• 제목/요약/키워드: Adolescent in Transition

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범이론적 모형 (Transtheoretical Model)에 근거한 청소년의 금연변화단계 예측요인 (Predictors of Stage of Change for Smoking Cessation among Adolescents based on the Transtheoretical Model)

  • 김정순;정인숙;천병철;박남희
    • Journal of Preventive Medicine and Public Health
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    • 제36권4호
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    • pp.377-382
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    • 2003
  • Objectives : The purpose of this study was to investigate the predictor associated transitions with each stage of smoking cessation based on the Transtheoretical Model, and to provide basic data for smoking cessation programs for adolescents. Methods : The participants were 297 current and former smokers, obtained from stratified random sampling of 2nd graders from 127 high schools in B cities. The data were collected between April 6th and 16th 2002, using a structured self-report questionnaire, and analyzed using a multiple logistic regression, with the SPSS program for Windows (Version 10.0). Results : The predictors of transition from precontemplation to contemplation were consciousness raising (OR=1.22, 95% CI:1.07-1.40), coping pros (OR=.84, 95% CI:.70-1.00) and attitude of parents to smoking (OR=2.97,95% Cl: 94-9.24). The predictors of transition from contemplation to preparation were helping relationships (OR=.83, 95% CI:.72-.96), self-liberation (OR=1.15, 95% CI: 99-1.33) and nicotine dependence (OR=.76, 95% CI: 56-1.03). The only predictor of transition from preparation to action was the social pros (OR=.66, 95% CI:.57-.82). The predictors of transition from action to maintenance were self-reevaluation (OR=.81, 95% CI:.71-.92) and negative affective situation (OR=.85, 95% CI:.72-1.00). Conclusion : Adequate examination on the factors for predicting the transitional stages of change for smoking cessation in Koreans are presented in this study. The results of this study will become the pillar of smoking cessation Planning and application programs.

유아기 부모와의 애착이 청소년기 애착전이와 외로움에 미치는 영향: 애착전이모형 검증을 중심으로 (Effects of Childhood Attachment on Attachment Transition and Loneliness in Adolescence: An Examination of Attachment Transfer Process Model)

  • 전효정;이귀옥
    • 대한가정학회지
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    • 제38권1호
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    • pp.185-198
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    • 2000
  • Recently, many researchers have been interested in attachment processes in adolescence. However, the nature of attachment formation and transfer during this developmental period were not answered yet. This study examine the mechanism of attachment transfer from parents to friends, and the effects of childhood attachment styles on the level of attachment transfer and loneliness in adolescence. The resets show the majority of participants(70%) used their parents as primary attachment figures but were in the process of transferring attachment-related functions from parents to peers. There were the significant effects of attachment style, the level of transfer or state and trait loneliness in adolescence. This study provide the implications and limitation for conceptualization and measurement of adolescent attachment formation and loneliness.

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Nurse Manager Competency: Views from Executives in Thai Community Hospitals

  • Tongmuangtunyatep, Kanjananat;Lynn, Marry;Kunaviktikul, Wipada
    • Asian Journal for Public Opinion Research
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    • 제4권2호
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    • pp.88-107
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    • 2017
  • Background: Adolescent mothers may find the transition to motherhood to be Aim: The aim of this study was to investigate the viewpoints of nurse managers and directors of nursing services in community hospitals regarding the essential competencies of head nurses. Methods: A qualitative descriptive design was used to investigate the perspective of nurse managers and directors of nursing services about essential competencies of nurse managers in community hospitals. A total of ten participants (four directors of nursing services and six nurse managers) were interviewed. Findings: Nurse managers and directors of nursing services identified leadership, management, communication, professional ethics, and policy and healthcare environment as the essential competencies for their positions in community hospitals. Conclusions: These findings can be used by executives of community hospitals and nursing institutes to plan for competency development for nurse managers. They should be included in nursing administration programs.

