본 연구는 보육교사의 직무 스트레스가 이직 의도에 미치는 영향을 살펴보고, 이런 관계에서 자기효능감의 매개 효과를 검증하는 것을 목적으로 한다. 연구대상은 경기도 소재지 어린이 보육 시설에서 근무하는 보육교사 2급 이상 350명이다. 분석방법은 구조방정식 모형을 AMOS 21.0으로 분석한 결과는 다음 과 같다. 첫째, 보육교사의 직무 스트레스는 이직 의도에 부적인 유의한 영향을 미친다. 둘째, 보육교사의 직무 스트레스는 자기효능감에 부적인 유의한 영향을 미친 다. 셋째, 자기효능감은 이직 의도에 부적인 영향을 미친다. 넷째, 자기효능감은 직무 스트레스와 이직 의도의 관계에서 매개 영향을 미치는 것으로 나타났다. 본 연구결과를 토대로 보육교사의 이직 의도를 낮추기 위한 실천적 제언과 이 론적 제언을 제시하였다.
The purpose of this study is to first to evaluate the function of the involved upper extremity of adult hemiplegia in relation to the hand dexterity with the uninvolved hand by using Manual Function Test(MFT) to measure the function of the involved upper extremity and Grooved Peg Board Test to assessment the hand dexterity with the uninvolved hand. Second to evaluate the hand dexterity with the uninvolved hand of adult hemiplegia in relation to activities of daily living(ADL) by using Functional Independence Measure(FIM) to measure the ADL. The subjects in this study were 21 stroke patients who were admitted for intensive treatment at Department of Rehabilitation in Asan Medical Center from September to November, 1998. Data were analyze for wilcoxon signed ranks test and Spearman correlation coefficients using SPSS/PC+ program.
The results of this study are :
1) Statistically MFT score at admission showed significant correlation with MFT score at discharge
(p < 0.01).
2) Statistically the hand dexterity with the uninvolved hand at admission showed si-gnificant correlation with the hand dexterity with the uninvolved hand at discharge(p< 0.01).
3) The function of the involved upper extremity and the hand dexterity with the un-involved hand are poorly related variables in stroke patients(p < 0.01).
4) The function of the involved upper extremity and independence in ADL are poorly related variables in stroke patients(p < 0.01).
5) The hand dexterity with the uninvolved hand and independence in ADL are poorly related variables in stroke patients(p < 0.01).
6) In the relationships between FIM score at admission and FIM score at discharge; there were no significant differences(p < 0.01).
It was difficult to compare the measured hand dexterity with the uninvolved hand in stroke patients as well as to assess the hand dexterity with the same side hand in normal, for it is in the variation between the current data used for this study and the standard data obtained from Lafayatte Instrument Company. The activities of daily liv-ing of the hemiplegic patient are largely dependent on their uninvolved hand which is thought to be vital for the rehabilitation of the hemiplegic patients. Therefore, occupa- tional therapy program in stroke patients should include improving skills of uninvolved hand.