이야기를 활용한 회고적 집단음악치료가 시설노인의 자아통합감과 삶의 질에 미치는 영향
- Abstract
- 논 문 개 요
본 연구의 목적은 이야기를 활용한 회고적 집단음악치료가 시설노인의 자아통합감과 삶의 질에 어떠한 영향을 미치는지 알아보기 위한 것이다. 연구대상자는 서울시 C노인전문요양원에 거주하는 인지기능 점수(K-MMSE)가 20점 이상인 65세 이상의 노인으로, 16명의 대상자들 중 8명은 실험집단으로 8명은 통제집단으로 무선배치 하였다. 본 프로그램은 2014년 9월 20일부터 10월 29일까지 실험집단 대상자에게 50분씩 주 2회, 총 12회기로 진행되었다.
연구의 자료 분석은 SPSS 20.0 통계프로그램을 사용하여 이야기를 활용한 회고적 집단음악치료가 시설노인의 자아통합감과 삶의 질에 유의미한 효과가 알아보기 위해 Mann-whitney U 검정을 실시하였다. 또한 실험집단과 통제집단의 사전과 사후의 추세를 알아보기 위해 Wilcoxon Matched Pair 검정을 실시하였다.
Mann-whitney U 검정 결과, 실험집단과 통제집단 간 비교에서 자아통합감과 삶의 질 점수가 통계적으로 유의미한 차이(p < .01)를 보였으며, 두 집단의 사전과 사후의 추세를 알아보기 위한 Wilcoxon Matched Pair 검정 결과에서는 실험집단은 유의미한 차이(p < .05)를 보이며 증가하였으나, 통제집단은 유의미한 차이(p > .05)를 보이지 않았다. 자아통합감의 6개의 하위영역에서는 현재 생활에 대한 만족, 지혜로운 삶, 생에 대한 태도, 노령에 대한 수용은 긍정적인 결과를 나타내었으나, 지나온 일생에 대한 수용과 죽음에 대한 수용 영역은 유의미한 결과를 보이지 않았다. 또한 자아통합감과 삶의 질은 통계적으로 r=.90(p <.001)의 높은 상관성을 보였다.
이러한 연구 결과는 이야기를 활용한 회고적 집단음악치료 프로그램이 시설노인의 자아통합감과 삶의 질을 향상시킬 수 있는 효과적인 중재 방안이 될 수 있음을 시사한다.
- Issued Date
- 2015
- Awarded Date
- 2015-02
- Type
- Dissertation
- Affiliation
- 성신여자대학교 대학원
- Department
- 일반대학원 음악치료학과
- Advisor
- 강경선
- Table Of Contents
- 목 차
논문개요
Ⅰ. 서 론
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1. 연구의 필요성 및 목적
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2. 연구가설
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3. 용어정의
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Ⅱ. 이론적 배경
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1. 음악의 치료적 기능 ··············································
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1) 정서자극으로서의 음악 ·········································
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2) 기억자극으로서의 음악 ·········································
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3) 소통기능으로서의 음악 ·········································
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2. 자아통합을 위한 회고와 이야기 ·································
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1) 노년기의 자아통합 ··············································
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2) 회고의 치료적 가치와 의의 ·····································
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3) 심층적 회고를 위한 이야기치료 기법의 활용···················
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3. 시설노인을 위한 음악치료 ·······································
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1) 회고적 음악치료
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2) 집단음악치료
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Ⅲ. 연구 방법
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1. 연구모형
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2. 연구대상
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3. 측정 도구
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1) 한국형 간이 정신 상태 검사 ····································
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2) 자아통합감 척도 ·················································
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3) 삶의 질 척도 ·····················································
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4. 연구 설계
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5. 연구방법 및 절차
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1) 사전검사
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2) 사후검사
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3) 프로그램 절차
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4) 음악치료프로그램
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6. 자료 분석
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Ⅳ. 연구 결과
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31
1. 실험집단과 통제집단의 동질성 검정
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2. 자아통합감에 대한 프로그램의 효과 ·····························
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3. 삶의 질에 대한 프로그램의 효과 ·································
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4. 자아통합감과 삶의 질의 상관관계 ································
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Ⅴ. 결 론
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1. 결론 및 논의
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2. 제언
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참고문헌
ABSTRACT
부 록
표 목 차
<표 Ⅲ-1> 실험집단의 일반적 특성 ·································
20
<표 Ⅲ-2> 통제집단의 일반적 특성 ································
21
<표 Ⅲ-3> 사전/사후 통제집단설계
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23
<표 Ⅲ-4> 집단음악치료프로그램의 한 회기 구성 ·················
24
<표 Ⅳ-1> 실험집단과 통제집단의 인지기능 동질성 검정 ·········
31
<표 Ⅳ-2> 실험집단과 통제집단의 사전검사 동질성 검정 ·········
32
<표 Ⅳ-3> 자아통합감에 대한 Mann-Whitney U 검정 ············
33
<표 Ⅳ-4> 자아통합감에 대한 Wilcoxon Matched Pair 검정 ······
34
<표 Ⅳ-5> 자아통합감 하위요인에 대한 Mann-Whitney U 검정 ·
35
<표 Ⅳ-6> 자아통합감 하위요인에 대한 Wilcoxon Matched
Pair 검정 ············································
36
<표 Ⅳ-7> 삶의 질에 대한 Mann-Whitney U 검정 ···············
38
<표 Ⅳ-8> 삶의 질에 대한 Wilcoxon Matched Pair 검정 ·········
38
그 림 목 차
<그림 III-1> 이야기를 활용한 회고적 집단음악치료 연구모형 ······
20
<그림 Ⅳ-1> 실험집단과 통제집단의 자아통합감 평균점수 ··········
34
<그림 Ⅳ-2> 현재생활에 대한 만족 ··································
36
<그림 Ⅳ-3> 지혜로운 삶 ············································
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<그림 Ⅳ-4> 생에 대한 태도 ·········································
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<그림 Ⅳ-5> 지나온 일생에 대한 수용 ·······························
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<그림 Ⅳ-6> 노령에 대한 수용 ·······································
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<그림 Ⅳ-7> 죽음에 대한 수용 ·······································
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<그림 Ⅳ-8> 실험집단과 통제집단의 삶의 질 평균점수 ··············
39
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- 성신여자대학교 대학원
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이야기를 활용한 회고적 집단음악치료가 시설노인의 자아통합감과 삶의 질에 미치는 영향.pdf
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