑ์์์ ๆฒป็๏ฅก์ด ๊ฐ์ํ์๋ค. ์ด์ ๋ฐํด ้ซ็ไฟ้ช ๅ ๅ
ฅ็พค์์๋ ่ฅๅฑ๏ง็จ, ๅ
ถไป๏ง็จ์ด
์ค๊ณ ็ธๅฐ็์ผ๋ก ้ซๅธซ๏ง็จ์ด ๅขๅ ๋์ด 33.1%๋ ๋์๋ค.
ไปฅไธ์ ็ตๆ๋ฅผ ็ถๅํด ๋ณผ ๋ ้ๅ ่พฒๆๅฐๅ์ ้ซ็ๅณ้้ซ็ณป๋ง์ ๅฐๅ
ฅํ์๋๋ ้ซ็ๅ้์ ์ด๋ฃฐ ์ ์์ผ๋ ้ซ็ๆดๅคง์๋ ๋ณ๋ก ๅฝฑ้ฟ์ ๋ฏธ์น์ง ๋ชปํ๊ณ ้ซ็ๅณ้้ซ็ณป์ ้ซ็ไฟ้ช์ ๅๆ์ ๅฐๅ
ฅํ ๋ ๋น๋ก์ ้ซ็ๆดๅคง ๋ฐ ๅ้์ ๋ชจ๋ ้ๆํ ์ ์๋ค๋ ็ต่ซ์ ๋ด๋ฆด ์ ์๋ค.
[์๋ฌธ]
To measure the changes in health care utilization patterns by the introduction of health care dalivery system and health insurance, a field experimental study model was designed. Four myuns in Kang Wha gun were cohsen for the experiment. Health
care delivery system only was introduced to one Myun and health insurance program as well as health care delivery systems was introduced to another myun. Two myuns out of 4 myuns were selected as control. In order to compare the utilization
patterns and rates before and after the experiment, two health interview surveys in two year interval were conducted: one in November 1975 from 3,037 persons and another one in November 1977 from 3,733 persons.
The following results were obtained.
1. The incidence rates of self-reported acute diseases for the past 2 weeks were 13.4% before the program(1975) and 12.2% after the program(1977). The prevalence rates of self-reported chronic diseases were 24.4% in 1975 and 21.4% in 1977.
2. In the area the health care delivery system only was introduced, the physician visits per person per year increased from 0.6 in 1975 to 1.1 in 1977(after the program). In the control area also, physician visits per person per year increased
from 0.5 in 1975 to 1.3 in 1977. The group health insurance was introduced showed the highest physician visits after the program(1.6 visits per person per year).
3. While the Medical care utilization rate of the lower-income family group was significantly lower than that of the higher-income family group in the control area, the rates in the areas where the health care delivery system and health insurance were introduced showed even between low and high income groups.
4.In the control area, physician visits of the groups with highly educated head of household were higher than that of groups with less educated head of household. The rates, however, were similar regardless of educational levels of head of household in the experimental areas.
5. In the control area, the longer the distance from the resident village to the bus road, the lower the rates of physician visits. Even though those groups lived in an area inconvenient to transportration, the rates for physician visits
increased in the experimental group.
6. The treatment rates by physician among diseased persons for the past 2 weeks after the experiment were two times higher than that before the experiment. The health insurance program group showed the highest rate, 12.2%.
7. Medical care utilization patterns of the experimetal area by sources of treatment among the treated patients were compared with that of control area. In the area the health care delivery system was introduced the physician utilization was increawed, while patients treated at the drugstore remained at a nearly
constant. In the group the health insurance and the health care delivery system were introduced, patients treated at a drugstore or by other sources were significantly decreased and the rate treated by physician was increased.
With the above results, the following conclusions were drawn:
The introduction of health care delivery system only contributed equal distribution of medical care among different socieconomic classes but affects only slightly to the rate for physician care and visits.