The Efficacy of Visual Activity Schedule Intervention in Reducing Problem Behaviors in Children With Attention-Deficit/Hyperactivity Disorder Between the Age of 5 and 12 Years: A Systematic Review

  • Thomas, Naveena;Karuppali, Sudhin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제33권1호
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    • pp.2-15
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    • 2022
  • Objectives: Children with attention-deficit/hyperactivity disorder (ADHD) tend to be noisy and violate rules with their disruptive behaviors, resulting in greater difficulties with off-task behaviors and being at risk for social refusal. The visual activity schedule (VAS) intervention program is a frequently used method to teach multiple skills involving on-task, use of schedules, transition behaviors, social initiation, independent play skills, classroom skills, and academic skills. The current systematic review aimed to examine the efficacy of using VAS intervention in reducing problem behaviors in children with ADHD between 5 and 12 years of age. Methods: Systematic searches were conducted using two electronic databases (PubMed and Scopus) to identify relevant studies published in English between 2010 and 2020. Four studies met the inclusion criteria: two studies examined the effect of schedule-based tasks and the use of an iPad on classroom skills, while the other two examined randomized clinical trials (RCTs) of psychosocial treatment for ADHD inattentive type and a cross-sectional study examined the impact of the group size on task behavior and work productivity in children with ADHD. Results: The findings indicate that the interventions used in all four studies could lead to increased satisfaction among participants and parents, as well as a reduction in problem behavior. In terms of the research indicators, the RCT had low quality, while the others were of high quality. Conclusion: A larger number of studies and the ADHD clinical population would help to increase the generalizability of future reviews of treatments in this context.

응급피임약 사전 제공이 청소년의 성과 피임 행위에 어떤 영향을 미치는가?: 체계적 문헌고찰과 메타분석 (How Does Advance Provision of Emergency Contraceptives Affect Contraceptive Use and Sexual Activity Among Adolescents? Systematic Review and Meta-Analysis)

  • 류경순;이미순;김영혜;반선화;최미향
    • 대한간호학회지
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    • 제48권3호
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    • pp.255-265
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    • 2018
  • Purpose: The purpose of this study was to analyze the effect of emergency contraceptive pill on adolescent sexuality and contraceptive behaviors through a meta - analysis of intervention studies on advance provision of emergency contraceptives. This study aimed to provide objective data on the transition of general medicines to be discussed in relation to the reclassification of emergency contraceptive pills. Methods: Using electronic database, 1,820 studies written in Korean or English without limitation of the year were reviewed and for analysis, 5 studies were selected, in which emergency contraceptives were provided to adolescents. Results: The advance provision of emergency contraceptives has increased their use and shortened the time it takes to take contraceptive pills after unprotected sex. There was no change in the frequency of engaging in sexual intercourse and unprotected sex or in existing contraceptive behavior, pregnancy rates decreased, but there was no increase in sexually transmitted infection. Conclusion: The results of this study provide objective grounds for the reclassification of emergency contraceptive pills and propose effective interventional programs on contraceptive education, such as on efficacy and side effects of the contraceptive drug and its proper use among the youth who engage in sexual activity, to improve their reproductive health.

최근 5년간 소년원 여학생의 치과치료 및 구강건강실태 (Dental Treatments and Oral Health Status of Adolescent Girl Inmates in a Juvenile Detention Facility for the Last 5 Years)

  • 전요원;백광우
    • 대한소아치과학회지
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    • 제43권4호
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    • pp.401-409
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    • 2016
  • 본 연구는 만 11세에서 18세 사이에 해당하는 소년원 여학생과 대학병원 소아치과에 내원한 동일한 연령대 환자들의 구강 건강상태를 조사하여 차이점을 비교하고자 시행되었다. 최근 5년간 누적된 소년원 여학생과 아주대학교병원 소아치과에 내원한 환자의 치과기록을 수집하여 치과치료에 분석하였다. 소년원 여학생과 대학병원 환자 모두 수복치료가 가장 높은 비중을 차지하였다. 소년원 여학생에서는 치아우식에 의한 영구치의 발거가 중,고등학교 시기에 점차 증가한 반면에 대학병원 환자에서는 영구치의 발거 비율이 적었다. 현재 수용되어있는 만 11부터 18세까지의 소년원 여학생 130명과 최근 1년간 대학 병원 소아치과에 내원한 환자에 대해 구강검진을 시행하여 우식, 상실, 충전 치아 수를 검사하여 구강건강상태를 조사하였다. 우식경험영구치지수가 대학병원에서 4.15인 반면에 소년원 여학생에서는 7.53로 약 2배 높았다.

