ISSN : 1229-067X
본 연구는 평균 연령 4.9개월의 일반아 30명, 미숙 위험아 30명 및 만삭 위험아 30명의 발달을 소아과 의사와 심리학자간 다 학제적 접근을 통하여 비교하고자 한 탐색적 연구이다. 측정도구로는 한국 Bayley 영유아 발달검사(2004)와 대한 소아과학회 발달검사 제정 소위원회에서 개발한 한국형 영유아 발달검사(2002)를 사용하였다. 각 집단별 발달 지수의 차이와 각 영역별 싱관 관계를 살펴보았으며, 한국 Bayley 영유아 발달 검사의 인지지수와 동작지수에서, 한국형 영유아 발달검사의 인지-적응 영역에서 집단별 차이가 나타났으며, 한국형 영유아 발달검사의 조대 운동, 미세 운동, 개인-사회성 및 언어 영역에서는 집단별 차이가 나타나지 않았으며, 인지-적응 영역에서 집단별 차이가 나타났다. 한국 Bayley 영유아 발달검사의 집단별 인지지수와 동작지수간의 상관관계는 유의한 수준으로 나타났고, 한국형 영유아 발달검사의 하위 영역에서도 관계가 있는 것으로 밝혀졌다. 영아대상 추후연구에서 요구되는 사항을 논의하였으며, 위험군 영아에 대한 조기 중재와 종단적 연구를 위한 행정적 및 정책적 차원의 개선방향에 대하여 살펴보았다.
This study was desigened to explore the differences in development of three different groups; namely, 30 preterms at risk, 30 full-terms at risk, and 30 normal infants. Specifically, the purpose of this study was to investigate the cognitive and motor development based on Korean Bayley Scales of Infant Development-Ⅱ(K-BSID-Ⅱ, 2004) and Korean Type Developmental Test for Infants and Toddlers(K-TDTIT, 2002). The data were analyzed through ANOVA to find out the developmental quotients between the groups and the correlations of the domains. As a result, there were shown different levels of achievements in motor and cognitive development according to the K-BSID-Ⅱ; normal infants received higher scores than the other two groups. Also, from the K-TDTIT, preterms at risk and full-terms at risk showed lower levels of development than normal infants in the cognitive-adaptive domain. Furthermore, there was significant correlation between the psychomotor developmental index and mental developmental index from the K-BSID-Ⅱ. In the aspect of domains from the K-TDTIT, normal infants showed significant correlations with every other domain except the fine motor domain though preterms at risk showed significant correlation in the same domain. Authors suggest that details of the developmental comparisons at risk infants can be found when institutional and social policy support would be more effective.
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