The introduction of a health care delivery system and an appropriate financing mechanism together improve both distribution and utilization of medical care.restrictio
Preschoolers' story retelling abilities according to age
์ธ์ด๋ณ๋ฆฌํ ํ๋๊ณผ์ /์์ฌ[ํ๊ธ]์ด์ผ๊ธฐ ๋ฅ๋ ฅ์ ์ฐ๋ น์ด ์ฆ๊ฐํจ์ ๋ฐ๋ผ ๋ฐ๋ฌํ๋ค. 4์ธ๊ฐ ๋๋ฉด ๋ณธ๊ฒฉ์ ์ธ ์ด์ผ๊ธฐ ๋ฐ๋ฌ์ด ์ด๋ฃจ์ด์ง๊ธฐ ์์ํ์ฌ 6์ธ๊ฐ ๋๋ฉด ์์ฑ๋๊ฐ ๋์์ง๋ค. ์ด๋ฌํ ์ ์ ์๋์ ์ด์ผ๊ธฐ ๋ฐ๋ฌ ์ ๋ณด๋ ์ธ์ด์ฅ์ ์๋์ ์ง๋จ ํ๊ฐ ๋ฐ ์น๋ฃ ๊ต์ก์์ ์ ์ฉํ๋ค. ๋ฐ๋ผ์ ๋ณธ ์ฐ๊ตฌ์์๋ 4๏ฝ6์ธ ์๋์ ๋์์ผ๋ก ์ด์ผ๊ธฐ ํ์ ์ฐ์ถ์ ํตํด ์ฐ๋ น ๊ฐ ์ด์ผ๊ธฐ ๋ฌธ๋ฒ ์ด์ , ๋ฑ๋ง๋ก ๋ณธ ํ๊ท ์ ๊ธธ์ด(MLC-w), ํํ์๋ก ๋ณธ ํ๊ท ์ ๊ธธ์ด(MLC-m)์ ์ฐจ์ด๋ฅผ ์์๋ณด์๋ค.๋ณธ ์ฐ๊ตฌ๋ 4๏ฝ6์ธ ์ ์ ์๋ 60๋ช
์ ๋์์ผ๋ก ํ์์ผ๋ฉฐ, ๊ฒ์ฌ ๋๊ตฌ๋ ๋ฐฐ์์์ โ๊ทธ๋ค ์ด์ผ๊ธฐโ์ โ๊ณต ์ด์ผ๊ธฐโ๋ฅผ ์ฌ์ฉํ์๋ค. ์๋ฃ ์์ง์ ๊ฒ์ฌ์๊ฐ ์๋์๊ฒ ๊ทธ๋ฆผ์นด๋๋ฅผ ๋ณด์ฌ์ฃผ๊ณ ์ด์ผ๊ธฐ๋ฅผ ๋ค๋ ค์ค ๋ค์, ๊ทธ๋ฆผ์นด๋๋ฅผ ์ ๊ฑฐํ๊ณ , ์๋์ด ์ด์ผ๊ธฐ๋ฅผ ํ์ํ์ฌ ์ฐ์ถํ๋๋ก ํ์๋ค. ๋ถ์์ ์ด์ผ๊ธฐ ๋ฌธ๋ฒ ์ด์ ๊ณผ ๋ฑ๋ง๋ก ๋ณธ ํ๊ท ์ ๊ธธ์ด(MLC-w), ํํ์๋ก ๋ณธ ํ๊ท ์ ๊ธธ์ด(MLC-m)๋ฅผ ์ฐ์ถํ์ฌ ์ฐ๋ น ๊ฐ ํ๊ท ์ ์ฐจ์ด๊ฐ ์๋์ง๋ฅผ ๋ณด์๋ค. ๋ณธ ์ฐ๊ตฌ๋ฅผ ํตํด ์ป์ ๊ฒฐ๊ณผ๋ ๋ค์๊ณผ ๊ฐ๋ค.1. ์ด์ผ๊ธฐ ๋ฌธ๋ฒ ์ด์ ์ ์ฐ๋ น์ ๋ฐ๋ผ ์ ์๋ฏธํ๊ฒ ์ฆ๊ฐํ๋ ๊ฒ์ผ๋ก ๋ํ๋ฌ๋ค. 4์ธ ์ง๋จ์ 5์ธ, 6์ธ ์ง๋จ์ ๋นํด ์ ์ํ๊ฒ ๋ฎ์์ผ๋ฉฐ, 5์ธ ์ง๋จ์ 6์ธ ์ง๋จ์ ๋นํด ์ ์ํ๊ฒ ๋ฎ๊ฒ ๋ํ๋ฌ๋ค. ๋ํ ์ด์ผ๊ธฐ ๋ฌธ๋ฒ ํ์ ๋ฒ์ฃผ๋ณ ํ์ ์ ์๋ ๋ฐฐ๊ฒฝ, ๊ณ๊ธฐ ์ฌ๊ฑด, ๋ด์ ๋ฐ์, ์๋, ๊ฒฐ๊ณผ๊ฐ ๋ชจ๋ ์ฐ๋ น์ ๋ฐ๋ผ ์ฆ๊ฐํ๋ ๊ฒ์ผ๋ก ๋ํ๋ฌ๋ค.2. ๋ฑ๋ง๋ก ๋ณธ ํ๊ท ์ ๊ธธ์ด(MLC-w)๋ ์ฐ๋ น์ ๋ฐ๋ผ ์ ์๋ฏธํ๊ฒ ์ฆ๊ฐํ๋ ๊ฒ์ผ๋ก ๋ํ๋ฌ๋ค. 4์ธ ์ง๋จ์ 5์ธ ์ง๋จ๊ณผ 6์ธ ์ง๋จ๋ณด๋ค ์ ์ํ๊ฒ ์งง๊ฒ ๋ํ๋ ๋ฐ๋ฉด, 4์ธ ์ง๋จ๊ณผ 5์ธ ์ง๋จ์ ์ ์ํ ์ฐจ์ด๊ฐ ๋ํ๋์ง ์์๋ค.3. ํํ์๋ก ๋ณธ ํ๊ท ์ ๊ธธ์ด(MLC-m)๋ ์ฐ๋ น์ ๋ฐ๋ผ ์ ์๋ฏธํ๊ฒ ์ฆ๊ฐํ๋ ๊ฒ์ผ๋ก ๋ํ๋ฌ๋ค. 4์ธ ์ง๋จ์ 5์ธ, 6์ธ ์ง๋จ์ ๋นํด ์ ์ํ๊ฒ ์งง์์ผ๋ฉฐ, 5์ธ ์ง๋จ์ 6์ธ ์ง๋จ์ ๋นํด ์ ์ํ๊ฒ ์งง๊ฒ ๋ํ๋ฌ๋ค. ๋ฑ๋ง๋ก ๋ณธ ํ๊ท ์ ๊ธธ์ด(MLC-w)์์ 4์ธ ์ง๋จ๊ณผ 5์ธ ์ง๋จ์ด ์ ์ํ ์ฐจ์ด๋ฅผ ๋ํ๋ด์ง ์์ ๊ฒ๊ณผ ๋์กฐ๋๋ ๊ฒฐ๊ณผ์ด๋ค. ์ด๋ ์ฐ๋ฆฌ๋ง์ด ์กฐ์ฌ, ์ด๋ฏธ์ ๊ฐ์ ๋ฌธ๋ฒ ํํ์๋ฅผ ๋ง์ด ํฌํจํ๊ณ ์๊ธฐ ๋๋ฌธ์ ๋ฑ๋ง๋ก ๋ณธ ํ๊ท ์ ๊ธธ์ด(MLC-w)๋ณด๋ค ํํ์๋ก ๋ณธ ํ๊ท ์ ๊ธธ์ด(MLC-m)์์ ์ฐ๋ น์ ๋ฐ๋ฅธ ๋ฐ๋ฌ์ ๋ ์ ๋ํ๋ธ ๊ฒ์ผ๋ก ๋ณด์ธ๋ค.