• 제목/요약/키워드: 아동간호학

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학령전기 장애아동과 일반아동 어머니의 아동을 위한 건강증진행위 비교 (A Comparison of Mothers' Health Promotion Behaviors between Children with or without Disabilities)

  • 김지수;이애란
    • 한국간호교육학회지
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    • 제14권2호
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    • pp.315-323
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    • 2008
  • Purpose: This study was performed to compare mothers' health promotion behaviors between those who have a disabled child and those who have a healthy child. Method: The participants were 243 mothers from 24 Daycare Centers for Children with Disabilities and 310 mothers from 5 child daycare centers. Mothers with preschool children completed self-report questionnaires, asking about health behaviors for preschool children. Data from these surveys was analyzed using the ANOVA, t-test, and $x^2$-test with the SPSS 15.0 Win program. Result: Mothers with disabled children showed less health promotion behaviors than the mothers' of children without disabilities. Two sub-categories, activity-exercise and health perception-health management pattern, showed significant differences between the two groups. In addition, mothers' health behaviors for disabled children were significantly different according to the children's age, mothers' employed status, and number of children in the family. Conclusion: These results suggest that mothers with disabled preschool children are likely to practice less health promotion behaviors with their children compared to others. These findings suggest that health promotion support programs for mothers with disabled children should be developed and offered. For effective intervention, pediatric nurses also need to be involved in the health of disabled children.

아동간호실습 운영형태에 따른 간호학생의 임상실습수행도 및 실습만족도 (Clinical Practice Performance According to Type of Practices and Satisfaction of Clinical Practice in Students at Child Health Nursing)

  • 김지수;이애란;어용숙
    • 한국간호교육학회지
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    • 제19권4호
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    • pp.542-548
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    • 2013
  • Purpose: This study was conducted to explore clinical practice performance according to type of practice in students in pediatric nursing and the relationship with satisfaction of clinical practice. Methods: The subjects consisted of 531 nursing students (307 at a pediatric ward and 224 at a nursery) from 5 colleges of nursing. Data collected from March to June 2012 were analyzed using descriptive statistics, t-test, AVONA and Pearson correlation coefficients. Results: Clinical practice performance on direct nursing activity was significantly different according to the course on pediatric nursing, grade point average, and satisfaction of nursing major. Observation practice was different according to type of college, the course on pediatric nursing, grade point average, duration of practice and clinical educator in the pediatric ward. In the nursery, direct nursing activity was significantly different according to the type of college, the course on pediatric nursing, hospital type, and duration of practice. Observation practice was different according to type of college, satisfaction of a nursing major, and the clinical educator. In addition, significant correlations were found between clinical practice performance and satisfaction of clinical practice. Conclusion: Our research can assist effective pediatric nursing practice planning for nursing students.

아동간호사의 자기효능감과 감성지능 및 환아부모와의 파트너십이 간호역량에 미치는 영향 (Influence of Self-efficacy, Emotional Intelligence, and Nurse-Parent Partnership on the Nursing Competency of Pediatric Nurses)

  • 문혜미;유명숙
    • 가정간호학회지
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    • 제27권2호
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    • pp.146-155
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    • 2020
  • Purpose: This study aimed to examine the influence of self-efficacy, emotional intelligence, and nurse-parent partnership on the nursing competency of pediatric nurses. Methods: This study recruited 114 pediatric nurses working in one tertiary general hospital and two general hospitals in the city. Data were collected using self-reported questionnaires from August 26 to September 16, 2019, and were analyzed using the statistical package IBM SPSS 22.0. Results: Statistically significant correlations were found between self-efficacy, emotional intelligence, nurse-parent partnership, and nursing competency. The nursing competency of these nurses was affected by significant predictors such as emotional intelligence, nurse-parent partnership, work duration in pediatrics, and self-efficacy. These variables explained 60.6% of nursing competency of pediatric nurses. Conclusion: To improve the nursing competency of pediatric nurses, we should develop an intervention that can enhance the nurses' emotional intelligence, self-efficacy, and nurse-parent partnership. Furthermore, greater consideration of nursing careers is needed.

