• Title/Summary/Keyword: 학령기 입원아동

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School aged Children's Adjustment to Hospital Life (학령기 아동의 입원생활 적응)

  • Oh Jina
    • Child Health Nursing Research
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    • v.9 no.4
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    • pp.399-407
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    • 2003
  • Purpose: The study was done to identify adjustment to hospital life of school aged children. This research was designed as a descriptive study. Method: A convenience sample of 186 patients who were hospitalized children, 6~12 years old. The instrument in this study were developed by researcher and constructed to include 5 sub categories about adjustment to hospital life. They ask children to rate each item on 5 Likert scale. The data were analyzed by SPSS Win Program. Result: The mean average score of adjustment to hospital life was 91.75(SD 11.22); the social support revealed the highest value, followed by self-esteem, stress on disease, stress on hospitalization, and defense strategies. There was differences on bibliographic data; hospital date, disease type. The relationship between adjustment and sub categories was significant, especially in the stress on hospitalization and disease, social support and self-esteem. The relationship between coping strategies and stress on diseases was reversed. Conclusion: These results suggest that pediatric nurses need to be aware of the adjustment to hospital life. A development of nursing intervention program may be useful and critical for hospitalized school aged children.

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The Development of a Program Promoting the Adjustment and its Effectiveness for School aged Children′s Hospital Life (학령기 아동의 입원생활 적응증진 프로그램 개발 및 효과)

  • 오진아
    • Journal of Korean Academy of Nursing
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    • v.34 no.3
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    • pp.525-533
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    • 2004
  • Purpose: The purpose of this study was to develop a program promoting adjustment to hospital life and determining its effectiveness for school aged children. Method: The sample group consisted of 76 hospitalized children in 2 University Hospitals located in Busan. The experimental group was given the program on admission and feedback was obtained on the 3rd day and again 24 hours later. Data was analyzed using t-test and ANOVA in the SPSS program package. Result: There were significant differences, in information(t=4.235, p=0.000) and coping effort criteria (t=2.922, p=0.005) between the experimental and control groups. There was a non-significant difference in attitude criteria between the two groups(t=1.009, p=0.316). Conclusion: It was found that the adjustment promoting program for hospital life for school aged children was effective, but not enough to promote self-esteem. The program, based on a learning theory, was improved and shown to be an effective and strong method to promote adjustment of school-aged children.

Development and Effectiveness Testing of a Program to Promote Self-esteem for Hospitalized School-aged Children (학령기 입원아동의 자아존중감증진 프로그램 개발 및 효과)

  • Oh Jina;Lee Ja-Hyung
    • Child Health Nursing Research
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    • v.10 no.4
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    • pp.460-467
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    • 2004
  • Purpose: The purpose of this study was to develop a program promoting self-esteem and to determine the effectiveness of the program for hospitalized school-aged children. Method: The sample group consisted of 68 hospitalized children in a University Hospital located in Busan. The experimental group was given the program and feedback was obtained 3 times up until the day of discharge. Data were analyzed using t-test and 2-way ANOVA with the SPSS program package. Result: There was a significant difference between experimental and control groups in self-esteem. Conclusion: It was found that the program promoting self-esteem in school aged children was effective. The program, which was based on learning theory, was shown to be an effective and strong method to promote adjustment in hospitalized school-aged children.

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A Study on Mother's Anxiety Level of Hospitalized School-Aged Children (학령기 입원아동 어머니의 불안정도)

  • Moon Young Im;Park Ho Ran
    • Child Health Nursing Research
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    • v.2 no.2
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    • pp.28-34
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    • 1996
  • This study was designed to investigate the level of mother's anxiety and to exent knowledge about critical factors of mothers who has hospitalized school aged children. The subject of this study were 395 mothers who have hospitalized school-aged children in 9 different general hospital in Seoul. This outcome measures of mothers' anxiety were tested by Spielberger' STAI. The findings from this study were as follows : 1. The mean score of mother's anxiety was 46.7. 2. The level of mother's anxiety by mother's age, educational level, relegion and experience of loss of children showed significantly difference. Also level of mother's anxiety by the type of disease, hospital days and birth order of children showed significantly difference.

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Influence of Hospitalization Recognition and Hospital-Related Fear on the Adjustment to Hospital Life by Hospitalized School-Aged Children (학령기 입원아동의 입원상황 인지 및 병원 관련 공포가 입원생활 적응에 미치는 영향)

