실종아동부모가 경험한 가족의 삶

권자영 ( Ja Young Kwon ),박향경 ( Hyang Kyung Park ) 한국가족사회복지학회 2015 한국가족복지학 Vol.48 No.-

This study deeply explored the experiences of the family life of parents after their children goes missing through phenomenological research methods. Eight different parents of missing children were selected as research participants. The family life experience of parents after their children goes missing was considered in four different aspects: at the time of the child’s disappearance, balancing between child-searching and caring for the remaining family, efforts to maintain the family, and the days to come. Research participants experienced a“heart-wrenching separation like a bolt from the blue”due to the sudden disappearance of their children. Afterwards, in the process of searching for the missing child, the living foundation of research participants lay in waste, family lives became trapped in the moment of the child’s disappearance, and the parents encountered crises of destruction of marital relations and physical and psychological devastation, which were all experienced as“hellish pandemonium.”Eventually, research participants showed efforts to survive this living hell. Research participants utilized self-reliance efforts, self-support groups, and family support services during this process, which were experienced as“last-ditch efforts to clutch at any straws.”The present and future lives of research participants were experienced as searching for“the one they cannot give up”and “coexisting symbiotically”with the remaining family, “the ones they cannot lose.”Finally, the implications for family social welfare in order to support families of missing children exposed to dangers are discussed.

정신장애인의 자립생활경험 연구 : 초기적응을 중심으로

권자영(Kwon, Ja Young),배은미(Bae, Eun Mi),박향경(Park, Hyang Kyung) 한국정신건강사회복지학회 2021 정신보건과 사회사업 Vol.49 No.1

본 연구는 T정신재활시설의 자립생활지원서비스를 이용하여 자립생활을 시작한 6명의 정신장애인의 약 1년 동안의 자립생활 초기적응 경험에 대한 사례연구이다. 자료수집은 2019.6-2020.5 사이에 심층면접방법으로 총 2회(자립생활 약 5개월, 11개월 시기) 실시하였다. 수집된 자료의 분석은 질적 사례연구방법의 사례내분석, 사례간분석을 활용하였다. 분석 결과는 걱정과 설렘 속에 자립생활을 시작함, 실생활과 뒤엉켜 나타나는 문제들, 자립생활을 익힘, 자립생활로 바뀐 내 생활, 1년의 자립생활로 미래를 꿈꿈으로 도출되었다. 연구결과를 통해 자립생활을 위한 개별화된 지원 및 서비스제공자의 생활양식에 대한 고정관념 점검의 필요성, 일상의 사소한 일들이 야기하는 문제에 대한 접근, 외로움 등 정서적 문제에 대한 접근, 삶을 지원하는 공간으로서 정신재활시설의 중요성, 자립생활유지에서 일과수행의 중요성 등 자립생활지원 방안에 대한 실천적 함의를 제시하였다. This study is a case study on the 1-year independent living experience of six people with mental diseases. They started living independently with the help of ‘T’ mental rehabilitation facility"s independent living support service. Data collection was conducted twice in an in-depth interview between 2019.6-2020.5(approximately at the 5-month period and 11-month period). Collected data was analyzed using intra-case analysis and inter-case analysis of qualitative case study methods. Analysis results were began indpendent living with concerns and excitement, arising problems intertwined with real life, becoming familiar with independent living, changes in daily life due to independent living, dreaming of the future due to 1-year independent living experience. Based on these results, the following practical implications are suggested : individualized support for independent living and the need to examine service providers" stereotyped presumptions about lifestyle, approach to the problems of everyday trifles, coping with emotional problems such as loneliness, the importance of mental rehabilitation facilities as a space to support life, importance of completing daily tasks to maintain independent living, and independent living support measures.

