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

本研究旨在探讨幼儿工作者对幼儿照顾压力、残障儿童照顾、虐待儿童等家长提供照顾支援的成效与限度。在幼儿工作者的介入上，提出接受、转介、合作三阶段模式，在接受阶段，家长向工作者咨询幼儿担心的比例为54.6 ± 61.6%。向工人咨询的父母强烈认可工人咨询的专业知识（第2章）。经协方差结构分析，验证了该量表在幼儿工作者中提高家长咨询满意度的有效性。此量表命名为幼儿工作者咨询行为量表，其接受因子与建议因子一致（第三章）。本研究透过与幼儿工作者的互动，证实有残障儿童的家长并未感受到照顾与教育的迫切性（第四章）。在转诊阶段，被怀疑患有发育障碍或边缘性发育障碍的儿童的父母往往不会接受专家的医疗检查。在所有案例中，有52.4%的儿童保育工作者能够很好地将这些父母介绍给专门机构（第5章）。儿童保育工作者似乎没有认识到忽视，心理虐待和暴露于家庭暴力与“虐待”。因此，他们没有向儿童咨询中心通报这些受虐待的儿童（第6章）。在合作阶段，分析了残疾儿童护理的案例研究论文。结果证明，工人的专业知识不足和合作制度的功能失调是问题所在（第7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).