  • Kang, Mi-Jeong;Kwon, In-Soo;Jeong, Eun
    • Child Health Nursing Research
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    • v.23 no.3
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    • pp.375-384
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    • 2017
  • Purpose: This study was done to identify the level of adjustment to hospital life, hospitalization recognition and hospital-related fear by school-aged children, and investigate the influence of hospitalization recognition and hospital-related fear on the hospital life of these children. Methods: Participants were 112 three to six grade students who were hospitalized from 3 to 7 days at one of two children's hospital. Date were collected from September 2015 to March 2016. Data were analyzed using frequency, percentage, mean, standard deviation, multiple regression. Results: The mean score for adjustment to hospital life was $3.43{\pm}0.40$ of 5, for hospitalization recognition, $2.98{\pm}0.46$ of 4 and for hospital-related fear, $1.37{\pm}0.28$ of 3. Factors affecting adjustment to hospital life were hospital-related fear (${\beta}=-.28$, p=.002) and hospitalization recognition (${\beta}=.27$, p=.003). These factors explained 17% of the variance in adjustment to hospital life. Conclusion: Results indicate that adjustment to hospital life by school-aged children is not sufficient enough for them to cope with illnesses and hospitalization. Therefore, to improve adjustment to hospital life by school-aged children, nursing interventions that focus on increasing hospitalization recognition and decreasing hospital-related fear need to be developed.

Development of Smart Phone-based Nebulizer Educational Material Using QR Cord for Parents of Hospitalized Preschool Children (학령전기 입원 아동의 보호자를 위한 QR 코드를 활용한 스마트폰 기반의 흡입요법 교육 자료 개발)

  • Jo, Yuri;Hwang, Heejeon;Jo, Eunjin;Hwang, Yunjeong;Hyun, Jeonghwa;Ko, U Ri;Choi, So Yeon;Lee, Chong Ran
    • Korean Parent-Child Health Journal
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    • v.22 no.1
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    • pp.1-9
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    • 2019
  • Purpose: The purpose of this study is to develop educational material for parents of hospitalized preschool children who receive nebulizer therapy treatment. The educational material is aimed at providing information on the correct use of nebulizer. Methods: The development of educational material was based on the ADDIE model and consists of an A4-sized leaflet and a video. Results: The leaflet included basic information, procedures, and cautionary information for nebulizer therapy, as well as frequently asked questions. The one minute and fifty second video is accessed via QR code and provides step-by-step instruction on nebulizer therapy. Conclusion: This study recommends that the educational leaflet and video developed for nebulizer therapy use be provided to parents of preschool children hospitalized in the pediatric ward.

CLINICAL STUDY OF THE ABUSE IN PSYCHIATRICALLY HOSPITALIZED CHILDREN AND ADOLESCENTS (소아청소년 정신과병동 입원아동의 학대에 대한 임상 연구)

  • Lee, Soo-Kyung;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.10 no.2
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    • pp.145-157
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    • 1999
  • This study was performed by the children and adolescents who were abused or neglected physically, emotionally that were selected in child & adolescents psychiatric ward. We investigated the number of these case in admitted children & adolescents, and also observed characteristics of symptoms, developmental history, characteristics of abuse style, characteristics of abusers, family dynamics and psychopathology. We hypothesized that all kinds of abuse will influnced to emotional, behavioral problems, developmental courses on victims, interactive effects on family dynamics and psychopathology. That subjects were 22 persons of victims who be determined by clinical observation and clinical note. The results of the study were as follows:1) Demographic characteristics of victims:ratio of sex was 1:6.3(male:female), mean age was $11.1{\pm}2.5$. According to birth order, lst was 12(54.5%), 2nd was 5(23%), 3rd was 2(9%) and only child was 3(13.5%). 2) Characteristics of family:According to socioeconomic status, middle to high class was 3(13.5%), middle one was 9(41.% ), middle to low one was 9(41%), low one was 1(0.5%). according to number of family, under the 3 person was 3(13.5%), 4-5 was 17(77.5%), 6-7 was 2(9%). according to marital status of parents, divorce or seperation were 5(23%), remarriage 2(9%), severe marital discord was 19(86.5%). In father, antisocial behavior was 7(32%), alcohol dependence was 10(45.5%). In mother, alcohol abuse was 5(23%), depression was 17(77.3%), history of psychiatric management was 6(27%). 3) Characteristics of abuse:Physical abuse was 18(81.8%), physical and emotional abuse and neglect were 4(18.2%). according to onset of abuse, before 3 years was 15(54.5%), 3-6 years was 5(27.5%), schooler was 1(15%). Only father offender was 2(19%), only mother offender was 8(35.4%), both offender was 8(35.4%), accompaning with spouse abuse was 7(27%), and accompaning with other sibling abuse was 4(18.2%). 4) General characteristics and developmental history of victims:Unwanted baby was 12(54.5%), developmental delay before abuse was9(41%), comorbid developmental disorder was 15(68%). there were 6(27.5%) who didn‘t show definite sign of developmental delay before abuse. 5) Main diagnosis and comorbid diagnosis:According to main diagnosis, conduct disorder 6(27.3%), borderline child 5(23%), depression4(18%), attention deficit hyperactivity disorder(ADHD) 4(18%), pervasive developmental disorder not otherwise specified 2(9%), selective mutism 1(5%). According to comorbid diagnosis, ADHD, borderline intelligence, mental retardation, learning disorder, developmental language disorder, oppositional defiant disorder, chronic tic disorder, functional enuresis and encoporesis, anxiety disorder, dissociative disorder, personality disorder due to medical condition. 5) Course of treatment:A mean duration of admission was $2.4{\pm}1.5$ months. 11(15%) showed improvement of symtoms, however 11(50%) was not changed of symtoms.

