• Clinical and Experimental Pediatrics
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• v.45 no.10
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• pp.1251-1262
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• 2002

Purpose : The purpose of this study is to assess and compare the stress of mothers and fathers in families with epileptic children, and to assess contributing factors to their stress. Methods : We used a family stress survey with 35 questionnaires to obtain data concerning the parents' perceived stress. Data were analyzed with SPSS 8.0 program using Pearson correlation coefficient, oneway ANOVA, and multiple range test. Results : The parents' stress level seemed not so high and there was no significant difference in stress level between mothers and fathers. There was no significant correlation between most demographic variables of the parents and parents' stress level. But the time of bringing epileptic children correlates positively with the stress level. Oneway ANOVA showed the differences of parents' stress level according to the education institution, seizure type, number of antiepileptic drugs, and the combined disabilities of the sufferer. Conclusion : The results of present study indicate that the stress level in the families with epileptic children may be influenced by some treatment-related characteristics of epileptic children such as seizure type, number of antiepileptic drugs, combined disabilities and the raising method of hospital expenses.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.1 no.1
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• pp.117-129
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• 1990

35 children(17 boys, 18 girls) with Recurrent Abdominal pain(RAP) without apparent organic causes, referrd from pediatric department of Seoul National University Children's Hospital were studied during 1988. 7. 1 ${\sim}$ 1989. 2. 28. The aims of this study are to examine clinical characteristics of the patients with RAP, to find possible factors influencing the onset and the course of the disorder, to evaluate the psychological status and the relationship with psychiatric diagnoses. The study subjects were compared with the age and sex matched control subjects on measures of social and school functioning, family-environment, behavior traits by CBCL and parent-environment rating scale. All patients and their mothers were interviewed by a child psychiatrist. The results were as follows ; 1) Abdominal pain was found to be more frequent when with a care taker, and related with traumatic life stresses such as separation from parents, death of family members. 2) Family members of the patients with RAP also had a high rate of a history of gastrointestinal dysfunctions with could not be attributed to organic etiologies. 3) Among 35 patients with RAP, 16 were diagnosed as psychiatric disorders. They were adjustment disorders (4), overanxious disorders (4), depression (2), tic disorders (2), attention deficit disorders (2), separation anxiety disorders (1), enuresis (1). 4) On CBCL, the patients with RAP were more internalized, socially less competent and less active compared with the control subjects. 5) According to the parent-environment rating scale, the patients with RAP had more conflicts with their parents about control issues. Family members of the patients with RAP were socially less competent and less abjustable. The parents of the patients with RAP were more affectionate and spent more time with their children but they were unfair and vague on instruction and discipline.

• Korean Parent-Child Health Journal
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• v.17 no.1
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• pp.29-36
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• 2014

Purpose: Competence in parenting helps the parent to recognize the ability to resolve problems arising to children, allowing positive interactions with children through desirable child-rasing behavior and smooth communication with children. This study aims to identify the contribution of uncertainty and educational needs to the competence in parenting. Methods: Total 159 mothers responded a questionnaire developed to measure uncertainty, educational needs, and competence in parenting. t-test, ANOVA, and stepwise multiple regression with the SPSS program were used to analyze the data. Results: We found that uncertainty, nursing educational need, and mothers' age had influence to the competence in parenting. Conclusion: Nursing interventions provided to the mothers of hospitalized children for better parental competence need to include programs for alleviating uncertainty and satisfying the need for nursing education.

• 대한예방의학회:학술대회논문집
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• 2004.10a
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• pp.32.1-32.1
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• 2004

• Child Health Nursing Research
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• v.11 no.2
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• pp.229-239
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• 2005

Purpose: The objective of this study was to provide an understanding of the difficulties for facing parents of children with terminal cancer. Method: The design of this study was an inductive and descriptive study. Thirty???]one parents of children with terminal cancer participated in???]depth were interviewed s. C in depth and content analysis was used for analyzing the data. Results: The main categories in the findings were 'difficulties in coping', 'physical and psychological suffering of children', 'suffering of family', 'bereavement with children', 'economic problems', 'incurable situation', 'preparation of death', 'social isolation', 'coping after a child dies', 'spiritual problems', receiving active treatment', 'informing children of their condition', 'a sense of meaninglessness', 'emotional iunstability', and 'giving up hope'. Conclusion: The main point identified from this result in this study was that parents who have a child with terminal cancer don't never give up the hope of recovery for their child even when the child is in by the terminal stage of their children, even though and they are unwillingly to prepare for their child's death. This is a unique characteristic in the attitude of the families' attitude in child hospice care and differs from that found in adult hospice care. This result can be used as an important guide for nurses to in assessing the parents' needs in the terminal care setting.