๋ณธ ์ฐ๊ตฌ์ ๊ฒฐ๊ณผ๋ฅผ ํตํด ์ด์ผ๊ธฐ ๋ฌธ๋ฒ๊ณผ ํ๊ท ์ ๊ธธ์ด(MLC)๋ก ํ๋ น ์ ๊ธฐ ์๋์ ์ด์ผ๊ธฐ ํ์ ๋ฅ๋ ฅ์ด ์์ ์ผ๋ก ์ฆ๊ฐํ๋ ๊ฒ์ ์ ์ ์์๋ค. ๋ํ ์ด์ผ๊ธฐ ํ๊ฐ์ ์ด์ผ๊ธฐ ๋ฌธ๋ฒ๊ณผ ํ๊ท ์ ๊ธธ์ด(MLC)๋ก ๋ถ์ํ๋ ๊ฒ์ด ์ด์ผ๊ธฐ ๋ฐ๋ฌ์ ๋ณด๋๋ฐ ์ ์ ํ๊ณ ํจ์จ์ ์์ ํ์ธํ ์ ์์๋ค.์์ผ๋ก๋ ์ด์ผ๊ธฐ ๋ฌธ๋ฒ๊ณผ ํ๊ท ์ ๊ธธ์ด(MLC)๋ก ํ๋ น๊ธฐ ์๋๋ค์๊ฒ๋ ์ฐ๋ น์ ๋ฐ๋ฅธ ์ด์ผ๊ธฐ ๋ฅ๋ ฅ ๋ฐ๋ฌ์ ๋ณผ ์ ์๋์ง์ ๋ํ ์ฐ๊ตฌ์ ์ด์ผ๊ธฐ ๊ณผ์ ์์ ์ ์ ์๋๋ค์ ์ค์ ๊ฒฝํฅ์ ๋ํ ์ฐ๊ตฌ๊ฐ ์ด๋ฃจ์ด์ ธ์ผ ํ ๊ฒ์ด๋ค. ์์ธ๋ฌ ํ์คํ๋ ์ด์ผ๊ธฐ ๊ฒ์ฌ ๋๊ตฌ๋ฅผ ๋ง๋ จํ๊ธฐ ์ํ ์ฐ๊ตฌ๋ค๋ ์งํ๋์ด์ผ ํ ๊ฒ์ด๋ค.
[์๋ฌธ]Children's ability to tell stories increases as they grow older. Usually, children are able to express their views and opinions effectively by 3 years of age and their storytelling ability matures by 6 years of age. The storytelling ability of preschoolers is used in general to assess the ability of children with impaired language for the purposes of diagnosis and treatment. The aim of this study was to determine differences in children's story retelling abilities according to age by measuring the total scores of story grammar, MLC-w(Mean Length of Communication in words) and MLC-m(Mean Length of Communication in morphemes) during the story retelling task.The study subjects comprised 60 preschoolers aged 4 to 6 years. Two Korean stories, "The Swing story" and "The Ball story" written by Bae So-Young, were used as assessment tools along with matching story cards. The author showed the story cards to the children, told a story corresponding to cards, then removed the story cards and asked the children to retell the story they had just heard. When a child retold the story in her or his own words, the grammatical correctness, MLC-w and MLC-m were scored. The total scores of story grammar, MLC-w, and MLC-m were compared to determine the differences in story retelling abilities