정신장애인의 입원경험

권자영(Ja Young Kwon),박향경(Hyang Kyung Park) 한국사회복지교육협의회 2022 한국사회복지교육 Vol.60 No.-

본 연구는 정신질환 발병 이후 수차례의 입원경험이 있는 정신장애인의 입원경험을 탐색한 질적 연구이다. 특히 2017년 정신건강복지법 개정이 정신장애인의 입원경험에 어떤 변화를 주었는지를 탐색하고 전반적인 정신장애인의 입원치료에 대한 인식과 경험을 살펴보고자 했다. 연구참여자는 유의표집방법으로 선정된 총 8명의 정신장애인으로, 개별 심층면접방법을 활용하여 자료를 수집하였다. 주제분석방법으로 자료를 분석한 결과, 다음 네 주제가 도출되었다. 첫째, 입원 과정과 입원 생활 : 나를 드러내지 않아야 가능한 생활(당사자의 의사가 배제된 입원과 치료과정, 환대 없는 병동 환경, 무료한 생활에 의욕없는 사람이 되어감, 체념과 순응으로 가능한 입원 생활, 기약없는 퇴원, 삶의 바닥을 경험함), 둘째, 비자의입원과 자의입원 : 입원선택 주체에 따라 달라지는 입원생활과 관계변화(비자의 입원이유와 영향, 자의입원을 알게 된 계기, 자의입원 선택 이유와 영향), 셋째, 입원에 대한 인식 : 너무 긴 입원기간과 멀리하기 어려운 삶의 일부(희망과 다른 긴 입원기간, 하고 싶지는 않으나 필요하면 해야 하는 입원), 넷째, 입원경험이 삶에 미친 영향 : 고통스럽던 경험이 나와 다른 사람을 도움(입원하지 않으려 꾸준한 관리, 현재의 삶이 행복임을 느낌, 동료지원 활동에 도움이 되고 일이 즐거움)이다. 이러한 연구 결과를 바탕으로 입원 과정에 대한 민주적 절차와 지원, 입원경험으로 인한 외상에 대한 실천적 접근, 인권친화적인 치료적 병동 환경개선과 사회복지교육적 측면에서 종사자의 인권교육 및 정신건강 관련 교과목에서 입원치료경험의 시사점을 다룰 것을 제안하였다. This study is a qualitative study exploring the admission experiences of persons with mental disorder that have multiple admission experiences after onset of mental illness. Especially, the study explores how the amended 2017 Mental Health Act affected the admission experiences of persons with mental disorder and looks into the overall awareness and experience of their inpatient treatment. Subjects of the study consist of eight people with mental disorders selected using the purposive sampling method, and data was collected through individual in depth interviews. The following four themes were derived from the results based on data analysis using subject analysis method. First, admission process and inpatient life: Life that is only possible by not revealing oneself(admission and treatment that marginalizes the patient’s intention, unwelcoming inpatient environment, becoming lethargic due to dull ward life, inpatient life that is only possible through resignation and compliance, indefinite amount time till discharge, experiencing bottom of life). Second, voluntary and involuntary admission: differing inpatient life and changes in relationships depending on the ‘decision-maker’(the reason for and impact of involuntary admission, realizing the opportunity of voluntary admission, reason for and impact of voluntary admission). Third, awareness of hospitalization: lengthened hospitalization inevitable part of life(unexpected long term hospitalization, unwanted but necessary hospitalization).Fourth, how the experience of hospitalization affected life: helping other people based on one’s painful experience(consistent management to avoid hospitalization, appreciating present life as happiness, helpful for carrying out peer support work and enjoying it). Based on these research results, democratic procedures and support for hospitalization processes, practical approach to trauma caused by hospitalization experience, ways to improve human rights-friendly therapeutic ward environments improvement, and hospitalization in human rights education and mental health-related subjects in terms of social welfare education It was suggested to address the implications of the hospitalization experience.

