Lee In-Sook, Jeon Jung-Hee
Associate Professor, Department of Nursing, Hannam University, Daejon, Korea.
Visiting Professor, College of Nursing, Ewha Womans University, Seoul, Korea.
Child Health Nurs Res. 2021 Jul;27(3):243-255. doi: 10.4094/chnr.2021.27.3.243. Epub 2021 Jul 30.
This study aimed to develop and examine the effects of a psychosocial adaptation program for North Korean adolescent defectors.
This quasi-experimental study was conducted with 28 North Korean adolescent defectors who were recruited through alternative schools. The experimental and control groups consisted of 14 participants each. A program was conducted across eight sessions, each lasting about 90-120 minutes. The data were analyzed using the test, t-test, paired t-test, and analysis of covariance.
No significant differences were observed in the score changes for psychosocial adaptation (t=0.25, =.808), post-traumatic stress symptoms (t=0.32, =.749), cultural adaptation stress (t=0.05, =.957), and self-efficacy (t=0.35, =.726) in either group before and after the intervention. No intergroup differences were observed for psychosocial adaptation (t=0.12, =.902), post-traumatic stress symptoms (t=0.07, =.946), cultural adaptation stress (t=0.01, =.994), and self-efficacy (t=0.58, =.570).
These findings suggest that psychosocial adaptation, stress, and self-efficacy cannot be improved by a short-term intervention program alone. It was also determined that the cultural characteristics of the North Korean adolescent defectors were not sufficiently considered before implementing the program. Therefore, it is essential to provide an in-depth orientation for the participants before implementing the program.
本研究旨在开发并检验一项针对朝鲜青少年叛逃者的心理社会适应项目的效果。
本准实验研究对通过替代学校招募的28名朝鲜青少年叛逃者进行。实验组和对照组各有14名参与者。该项目共进行八次课程,每次约持续90 - 120分钟。数据采用检验、t检验、配对t检验和协方差分析进行分析。
干预前后,两组在心理社会适应得分变化(t = 0.25,p = 0.808)、创伤后应激症状(t = 0.32,p = 0.749)、文化适应压力(t = 0.05,p = 0.957)和自我效能感(t = 0.35,p = 0.726)方面均未观察到显著差异。在心理社会适应(t = 0.12,p = 0.902)、创伤后应激症状(t = 0.07,p = 0.946)、文化适应压力(t = 0.01,p = 0.994)和自我效能感(t = 0.58,p = 0.570)方面,两组间也未观察到差异。
这些发现表明,仅靠短期干预项目无法改善心理社会适应、压力和自我效能感。研究还确定,在实施该项目前未充分考虑朝鲜青少年叛逃者的文化特征。因此,在实施项目前为参与者提供深入的指导至关重要。