according to age. The study results are summarized as follows:1. The total scores of story grammar significantly increased with increasing age. The total scores of story grammar of the 4-year-olds was significantly lower than that of the older children (5 to 6 years). The 5-year-olds showed significantly lower than that the 6-year-olds. Moreover, the older age group outperformed the younger age groups in setting information, initiating event, internal response, attempt and the direct consequence increased among the subscales of story grammar.2. Age had a significant impact on MLC-w. The MLC-w spoken by the 4-year-olds was significantly shorter than that of the 6-year-olds, although it did not significantly differ from that of the 5-year-olds.3. Age also had a significant impact on MLC-m. The MLC-m spoken by the 4-year-olds was significantly shorter than that spoken by the older age groups. There were also significant differences in MLC-m between the 5- and 6-year-olds. This result contrasts with the insignificant difference in MLC-m between the 4- and 5-year-olds. The given grammatical functions of morphemes, such as the endings of words or particles, MLC-m was more significantly associated with age than MLC-w.The study found that preschoolers' ability to retell stories was positively correlated with age considering their increased story grammar abilities and MLC. The use of story grammar and MLC is therefore considered effective as an assessment scale to measure children's storytelling ability.Further study is needed to determine whether these assessment scales are effective to measure storytelling abilities in school children and to measure the mistakes made by normal children when they express their views and opinions. Further study is necessary to develop a standardized assessment tool that can be used for measuring child's storytelling abilities.ope