한국어판 정신건강자신감 척도 타당화 연구

권자영(Ja Young Kwon) 한국정신건강사회복지학회 2014 정신보건과 사회사업 Vol.42 No.1

본 연구는 정신장애인의 정신건강효능감을 측정하기 위해 개발된 정신건강자신감 척도(Mental Health Confidence Scale, MHCS: Carpinello, Knight, Markowitz and Pease, 2000) 한국어판의 타당도를 검증하기 위한 것이다. 이를 위해 전국 32개 사회복귀시설의 정신장애인 564명을 대상으로 한국어판 정신건강자신감 척도(MHCS-K)의 신뢰도와 타당도를 평가하였다. 연구결과 탐색적 요인분석에서는 원척도와 마찬가지로 ``낙관성``, ``대처``, ``옹호``의 3개 요인이 적합한 것으로 확인되었다. 확인적 요인분석을 통해 3요인 구조를 확인하였으며, 모델의 적합도도 수용할만한 수준으로 평가되었다. 또한 구성타당도, 판별타당도, 공인타당도를 확보하였다. 내적일관성 신뢰도 Cronbach``s α = .938로 신뢰할 만한 수준으로 나타났다. 그러므로 한국어판 정신건강자신감 척도(MHCS-K)는 정신장애인의 정신건강효능감을 측정하는 도구로 한국의 정신보건 실천현장에서도 활용하기에 적합한 척도로 평가된다. 이러한 연구결과를 바탕으로 정신보건 사회복지 분야에서의 함의를 제안하였다. This study attempts to validate the Korean version of Mental Health Confidence Scale (MHCS-K), which has been developed to measure the self-efficacy of a person with mental disorders. In order to examine this study, 564 persons with mental disorders in 32 social rehabilitation centers were surveyed as research subjects for the MHCS-K scale. The results of the explanatory factor analysis on MHCS-K found that, as in the original scale, the three-factor structure of optimism, coping, and advocacy was appropriate. The construct validity, discriminant validity and 3 factor structure of the MHCS-K were confirmed through the confirmatory factor analysis. The goodness of fit of the model is acceptable. The reliability of MHCS-K was Cronbach`s α=.938. These study results show that the MHCS-K Scale can be used as a scale tool in measuring the self-efficacy of a person with mental disorders and is a useful scale in the mental health practice field in Korea. Based on these results, implications for mental health social work were suggested.

한국형 실천관계 척도 정신장애인 용 개발 연구

권자영(Kwon, Ja-Young) 한국사회복지학회 2013 한국사회복지학 Vol.65 No.3

본 연구는 정신장애인과 사례관리자간의 ‘실천관계(Working Relationship)’를 측정하는 한국형 실천관계 척도 정신장애인 용의 개발 및 타당화를 위해 진행되었다. 척도개발을 위해 첫째, 문헌연구와 정신장애인을 대상으로 3회의 포커스면접을 통해 실천관계척도의 예비문항을 구성하였다. 둘째, 정신장애인과 정신보건사회복지전공 사회복지학과 교수 2인 및 1급 정신보건사회복지사인 실무자 2인의 검토를 통해 최종 예비문항을 선정하였다. 셋째, 최종 선정된 예비문항을 569명의 정신장애인 대상의 실증조사연구를 통해 척도의 신뢰도와 타당도를 검증하였다. 수집된 자료를 무선 분할하여 먼저 탐색적 요인분석(exploratory factor analysis)을 실시한 결과, 3개의 요인구조를 확인하였다. 요인 1은 사례관리자의 전문적 실천과 관련된 ‘전문가 기여’, 요인 2는 ‘부정적인 실천관계’, 요인 3은 사례관리 자와 정신장애인간의 친밀감을 나타내는 ‘정서적 유대’로 나타났다. 나머지 표본을 가지고 확인적 요인 분석(confirmatory factor analysis)을 실시한 결과 모델의 적합도는 우수한 것으로 나타났다. 이러한 연구결과를 바탕으로 최종 33문항의 한국형 실천관계 척도 정신장애인 용을 개발 제시하였으며, 본 연구의 사회복지적 함의를 논하였다. This research was carried out in order to develop and validate the Korean Version of Working Relationship Scale for Mentally Disabled Persons, which measures the working relationship between a mentally disabled person and his or her case manager. The first step taken to develop this scale was to construct sample items for the Working Relationship Scale using literature research and three focus group interviews of mentally disabled persons who use local mental health services. Secondly, mentally disabled people were surveyed with these sample items and two professors from the department of social work who specialize in mental health social work and two licensed mental health social workers working in the community mental health field reviewed these sample items to select and compile a final version of the scale. Lastly, the scale’s reliability and validity was verified through an empirical study of 569 mentally disabled persons who surveyed the final selection of items. An explanatory factor analysis showed that the sample items can be grouped into three factors. Factor 1 is ‘Professional Contribution Factor,’ which is related to the professional practice of the case manager; Factor 2 is ‘Negative Working Relationship Factor’; and Factor 3 is ‘Emotional Bond Factor,’ which measures the intimacy between the case manager and the mentally disabled person. A confirmatory analysis of the three-factor format that was discovered in the explanatory factor analysis was carried out with the rest of the randomly divided data, which showed that the model demonstrated a goodness-of-fit. The convergence validity between similar concepts appeared to be appropriate as well. Based on these results, the Korean Version of Working Relationship Scale for Mentally Disabled Persons consisting of a final 33 items is developed and proposed and its implications in social work are discussed.

