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

本研究旨在探讨保育员对儿童照顾压力、残障儿童照顾、虐待儿童之父母之托育支持之影响及限度。在保育员的干预上，提出了接受、转诊、合作三阶段模式，接受阶段家长对保育员的顾虑咨询比例为54.6~61.6%。向工人咨询的父母对工人咨询的专业知识有强烈的认可(第2章)。通过协方差结构分析，验证了量表的效度，提高了幼儿工作者家长的咨询满意度。该量表被命名为幼儿工作者咨询行为量表，该量表具有接受因子和建议因子的一致性(第三章)。通过与幼儿保育员的互动，证明有残疾儿童的父母没有感觉到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儿童的父母倾向于不接受专科医生的体检。儿童保育工作者能够很好地将这些父母转介给专门机构，占所有案例的52.4%(第5章)。儿童保育工作者似乎没有将忽视、心理虐待和EDV(暴露于家庭暴力)与“虐待”联系起来。因此，他们没有向儿童咨询中心通报这类虐待儿童(第六章)。在合作阶段，对残疾儿童护理案例研究论文进行了分析。结果证明，职工专业技术水平低和合作社制度功能失调是问题所在(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).