뇌전증 아동·청소년 부모의 치료이행 개념분석 (Concept Analysis of Parents' Treatment Adherence for an Epileptic Child or Adolescent)

  • 이준아;윤주영
    • 지역사회간호학회지
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    • 제32권2호
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    • pp.205-219
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    • 2021
  • Purpose: This concept analysis was conducted to clarify 'parents' treatment adherence for an epileptic child or adolescent'. Methods: The analysis used a hybrid model comprising three phases: theoretical phase, fieldwork phase, and integration phase. In the theoretical phase, fifty studies were reviewed. Interviews with four parents of epileptic children or adolescents were conducted during the fieldwork phase. In the integration phase, the results derived from prior phases were synthesized and clarified. All phases were performed cyclically. Results: The concept, 'parents' treatment adherence for an epileptic child or adolescent' was defined as parents' voluntary and goal-directed behavior towards the epilepsy treatment for their children: a collaborative decision-making process with health-care providers, establishing a support system, adaptability to the treatment plans, and appraisals of the child's health condition. Conclusion: This achievement is thought to contribute to improving the accuracy and validity of the concept measurement. It has implications for additional research on how the concept 'treatment adherence' differs in diverse health problems and other population groups than parents of children and adolescents with epilepsy.

입원 아동 어머니가 지각하는 불확실성과 불안 및 간호요구도 (A Study on Uncertainty, Anxiety and Nursing Needs in Mothers of Hospitalized Children)

  • 유경희
    • 기본간호학회지
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    • 제14권2호
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    • pp.213-220
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    • 2007
  • Purpose: This study was conducted to investigate uncertainty, anxiety and nursing needs in mothers of hospitalized children. Method: Self report questionnaires were used to measure the variables. Variables were uncertainty, anxiety and nursing needs. In data analysis, SPSSWIN 12.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and regression analysis. Results: Cronbach's alphas of .84 to .97 indicate reliability of the instruments. Uncertainty positively correlated with anxiety (r=.624, p<.001) and nursing needs (r=.147, p<.05), and anxiety positively correlated with nursing needs (r=.262, p<.01). In regression analysis of anxiety, uncertainty, nursing assessment of nursing needs and duration of hospitalization were significant predictors, explaining 45.1% of variance. Conclusion: Uncertainty was a significant predictor of anxiety in mothers whose children were hospitalized. Therefore, nursing interventions which decrease uncertainty must be developed for these mothers.

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아동간호학 연구경향 분석: 2014년 Child Health Nursing Research 게재논문을 중심으로 (Trend Analysis of Research Articles Published in Child Health Nursing Research 2014)

  • 조갑출;이영은;오상은;탁영란;채선미;김은주;오진아;김성희;김남희;안영미
    • Child Health Nursing Research
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    • 제21권4호
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    • pp.347-354
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    • 2015
  • Purpose: This descriptive study was performed to explore trends in child health nursing research by analyzing the themes, contents and structure of articles published in 2014 in Child Health Nursing Research, the official journal of the Korean Academy of Child Health Nursing. Methods: Thirty-eight articles were reviewed using keywords, author (s), subjects, ethical considerations, designs, statistics involved, funding resources, and others. Results: Ten domains from 160 keywords were identified as follows, child related, psycho-social variable related, parents and family related, nursing and health related, and others. A mean of 2.9 authors per article was identified and 71% of the authors were academic- affiliated. Twenty-eight articles were human-participant related while 21 articles addressed both Institutional Review Board and written consent. Non-experimental design was the most commonly used method followed by experimental design, and qualitative design. The duration for acceptance was a mean of 89.1 days from submission with most articles requiring a second round of article review. Half of the articles were supported by grant organizations such as Korean National Research Foundation. Conclusion: The findings of the analysis show an improvement in the scientific quality with a diversity of articles in Child Health Nursing Research.