사회복지종사자의 안전을 위한 보호체계 구축사업의 성과 및 발전방안 연구

권자영(Ja Young Kwon),박향경(Hyang Kyung Park) 사단법인 한국안전문화학회 2024 안전문화연구 Vol.- No.27

본 연구는 2019년부터 2022년까지 사회복지공동모금회의 지원으로 수행된 ‘사회복지종사자의 안전을 위한 보호체계구축사업’ 의 성과를 평가하고 사업의 발전방안을 제시하는 데 목적이 있다. 이를 위해 혼합연구방법을 활용하였다. 양적연구는 사업의 성과관리 대장에 기록된 1,235명의 자료를 활용하였다. 자료분석은 SPSS 29.0을 이용하여 기술통계와 교차분석을 실시하였고 대응표본 t검증을 통해 사회복지종사자들의 사전 · 사후 외상 후 성장의 변화를 분석하였다. 질적 연구는 9명의 사업수행담당자를 대상으로 초점집단면접(FGI)을 통해 사업수행과정에서 경험한 사업수행 시 어려웠던 점, 사업수행을 위한 문제해결 노력, 사업의 성과, 사업의 지속가능성을 위한 방안 등을 분석하였다. 수집된 자료는 주제분석방법을 통해 분석하였으며 N-vivo 9을 활용하였다. 양적연구 결과로는 첫째, 조사대상자들은 직무외상의 유형가운데 직무상 폭력경험이 53.2%로 가장 높았으며 기타 19.8%, 대리외상 18.5% 그리고 상실(사망경험) 8.6% 순으로 경험한 것으로 나타났다. 둘째, 교차분석결과 성별, 연령, 소속기관의 유형과 직무외상의 유형간에 통계적으로 유의한 수준에서 차이를 확인할 수 있었다. 셋째, 직무외상을 경험한 사회복지종사자에게 다양한 회복지원을 제공한 한 결과 사전 · 사후의 ‘외상 후 성장’을 측정한 결과 외상 후 성장의 향상이라는 긍정적인 변화를 확인할 수 있었다. 이 변화는 통계적으로 유의미한 수준이었다. 질적분석 결과로는 첫째, 그간 조명받지 못했던 사회복지종사자 안전과 인권에 대한 인식개선과 의식이 향상되고 문제해결에 대한 개인, 조직, 사회의 공동책임의식이 높아졌다. 둘째, 관련 조례제(개)정과 사회복지기관의 안전한 물리적 환경 조성 등 보호와 안전체계의 기본 틀이 갖춰졌다는 점이다. 셋째, 사회복지종사자의 회복과 역량이 강화되었다. 끝으로 본 사업의 지속성 확보를 위한 발전방안으로 다양한 회복지원서비스 마련과 안전교육, 대처훈련 등의 개발, 사회복지종사자의 안전과 인권에 대한 지속적인 교육, 관련 전문인력의 양성, 조직(기관)과 지역사회 환경의 변화, 그리고 관련 법적, 제도적 근거 마련 등의 과제가 도출되었다. The purpose of this study is to evaluate the achievements of the “Establishment of a Protective System for the Safety of Social Welfare Practitioners” project, which has been supported by the Community Chest of Korea from 2019 to 2022, and to propose future development strategies for the project. To do this, a mixed research method was employed. Quantitative research utilized data from 1,235 individuals recorded in the performance management records of the project. Data analysis was conducted using SPSS 29.0, including descriptive statistics and cross-tabulation. Changes in pre-post traumatic growth among social welfare practitioners were analyzed through paired-sample t-tests. Qualitative research involved conducting focus group interviews (FGIs) with 9 project managers to analyze difficulties encountered during project implementation, problem-solving efforts for project execution, project outcomes, and strategies for project sustainability. Data collected through FGIs were analyzed using thematic analysis and N-vivo 9. The results of the quantitative study are as follows: First, among the types of job-related trauma, the proportion of subjects who experienced job-related violence was the highest at 53.2%, followed by 19.8% for other types, 18.5% for vicarious trauma, and 8.6% for loss (death experience). Second, cross-analysis results showed statistically significant differences in gender, age, type of affiliated institution, and type of job-related trauma. Third, as a result of providing various recovery support to social workers who have experienced occupational trauma, positive changes in “post-traumatic growth” were observed when measuring pre- and post-traumatic growth. This change was statistically significant. The qualitative analysis results are as follows : First, there was an improvement in awareness and consciousness among social workers regarding safety and human rights, which had previously not received much attention. There was an increased sense of personal, organizational, and societal responsibility for problem-solving. Second, the framework of protection and safety systems has been established, including the enactment and revision of related regulations and the creation of a safe physical environment in social welfare agencies. Third, the recovery and capacity of social workers have been strengthened. As a development strategy to ensure the sustainability of this project, several tasks have been identified. These include the development of various recovery support services, such as the establishment of safety education and coping training programs, providing continuous education on safety and human rights for social welfare practitioners, fostering relevant professionals, adapting to changes in organizational and community environments, and establishing relevant legal and institutional foundations.

