• Title/Summary/Keyword: Caregiver education

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The Study on the Development and Effectiveness of Parent Role Education Program I -Focusing on the six-months results- (영아의 건강증진을 위한 부모역할훈련 프로그램의 효과 -생후 6개월의 결과를 중심으로-)

  • Han Kyung Ja;Kwon Mi Kyung;Bang Kyung Sook;Kim Jung Soo
    • Child Health Nursing Research
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    • v.7 no.1
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    • pp.96-107
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    • 2001
  • Recent research indicates that the new mothers want to learn about childrearing, and have burden in care of infants. Also it indicates that the new mothers say the lack of confidence and knowledge about infant care. This study was a prospective longitudinal reseach developing parent role education program and evaluating the effectiveness of this program for mother-infant interaction, childrearing environment and infant development. Longitudinal quasi-experimental design was used. The subjects were the healthy infants weighing over 2,500gm at birth, whose gestational age was more than 37weeks, and their mothers. The sample consisted of 19 mother-infant dyads for intervention group and 18 dyads for control group. Data were collected from March 15th to December 14th in 1999. For the intervention group received programmed education that was consisted of discharge education, telephone counselling, and home visiting for maternal education. The data were analyzed using chi-square test and t-test to test the equivalence of two groups, and the effectiveness of intervention program. This study was focused on the results of six months time point. The results were as follows: 1. There was significant difference in the mean score of mother-infant interaction(NCAST) between two groups. Intervention group showed higher scores in the subscales of sensitivity to cues, cognitive growth fostering, and caregiver total. 2. There was no significant difference in the mean score of child rearing environment (HOME) between two groups of six-month-infants. But when each subscale of HOME was examined, intervention group showed higher scores in the dimensions of opportunities for variety in daily stimulation, maternal involvement with child, and emotional, verbal response. 3. Six-month-infants of the intervention group showed significantly higher GQ in the Griffiths mental development scale. In conclusion, the maternal education program was effective in promoting the mother-infant interaction, organizing the childrearing environment, and fostering the infant development. These results were very meaningful that we found parent role education necessary for normal infants' mothers, and nurses can make a great contribution in promoting health of infants and mothers.

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Patient-Controlled Analgesia (PCA) for Post-operative Patients - A Study on Differences according to Who Controls the Analgesic (수술환자의 자가통증조절기 사용 방법에 관한 조사 연구)

  • Lee, Yoon-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.3
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    • pp.315-322
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    • 2007
  • Purpose: The purpose of this study was to examine the effect of three kinds of modes using bolus button of PCA on level of pain and side effects of analgesic and amount of drug consumption in post-operative patients according to whether the medication is controlled by the patient, the caregiver or the nurse. Method: The participants were 684 patients using PCA after an operation. The data collection period was from March 19 to April 6, 2007. Results: It was found that there were statistical differences in gender, age, type of surgery, pain on first post-operative day, amount of drug consumption, nausea, and vomiting. The ratio for patient controlled medication was 55.7% for women, and 70.5% for men, and for care-giver controlled medication, 35.1% for women, and 20.0% for men. Average pain scores for the first post-operative day were $3.9{\pm}2.2$ for patient controlled medication and $4.5{\pm}2.3$ for care-giver controlled medication. There were statistical differences according to mode used for PCA for amount of drug consumptions, nausea and vomiting but not for pain, operation day or pruritus. Conclusion: This study was carried out to examine risks according to who controls the PCA for post-operative patients. The results can help to develop education program for everyone who is involved in PCA, patients, caregivers, nurses and doctors.

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The Relationship between Parenting Stress and Second Childbirth Intention of Working Mothers with Their First Child in Infancy: The Moderating Effect of Job Satisfaction (영아기 첫 자녀를 둔 취업모의 양육스트레스와 후속 출산의도의 관계: 직업만족도의 조절효과)

  • Choi, Miran;Jahng, Kyung Eun
    • Korean Journal of Childcare and Education
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    • v.13 no.4
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    • pp.53-73
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    • 2017
  • Objective: This study intended to examine whether working mothers' job satisfaction has a moderating effect on the relationship between their parenting stress and second childbearing intention. Methods: The subjects were 202 working mothers in Seoul and Gyeonggi province, all of who had a single child under 36 months old. Working mothers' parenting stress, job satisfaction and second childbearing intention were assessed with questionnaires completed by the mothers. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, Duncan test, Pearson's correlation, and moderator regression analysis. Results: First, a significant difference was revealed in the mothers' second childbearing intention depending on the type of their child's main caregiver. The second childbearing intention of the mothers who relied on babysitters to care for their children was lower than that of the mothers whose mothers, mother-in-laws or child care teachers cared for their children. Secondly, working mothers' parenting stress and job satisfaction significantly affected their second childbearing intention. Thirdly, the mothers' job satisfaction moderated the relationship between their parenting stress and second childbearing intention. Conclusion/Implications: It is necessary to provide working mothers with social support for enhancing their job satisfaction and alleviating their job stress, in order to increase their second childbearing intention.