아동간호사의 임상적 의사결정 유형에 관한 연구 (Clinical Decision Making Patterns of Pediatric Nurses)

  • 황인주
    • 부모자녀건강학회지
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    • 제15권1호
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    • pp.20-32
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    • 2012
  • Purpose: The purpose of this study was to identify clinical decision making pattern of pediatric nurses and analyze how it shows the differences in types of decision making pattern by nurses characters. Methods: A self-administered questionnaire was used to pediatric nurses of 4 general hospitals in Seoul from February 2004 to April 2004. The data of 251 nurses was analyzed by varimax rotation factor analysis, t-test, and ANOVA. Results: 6 decision making patterns were identified: Individual Patient-oriented, Pattern-oriented Intuitive, Typical Nursing Knowledge-oriented, Nursing Model-oriented, Medical Knowledge-oriented, and Patient-Family-Nurse Collaborative. Individual Patient-oriented, Pattern-oriented Intuitive, Typical Nursing Knowledge-oriented, and Nursing Model-oriented decision making pattern got meaningful differences in age, marital status, total number of years in nursing practice, and number of years in pediatric nursing practice. Conclusion: We expect the result of this study can be applied for promotion of understanding the decision making of nurses that occurs in pediatric nursing practice and also can be used as foundation data for development and expansion of pediatric nursing practice.

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부아(父兒)애착 : 문헌고찰 및 비평 (PATERNAL INFANT BONDING : A CRITICAL REVIEW)

  • 김혜숙
    • 모자간호학회지
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    • 제2권1호
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    • pp.34-44
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    • 1992
  • 지난 10년 동안 구미에서는 부모-아동 관계 영역에 혁신을 가져왔다. 특히 부모-아동 애착이론의 획기적인 변화로 가족 중심 출산 경험을 강조하고 있다. 과거에는 남편이 아내의 출산에 참여하던 것이 타부시되어 왔지만 애착의 개념이 대두되면서 남편도 출산에 함께 참여하도록 고려하여 임신에서부터 부부가 함께 이 과업을 완수하도록 모든 환경을 변화시키고 있다. 애착이론은 다양하여 정신분석이론, 학습이론, 인지발달이론과 동물 행동학적 측면에서 이해되고 있다. 다양한 이론적 배경과 개념들을 가지고 아버지-아동의 애착 및 유대관계에 대한 연구가 지난 10여년 이상 되어오고 있다. 가장 관심의 촛점이 되어 연구 되어온 것으로는 애착형성을 위해 중요하다고 하는 민감한 시기(Critical period)를 중심으로 애착의 특성인 시각, 청각, 촉각, 상호호혜적 관계, 긍정적 애정을 바탕으로 연구되어졌다. 이 연구는 부아 애착(Paternal Infant Attachment)의 연구를 연구방법, 측정도구 및 방법상문제와 변수들을 중심으로 재정리하여, 이 분야에 있어서 앞으로의 연구 방향을 살펴보았다. 17편의 연구들을 각각 년도, 표본수, 방법 및 측정, 결과 및 비고난을 비교 분석하여 도표를 작성하였다. 이론적 기틀과 문헌고찰에 근거하여 다음과 같은 적용과 제언을 한다. 1. 출산전 아버지의 특성에 대한 사정이 필요하다. 2. 연구자가 집단간 비교를 용이하게 하기 위해 연구전에 표본의 특성을 정확히 기술해야 한다. 3. 부모와 아버지의 과거력에 대한 상세한 정보수집이 강조되어야 한다. 4. 앞으로의 연구는 이론적 모델에 근거하여 이루어져, 대중교육 뿐 아니라 정책 결정에 기여해야 한다. 5. 연구결과 평가와 해석을 위해 정확한 이론적 근거가 필요로 된다. 6. 간호연구는 부적절한 부아 애착 형성에 있어서 아버지의 특성을 확인하고 부아유대와 애착 증진의 요소를 파악해야한다. 7. 부아 유대에 대한 위협요소 확인을 위한 도구개발과 그들에 대한 효과적인 간호전략이 필요 된다. 8. 가족에 있어서 모든 부모행위가 하나의 독립변수로서 연구되어야 하고 부아유대 증진에 관한 연구가 시도되어야겠다. 오늘날 부모들은 임신기간동안 많은 정보에 접하기를 원한다. 산전, 산후의 교육과 지식은 긍정적인 부아 관계를 증진시키고, 이것은 아동의 발달에 크게 기여할 수 있다. 긍정적으로 이러한 관계는 가족단위를 강하게 통합시키게 되므로 건강관리자(Health care workers)들은 애착에 대해 높은 관심을 갖어야 하겠다.