현대 패션디자인의 연속 표현(serial expression)형식에 관한 연구

권자영(Ja Young Kwon),금기숙(Key Sook Geum) 한국복식학회 2007 服飾 Vol.57 No.8

도플러 초음파 신호에서의 태아 심박 검출 개선

권자영(Ja Young Kwon),이유빈(Yu Bin Lee),조주현(Ju Hyun Cho),이유진(Yoo Jin Lee),최영득(Young Deuk Choi),남기창(Ki Chang Nam) 대한전자공학회 2012 전자공학회논문지 Vol.49 No.9

침윤성 자궁경부암 환자의 치료전 개복수술후 조직 병리학적 고위험 예후인자에 따른 보조요법

권자영 ( Ja Young Kwon ),모형진 ( Hyoung Jin Mo ),김상운 ( Sang Wun Kim ),김성훈 ( Sung Hoon Kim ),김수녕 ( Soo Nyung Kim ),박찬규 ( Tchan Kyu Park ) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.9

Objective : To evaluate the efficacy of postoperative adjuvant therapy was evaluated in preventing treatment failure occurring after primary treatment with surgery in early invasive cervical cancer patients associated with histopathologic high risk factors such as lymph node metastasis, either macroscopic or microscopic, parametrial extension, lymphovascular permeation and depth of invasion ≥10 ㎜. Methods : Postoperative adjuvant concurrent chemoradiotherapy (PCCRT), postoperative adjuvant chemotherapy (PCT) or postoperative adjuvant radiotherapy (PRT) alone was administered to the 80 early invasive cervical cancers with at least one of the high risk factors. Each of 61 patients was received three to six cycles of chemotherapy at about 3-weeks intervals. For squamous cell carcinoma, cisplatin 100 ㎎/㎡ Ⅳ, or paraplatin 350 ㎎/㎡ Ⅳ was infused followed by 5-FU 1000 ㎎/㎡ Ⅳ infusion for 5 days. Twenty three patients were treated with PCCRT, 38 patients were treated with PCT alone. And 19 patients received PRT. Results : The five-year survival rate of patients with macroscopic metastasis was 66.7% and 35.7%, in PCCRT and PRT, respectively. With microscopic lymph node metastasis, the 5-year survival rate was 83.3%, 60.0%, and 70.1% in PCCRT, PCT and PRT, respectively. With parametrial extension, the 5-year survival rate was 58.1% in PCCRT. The five-year survival rate of patients with lymphovascular permeation was 100% 90.9% and 66.7% in PCCRT, PCT and PRT, respectively. With depth of invasion ≥10 ㎜, the 5-year survival rate was 100% and 91.3%, in PCCRT and PCT, respectively. Conclusion : PCCRT appears to be superior to PRT or PCT alone in early invasive cervical cancer patients with histopathologic high risk factors.

삼음교 지압이 분만통증 및 자궁수축양상에 미치는 영향

권자영 ( Ja Young Kwon ),박용원 ( Yong Won Park ),김유리 ( Yu Ri Kim ),김덕원 ( Deok Won Kim ),안은희 ( Eun Hee Ahn ) 대한산부인과학회 2005 Obstetrics & Gynecology Science Vol.48 No.8