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Effects of Topical Anesthetic Cream on Pain at Venipuncture in Children (정맥 천자 시 국소마취크림 도포가 아동의 통증에 미치는 효과)

  • Kim, Yunsoo;Park, Ho Ran
    • Child Health Nursing Research
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    • v.20 no.3
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    • pp.142-148
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    • 2014
  • Purpose: This study was done to evaluate the effectiveness of EMLA cream on pain related to venipuncture among children. Methods: In this study, 48 children were evaluated using a sequential measurement for level of pain by Skin Conductance Level (SCL) based on Galvanic Skin Response (GSR), heart rate, and the Visual Analogue Scale (VAS) at four times. Results: The maximum and mean of the SCL were each significantly different between the experimental and control groups and furthermore, the two were also significantly different among observed times. In addition there was a significant interaction between group and time. The children's perceived pain using VAS was not significantly different between the experimental and control groups. There was no significant difference in the heart rate between the experimental and control groups; however, the interaction between group and time was significant. Conclusion: In conclusion, applying topical anesthetic cream to the venipuncture site to reduce pain was effective among the children and therefore it is highly recommended that topical anesthetic cream be applied at the venipuncture site as a nursing intervention to reduce pain when a child has to undergo a venipuncture.

Identification and Measurement of Hospital-Related Fears in Hospitalized School-Aged Children (학령기 입원아동의 병원관련 공포에 관한 탐색연구)

  • 문영임
    • Journal of Korean Academy of Nursing
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    • v.25 no.1
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    • pp.61-79
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    • 1995
  • When children are admitted to hospital, they have to adapt to new and unfamiliar stimuli. Children may respond with fear to stimuli such as pain or unfamiliar experiences. One goal of nursing is to help hospitalized children to adapt effectively to their hospital experience. Accordingly, nurses need to assess childrens' fears of their hospital experience to contribute to the planning of care to alleviate these fears. The problem addressed by this study was to identify and measure hospital-related fears(hereafter called HRF) in hospitalized school-aged children. The study was conceptualized with Roy's model. A descriptive qualitative approach was used first, followed by a quantitative approach. This study was conducted from November 30, 1989 to January 12, 1991. The sample consisted of 395 hospitalized school-aged children selected through an allocated sampling technique in nine general hospitals. The HRF questionnaire (three point likert scale ) was developed by a delphi technique. The data were analyzed by an SAS program. Factor analysis was used for the examination of component factors. Differences in the HRF related to demographic variables were examined by t-test, analysis of variance and the Scheffe test. The crude scores of the HRF scale were transformed into T- scores to calculate the standard scores. The results included the following : 1. Forty-four items were derived from 188 statements identifying the childrens' hospital-re-lated fears. These items clustered into 14 factors, fear of injections, operations, bodily harm others' pain, medical rounds, physical examinations, medical staff, disease process, blood and X-rays, drugs and cockroaches, tests, harsh discipline from parents or staff, being absent from school, and separation from family. The 14 factors was classified into four categories,'pain','the unfamiliar','the un-known' and 'separation'. 2. The reliability of the HRF instruments was .92(Cronbach's alpha). In the factor analysis, Cronbach's alpha coefficients for the 14 factors ranged from .84 to .86 and Cronbach's alpha coefficients for the four categories ranged from .70 to .84. Pearson correlation coefficient scores for relationships among the 14 factors ranged from ,11 to .50, and among the four categories, from ,44 to ,63, indicating their relative independence. 3. The total group HRF score ranged from 45 to 130 in a possible range of H to 132, with a mean of 74.51. The fears identified by the children were, in order, injections, harsh discipline by parents or staff, bodily harm, operations, medical staff, disease process, and medical rounds ; the least feared was others' pain. The fear item with the highest mean score was surgery and the lowest was examination by a doctor. HRF scores were higher for girls than for boys, and for grade 1 students than for grade 6 students. HRF scores were lower for children whose fathers were over 40 than for those whose fathers were in the 30 to 39 age group, and whose mothers were over 35 than for those whose mothers were in the 20 to 34 age group. HRF scores were lower when the mother rather than any other person stayed with the child. The expressed fear of pain, the unfamiliar, the un-known and of separation directs nurses' concern to the threat felt by hospitalized children to their concept of self. This study contributes to the assessment of fears of hospitalized children and of stimuli impinging on those fears. Accordingly, nursing practice will be directed to the alleviation of pain, pre-admission orientation to the hospital setting and routines, initiation of information about procedures and experiences and arrangments for mothers to stay with their children. Recommendations were made for further research in different settings and for development and testing of the instrument.

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