16~18세 청소년기 음성의 음향음성학적 특성 (Acoustic Characteristics on the Adolescent Period Aged from 16 to 18 Years)

  • 고혜주;강민재;권혁제;최예린;이미금;최홍식
    • 말소리와 음성과학
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    • 제5권1호
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    • pp.81-90
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    • 2013
  • During adolescence the mutational period is characterized by the changes in the laryngeal structure, the length of the vocal cords, and a tone of voice. Usually, adolescents at 15 or 16 reach the voice of adults but the mutational period is sometimes delayed. Therefore, studies on the voice of adolescents between 16 ~ 18 right after the mutational period are required. Accordingly, this paper attempted to provide basic data about the normal standard for patients with voice disorders during this period by evaluating the vocal characteristics of males and females between 16 ~ 18 with an objective device bycomparing and analyzing them by sex and age. The study was conducted on a total of 60 subjects composed of each 10 subjects of each age. The vocal analysis was conducted by MPT (Maximum Phonation Time) measurement, sustained vowels and sentence reading. As for /a/ sustained vowels, fundamental frequency, hereinafter referred to as $F_0$, jitter, shimmer, noise-to-harmonic ratio, hereinafter referred to as NHR were measured by using the Multi-dimensional voice program (MDVP) among the Multi-Speech program of Computerized Speech Lab (Kay Elemetrics). The sentence reading, mean $F_0$, maximum $F_0$ and minimum $F_0$ were measured using the Real-Time Pitch (RTP) Model 5121 among the Multi-Speech program of Computerized Speech Lab (Kay Elemetrics). As a result, according to sex, there were statistically significant differences in $F_0$, jitter, shimmer, mean $F_0$, maximum $F_0$, and minimum $F_0$; and according to age, there were statistically significant differences in MPT. In conclusion, the voice of the adolescents between 16 ~ 18 reached the maturity levels of adults but the voice quality which can be considered on the scale of voice disorders showed transition to the voice of an adult during the mutational period.

Secular trends of body sizes in Korean children and adolescents: from 1965 to 2010

  • Moon, Jin-Soo
    • Clinical and Experimental Pediatrics
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    • 제54권11호
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    • pp.436-442
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    • 2011
  • An anthropometric survey is one of the most important approaches to use when evaluating the health status of children. Secular trends in body sizes, such as height, weight, head circumference, chest circumference, and body mass index showed significant changes over 40 years in Korea. A series of periodic surveys were conducted in 1967, 1975, 1985, 1997, and 2005 by the Korean Pediatric Society and Ministry of Health and Welfare. The quality of data from school health examinations and the Korea National Health and Nutrition Examination Survey has improved, so we can use them now as resources for anthropometric analysis. The final height differences between 1965 and 1997 were 4.5 cm both in boys (168.9 cm in 1965; 173.4 cm in 1997) and girls (155.9 cm in 1965; 160.4 cm in 1997). The differences between 1997 and 2005 were 0.9 cm in boys (174.3cm in 2005) and 0.8 cm in girls (161.2 cm in 2005). There was no difference in final height measurements between 2005 and 2010. An increase in body size at earlier teen ages was pronounced during these decades compared to the previous generation; however, little change has been identified more recently. Body size has been increasing, and obesity has become more prevalent. Systems that gather data should be updated in order to cope with these secular trends. In an upcoming era of secular trends that would be in a slow transition, several surveys that include body measurements should be prepared to meet future needs.