Children's Behavior Problems, Child-rearing Stress and Rejective Parenting Attitude in Preschool Children's Mothers (학령전기 아동의 문제행동과 어머니의 양육스트레스 및 거부적 양육태도)

  • Cho, Gyoo-Yeong;Eo, Yong-Sook;Ahn, Min-Soon
    • Child Health Nursing Research
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    • v.16 no.2
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    • pp.136-143
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    • 2010
  • Purpose: The purpose of this study was to identify the relationship of children's behavior problems and child-rearing stress to rejective parenting attitude in mothers. Methods: Study participants were 595 mothers who had children aged 3 to 5 who attended one of 10 kindergartens or infant schools in M or B Cities. The instruments used for this study were a self-report questionnaire, CBCL (Child Behavior Check List), PARQ (Parenting Acceptance-Rejection Questionnaire), and PSI (Parenting Stress Index Short Form by Abidin). Regression analysis was the statistical method used for data analysis. Results: The factors associated with rejective parenting attitude were child-rearing stress, birth order, mother's education, the major caregiver in the family, and the type of family. These factors explained 33.7% of rejective parenting attitude. Conclusion: The findings indicate a need to develop and provide parenting programs to reduce child-rearing stress in mothers.

The Role of Clinical Research Nurses at Regional Clinical Trials Centers (지역임상시험센터 임상연구간호사의 역할 구명)

  • Do, Seon-Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.3
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    • pp.348-359
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    • 2010
  • Purpose: This study aimed to evaluate the performance of Clinical Research Nurses (CRNs) and the importance of their roles at the Regional Clinical Trial Centers (RCTCs). Method: A questionnaire focused on the role of CRNs was crafted by a researcher and the content validity was verified by a panel of experts on clinical research. The subjects of this study were 91 CRNs and Clinical Research Coordinators (CRCs), who were Korean registered nurses working at nine RCTCs. 77 subjects yielded valid data were analyzed using descriptive analysis, the Mann-Whitney U test, Spearman's rank order correlation coefficient, and Kruskal-Wallis test. Results: The performance of CRNs and the recognition in the importance of their roles were statistically significant different in age, education, CRN careers, positions, employment status and the phase of clinical trial. The role of direct caregiver was performed most often by CRNs. The role of coordinator of care and research (pre-study) was considered the most important role but performed the least frequent. Conclusions: The role of CRNs can easily be differentiated from CRCs who are not registered nurses. The domains of CRNs should be clearly identified and established. Moreover, research should be carried out on CRN training programs to cultivate competence in CRNs.

A Comparative Study on the Effects of an Individual Intervention Program and a Group Intervention Program on the Demented Elderly and Their Families (치매환자 및 가족지지 프로그램 효과 연구 : 개별 및 집단프로그램 비교)

  • Oh, Jin-Joo
    • Research in Community and Public Health Nursing
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    • v.19 no.2
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    • pp.205-215
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    • 2008
  • Purpose: This study was to compare the effects of individual and group intervention programs on the demented elderly and their families. Methods: The programs were applied to two groups, one by home visiting and the other by group intervention. The groups were composed of 14 elders and 12 elders, respectively, with their families. The programs were applied twice a week, ninety minutes per session for four weeks. Programs consisted of cognitive therapy, music and art therapy, and massage for the demented elderly, education on dementia, cognitive-behavioral intervention for problematic behavior, methods to lessen stress, and counselling for the families. Results: AER, problematic behavior, QOL of pts and QOL, caregiving burden, and relationship with the pts of caregivers were improved after each program but not significantly except QOL of pts (Z=-3.37, p=.00) in the group intervention. When the two interventions were compared with each other, the group intervention program was more effective than the home visiting program in all variables but not significantly except QOL of pts (U=32.00, p=.00). Conclusion: In summary, both the individual and group intervention programs were helpful to both pts and families, and even though there was no statistically significant difference between the two intervention programs except in QOL of pts, the group intervention was more effective.

