The empirical research on the childcare support by child-care workers in the clinical and developmental problem.

摘要本研究旨在探讨保育员的托儿支持对面临托儿压力、残障儿童保育及受虐儿童的家长的影响及限制。在保育员干预方面，提出了接受、转诊、合作三阶段模式。在接受阶段，家长向工作人员咨询托儿担忧的比例为54.6 ~ 61.6%。向工人咨询的家长强烈认可工人咨询的专业知识（第2章）。通过协方差结构分析，证实了该量表提高了保育员家长咨询满意度的有效性。该量表命名为保育员咨询行为量表，其接纳因素和建议因素是一致的（第3章）。通过与幼儿工作者的互动，证明了残疾儿童的父母并没有感觉到对照顾和教育的不耐烦（第四章）。在转诊阶段，被怀疑患有发育障碍或边缘性障碍的儿童的父母往往没有接受专家的医疗检查。在所有案例中，有52.4%的托儿工作者能够很好地将这些父母转介到专门机构（第5章）。幼儿工作者似乎没有将忽视、心理虐待和EDV（暴露于家庭暴力）视为“虐待”。因此，他们没有将这些受虐儿童通知儿童咨询中心（第6章）。在合作阶段，对残障儿童保育案例研究论文进行分析。结果表明，企业存在工人专业知识水平低、合作体系功能失调等问题（第七章）。

This study examined on the effect and limit of the childcare support by child-care worker on the parents who suffering from child care stress, handicapped children care, and child abuse. On the intervention by child-care worker, three stages model which consisted of acceptance, referral, and cooperation was proposed.In the acceptance stage, the proportion of the parent who consulted on worries of the child care to the worker was 54.6〜61.6%. The parent who consulted to the worker had strongly recognized expertise of the consultation of the worker (chapter 2). By the covariance structure analysis, the validity of the scale which raised the satisfaction of the parent in consulting in child-care worker was confirmed. This scale was named the child-care worker consultation behavior scale, and it was consistent of acceptance factor and advice factor (chapter 3). It was proven that the parents with the handicapped children did not sense the impatience to care and education by the interaction with child-care worker (chapter 4). In the referral stage, the parent of the children who were suspected with developmental disorder or borderline did not tend to have medical examination of the specialists. That child-care worker was well able to refer those parents to the specialized agency was 52.4% of all cases (chapter 5). Child-care worker did not seem to recognize neglect, psychological abuse and EDV(Exposure to Domestic Violence) with "abuse". Therefore, they did not notify the Child Consultation Center of such abused children (chapter 6). In the cooperation stage, case study papers on the handicapped child care was analyzed. As the result, it was proven that low of expertise of workers and dysfunction of the cooperation system were problems (chapter 7).