청소년 시기의 부모양육방식, 또래애착, 교사관계가 학습태도 및 삶의 만족에 미치는 영향 (Influences of the Parenting Style, Peer Attachment, Relationship of Teacher factors on Learning Attitude and Life Satisfaction of Korean adolescents)

  • 강하나;용혜련;황현석
    • 한국산학기술학회논문지
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    • 제17권10호
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    • pp.449-457
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    • 2016
  • 청소년기는 아동에서 성인으로 넘어가는 과도기의 중간 기점으로서, 자신이 앞으로 어떠한 방향으로 살아갈지에 대한 고민과 자아를 정립하는 매우 중요한 시기이다. 이처럼 중요한 청소년기에 대한민국 청소년들의 행복지수는 OECD국가 중 최하위로, 특히 학업에 상당한 영향을 받는 것으로 조사되었다. 따라서 그들의 삶에 대한 만족도가 높을 것이라고 기대하기는 어려울 것으로 판단하였으며, 이러한 결과를 토대로 청소년들의 삶의 만족을 조절하는 요인들에는 어떠한 것이 있는지 연구하고자 하였다. 연구의 자료는 한국청소년정책연구원에서 수행된 '한국 아동 청소년 패널조사' 의 2012년도 KCYPS 중1 패널 제 3차의 원시자료를 활용하였다. 본 연구에서는 청소년의 학습태도 및 삶의 만족에 영향을 미치는 요인들을 분석하기 위해 먼저 학습태도 및 삶의 만족에 영향을 미치는 요인으로서 부모, 또래, 교사와의 관계가 중요하다고 보았다. 탐색적 요인분석을 통해 설문에 사용된 변수들 간 관계를 찾아내었고, 이들 요인간의 구조적인 관계를 규명하고자 구조방정식 모형을 이용하여 분석을 실시하였다. 실증분석 결과, 청소년 시기의 부모양육방식, 또래애착, 교사관계는 학습태도 및 삶의 만족에 상당한 영향을 미치는 것으로 나타났으며, 직접 또는 간접적으로 모두 삶의 만족에 유의한 영향을 미치는 것으로 나타났다. 분석된 결과를 통해 추후 대한민국 청소년들의 건강한 삶에 대한 결론 및 제언을 시사해보고자 하였다.

Postpartum Depression in Young Mothers in Urban and Rural Indonesia

  • Alifa Syamantha Putri;Tri Wurisastuti;Indri Yunita Suryaputri;Rofingatul Mubasyiroh
    • Journal of Preventive Medicine and Public Health
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    • 제56권3호
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    • pp.272-281
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    • 2023
  • Objectives: Young mothers are vulnerable to postpartum depression due to role transition-related stress. Understanding the causes underlying these stressors is essential for developing effective interventions. Methods: This study analyzed the 2018 Indonesian Basic Health Research data. The Mini International Neuropsychiatric Interview was used to assess postpartum depression symptoms in mothers aged 15-24 years with infants aged 0-6 months. In 1285 subjects, the risk factors for postpartum depression were evaluated using multivariate logistic regression. Results: The overall prevalence of depression in the 6 months postpartum was 4.0%, with a higher prevalence in urban areas (5.7%) than in rural areas (2.9%). Urban and rural young mothers showed distinct postpartum depression risk factors. In urban areas, living without a husband (odds ratio [OR], 3.82; 95% confidence interval [CI], 1.24 to 11.76), experiencing preterm birth (OR, 4.67; 95% CI, 1.50 to 14.50), having pregnancy complications (OR, 3.03; 95% CI, 1.20 to 7.66), and having postpartum complications (OR, 5.23; 95% CI, 1.98 to 13.80) were associated with a higher risk of postpartum depression. In rural areas, postpartum depression was significantly associated with a smaller household size (OR, 3.22; 95% CI, 1.00 to 10.38), unwanted pregnancy (OR, 4.40; 95% CI, 1.15 to 16.86), and pregnancy complications (OR, 3.41; 95% CI, 1.31 to 8.88). Conclusions: In both urban and rural contexts, postpartum depression relates to the availability of others to accompany young mothers throughout the postpartum period and offer support with reproductive issues. Support from the family and the healthcare system is essential to young mothers' mental health. The healthcare system needs to involve families to support young mothers' mental health from pregnancy until the postpartum period.