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Factors Influencing Quality of Caregiving by Caregivers for Elders with Dementia (치매노인 주부양자의 돌봄수준의 영향요인)

  • Kang, Chan Mi;Kim, Jung Soon;Jeong, Jeong Hee
    • Research in Community and Public Health Nursing
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    • v.27 no.3
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    • pp.193-201
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    • 2016
  • Purpose: The aim of the study is to determine factors influencing quality of caregiving by caregivers for the elderly with dementia. Methods: Data were collected from 87 caregivers for elders with dementia who had visited in Busan Metropolitan Center for Dementia and D-University hospital outpatient center from July 10 to September 30, 2015. A self-reported questionnaire was used to assess the severity of the elders' dementia and knowledge of dementia, burdens and quality of caregiving by the caregivers. The SPSS 21.0 version program was used for data analysis. Data were analyzed using descriptive statistics, Pearson's correlation, t-test, ANOVA and multiple regression. Results: Significant predictors of quality of caregiving by caregivers included caregivers' burdens (explanation power 25%), knowledge of dementia (explanation power 4%) and levels of education (explanation power 3%). These factors explained 32.3% of the variances in quality of caregiving. Conclusion: Burdens on caregivers were a major factor that decreased quality of caregiving, and knowledge of dementia was a factor that increased it. These findings show that educational programs and intervention for reducing burdens and improving knowledge of dementia are necessary to improve quality of caregiving by caregivers.

The Effects of Infant Massage on Teacher-infant Interaction and Nursery Adaptation of Infants (영아 마사지가 교사-영아의 상호작용 및 어린이집 적응에 미치는 효과)

  • Lee, Mi Na
    • The Korean Journal of Community Living Science
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    • v.24 no.3
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    • pp.381-390
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    • 2013
  • This research is to verify the effects of infant massage on teacher-infant interaction and nursery adaptation. The subjects were 20 infants younger than one year of age, and the experimental group and the control group were randomly assigned. I developed an infant massage activity and trained an infant teacher to do it with 30-hours workshop. The massage was accomplished a total of 18 times, 3 times a week for 6 weeks. The research tools employed are the Caregiver Interaction Scale(CIS) which was developed by Arnett(1989) and employed by Kim(2009) and the Preschool Adjustment Questionaire(PAQ) which was employed by Yang(2005). They were modified and supplemented for this study to serve as a teacher rating scale. The collected data was analyzed after the experiment service through the t-verification. The results showed that the experimental group that took the infant massage scored higher than the control group in both teacher-infant interaction and nursery adaptation. Therefore, it demonstrated that infant massage has an effect on positive and permissive interaction in teacher-infant interaction and nursery adaptation.

Validation Study of Korean Version of the Rothbart's Children's Behavior Questionnaire (한국판 Rothbart 유아용 기질 척도(Children's Behavior Questionnaire)의 타당화)

  • Lim, Ji-Young;Bae, Yun-Jin
    • Korean Journal of Human Ecology
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    • v.24 no.4
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    • pp.477-497
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    • 2015
  • The purpose of this study was to examine the psychometric property of the Children's Behavior Questionnaire(CBQ), including reliability, content validity, construct validity, cross validity, and concurrent validity with EAS(Emotionality, Activity, Sociability) scale. The CBQ is a caregiver report measure designed to provide a detailed assessment of temperament in children 3 to 7 years of age. In this study, two groups of participants were included to check cross validity. The first group of participants were 108 preschoolers, 3 to 7 years of age attending kindergartens or child care centers, and their mothers. The second group of participants were 168 preschoolers and their mothers. The CBQ subscales demonstrate adequate internal consistencies. Also, exploratory and confirmatory factor analyses of the CBQ scale reliably recover a three-factor solution indicating three broad dimension of temperament: extraversion/surgency, negative affectivity, and effortful control. Evidence for concurrent validity derives from results of correlation analysis with EAS scale.

The Effects of 'Cancer Overcome Program' Using Strategy for Promoting Self-Efficacy among Family Caregivers with Lung Cancer in Korea (자기효능증진 전략을 이용한 암극복 프로그램의 효과 II -폐암가족을 중심으로-)

  • Yang, Young Hee;Lee, Jong Kyung
    • Korean Journal of Adult Nursing
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    • v.18 no.3
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    • pp.395-404
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    • 2006
  • Purpose: This study investigated the effect of a structured group intervention on knowledge about lung cancer, self efficacy and quality of life for family caregivers of patients with lung cancer using a nonequivalent control groupquasi-experimental design. Methods: Subjects were 11 family caregivers for both the control and the experimental group. The experimental group participated in once a week for 2-hour session for 4 weeks. Four topics of educational program were lung cancer and treatment, side effects of treatments, symptoms management, and health management. Every session consisted of lecture, sharing experiences, and meditating time. Quality of life was measured using Jang(1996)'s tool. The tools for knowledge and self-efficacy were developed by the authors. Results: After the intervention, the experimental group showed higher self-efficacy in caring for the patients than did the controls. However, there were no significant differences in knowledge about lung cancer and quality of life between the two groups. Conclusion: Findings indicate that the group intervention would be effective for family caregivers of lung cancer patients.

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