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최근 5년간 6세 미만 아동 카시트 사용 분석: 국민건강영양조사 자료(2015~2019년)를 바탕으로 (An Analysis of Car Seat Use from 2015 to 2019 among Children Ages under 6: Using Korea National Health and Nutrition Examination)

  • 한수연;조수정
    • 동서간호학연구지
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    • 제27권2호
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    • pp.177-184
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    • 2021
  • Purpose: Traffic accidents are the major cause of death in children. Car seat usage in children is important to reduce the risk of death or injury caused by traffic accidents. This study aims to analyze the trends of car seat use among children ages under 6. Methods: This study adopted a cross-sectional study utilizing the Korea National Health and Nutrition Examination Survey from 2015 to 2019. In total, 1,999 responses were included for the analysis. Factors associated with car seat use were age, sex, body weight, height, family type, household income, and monthly household income. Regression analysis was used to compare the car seat use before and after the revision of the Road Traffic Act (2015~2018 vs. 2019). Results: We found that car seat use was increasing by year, age, region, and household income. Car seat use was higher after fines increased in 2019. Age and body weight had negative association with car seat use, while height and household income had positive association with car seat use. Conclusion: Car seat use increased from 2015 to 2019 and is associated with different ages among children and household income. Further education and promotion that describes the safety benefits to children from car seat use are needed.

시뮬레이션 학습을 위한 호흡곤란증후군 환아 시나리오 개발 및 학습 수행 평가 (Development and Evaluation of a Scenario for Simulation Learning of Care for Children with Respiratory Distress Syndrome in Neonatal Intensive Care Units)

  • 이명남;김희순;정현철;김영희;강경아
    • Child Health Nursing Research
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    • 제19권1호
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    • pp.1-11
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    • 2013
  • 목적 본 연구의 목적은 간호대학생을 대상으로 신생아 중환자실에 입원한 호흡곤란증후군 환아 사례의 시뮬레이션 학습 시나리오를 개발하여 지식 적용-기술 수행, 문제 해결 능력, 학습만족도를 파악하는 데 있다. 방법 단일군 사후설계를 적용하였으며, 고위험 아동간호학을 수강하고 있는 간호학과 4학년 55명을 대상으로 총 17개조를 구성하여 매주 3개조(4-5명/조)로 시뮬레이션 운영 후 디브리핑을 60분간 실시하였으며, 자신의 실습 수행에 대한 문제해결능력과 학습만족도를 평가하였다. 결과 시나리오는 간호진단을 포함하여 6단계로 구성하였으며, 20분의 운영 시간 내에 호흡곤란 증후군 환아에 대한 지식 적용 및 기술 수행 능력, OSCE 수행 능력을 평가할 수 있도록 개발하였다. 지식 적용-기술 수행 평가에서 간호진단을 제외한 5개의 범주 중 평가 단계가 지식 적용과 기술 수행 모두 가장 높게 나타났다. 지식 적용에서 가장 높은 평균 점수를 보인 항목은 사정 단계에서 산소포화도 관찰, 평가 단계에서 산소분압과 산소포화도 확인이었고, 기술 수행에서는 중재 단계의 호흡곤란 완화 간호가 높았다. 사정 단계의 검사 확인은 지식 적용 및 기술 수행 영역에서 모두 낮게 나타났다. OSCE 수행 평가에서는 흡인 수행 능력에서는 사용한 물품 정리 및 수행 후 손씻기, 산소 공급에서는 급습기 멸균증류수 확인이 가장 부족한 것으로 나타났으며, 잘 수행된 항목보다 수행되지 못한 항목이 흡인과 산소 공급 모두 많은 것으로 나타나 기본간호술기의 중요성을 확인할 수 있었다. 문제 해결 능력과 학습 만족도는 양의 상관관계가 있는 것으로 나타나 문제 해결 능력이 높을수록 학습만족도가 높은 것으로 나타났다. 결론 시뮬레이션 교육 시행 후 문제 해결 능력에 따라 학습 만족도가 높으므로 문제 해결 능력을 높일 수 있도록 아동간호영역에서 다양한 시뮬레이션 교육 프로그램이 개발될 필요가 있으며, 기본간호술기 수행 능력을 증진할 수 있는 교육 프로그램이 더욱 활발히 운영되어야 한다고 생각된다.