• Child Health Nursing Research
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• v.21 no.3
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• pp.236-243
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• 2015

Purpose: In this study self-efficacy, emotional labor, pediatric nurse-parent partnership and job stress of pediatric nurses were examined. Factors affecting job stress of pediatric nurses were also investigated. Methods: The study was done between June and September 2014, with a convenience sample of 145 nurses from 3 advanced general hospitals, 5 general hospitals and 2 children's hospitals. Research data were collected via questionnaires and analysed using SPSS version 18.0. Results: Average levels of self-efficacy, emotional labor and job stress were similar to other general nurses and the average level of pediatric nurse-parent partnership was also similar to other pediatric nurses. Job stress of pediatric nurses showed a positive correlation with emotional labor and negative correlations with self-efficacy and pediatric nurse-parent partnership. The most significant factor affecting job stress in pediatric nurses was emotional labor (${\beta}=0.372$, p<.001). The combination of emotional labor, pediatric nurse-parent partnership and self-efficacy accounted for 25.4% of job stress in pediatric nurses. Conclusion: These results suggest that nursing management strategies to decrease emotional labor and improve pediatric nurse-parent partnerships and self-efficacy are critical to decrease job stress for pediatric nurses. Continued development of nursing management interventions to decrease job stress in pediatric nurses is suggested.

• The Journal of Korean Academic Society of Nursing Education
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• v.7 no.2
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• pp.323-332
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• 2001

This study was to investigate the level of nursing needs of parents who have hospitalized child. The subjects for this study were 70 parents who have hospitalized child at pediatric ward in S University Hospital, and the period of data collection was from June 5, 2000 to July 15, 2000. The research instruments used in this study was the Nursing Needs Scale and the cronbach's $\alpha$ of this scale was .92. This instrument had four dimensions : physical nursing needs, therapeutic nursing needs, emotional nursing needs and educational nursing needs. In data analysis, SPSSWIN 10.0 program was used for descriptive statistics. The results were as follows. 1) The range of nursing needs scores was from 104 to 156 and the mean score of the nursing needs was 132.64. 2) The mean score of the therapeutic nursing needs dimension was the most with 3.56 compared to emotional nursing needs(3.25), educational nursing needs(3.25), physical nursing needs(3.14). 3) There was a significant difference in nursing needs of parents according to the level of child's physical function(F=3.39, p<.05). 4) There was a significant correlation between nursing needs and child's physical function(r=-.262, p<.05).

• Journal of East-West Nursing Research
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• v.27 no.2
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• pp.134-142
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• 2021

Purpose: This study aimed to identify the influence of communication competence and self-efficacy of nurses at children's hospitals on the nurse-parent partnership. Methods: Data were collected by surveying (from July 4th to August 4th, 2019) 162 nurses who had 6 or more months of experience across 15 children's hospitals in G City and B Metropolitan City. Using SPSS 23.0 for Windows for data analysis, t-tests, analysis of variance, Bonferroni tests, Pearson's correlation coefficient, and multiple regression analysis were performed. Results: The nurse-parent partnership showed significantly positive correlations with nurses' communication competence and with self-efficacy. There was a significantly positive correlation between nurses' communication competence and self-efficacy. The factors influencing the nurse-parent partnership were nurses' communication competence, job satisfaction, and self-efficacy; the total explanatory power of these variables was 47.0%. Conclusion: Since the communication competence of nurses at children's hospitals was identified as a major factor influencing the nurse-parent partnership, it may be meaningful to conduct basic research aimed at developing strategies to improve this partnership at children's hospitals.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.5 no.1
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• pp.194-200
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• 1994

When children exhibit unusually intense or persistent sexual interests or behavior, this is an indication that they have been exposed to more than the expectable amount of sexual experience, Although sexualized behavior and/or statement is a symptom of sexual abuse, it is not necessarily an indication of sexual abuse. The possibility of false allegation needs to be considered, particularly if allegations are coming from the parent rather than a child, if parents are engaged in dispute over custody or visitation, and/or if the child is a preschooler. False allegations may arise in other situations as well, such as the misinterpretation of a child's statement or behavior by relative or caretakers. And children may make false statement in psychiatric evaluations. A case of false allegation of sexual abuse made by mentally retarded 10 year-old girl who has been located in an institute is presented. During her evaluation process, it was clinician's diagnostic impression that she had no been sexually abused but sexually stimulated in some way, and most of what she said was a fantasy lie. Its pathological mechanism is discussed in terms of pseudologia fantastica along with the review of literatures.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.8 no.2
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• pp.287-297
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• 1997

Conduct disorder has been subclassified by the symptom characteristics of socialization, aggression, or age of onset. In ICD-10, ‘Conduct disorder confined to family context’ has been developed as a distinct subtype. Which delineates the conduct problems which take place only in the family and related situation. These authors experienced a case which presents a child who shows aggressive and violent behavior to his parent and brother, severe tamper tantrum and destructiveness only in family. By through history taking, observation and treatment after admission, we could find that insecure and ambivalent attachment between parent and child due to chronic neglect and abuse, and inconsistent parental behavior contribute to many behavioral and emotional problems of this child. We reviewed the relationship between conduct disorder and family pathology and treatment strategy for conduct disorder with family problems.