• Title/Summary/Keyword: Child Health Management

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Analytical Study on Health Curriculum at the Elementary School in Korea (국민학교 보건교육 내용에 관한 조사연구 - 새 교육과정 교재를 중심으로 -)

  • 정영숙
    • Korean Journal of Health Education and Promotion
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    • v.1 no.1
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    • pp.12-20
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    • 1983
  • Primary responsibility for the health of the school-age child rests with the parents, but the school should assist the parents in establishing and maintaining the highest possible level of health in each child. The important part of school health program is health education. All kinds of testbooks for elementary school were newly developed from 1982 for the 1st to 3rd grader and from 1983 for the 4th to 6th grader. The purposes of this study were to analyse the newly developed health curriculum in elementary school and to point out the errors in contents or terminology. Data were collected from all kinds of textbooks for elementary school which have been using in 1983. On the bases of these data, the following findings were observed: 1) 22.4 percents of total pages which related to health were from athletic subject. 2) Almost 29 percents of learning experiences suggested from textbooks were explanation and teach-centered. 3) The main subjects of health related contents were preventional management and environmental health. 4) 22 errors were found out, they were 12 for contents itself correction, 6 for terminology correction, 3 for lack of explanation and 1 for expurgation.

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Study on the Utilization of the Child-Adolescent Functional Assessment Scale in Mental Health Service (정신건강서비스 영역에서 아동청소년 기능평가척도의 활용에 관한 연구)

  • Row, Kyung Ran
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.4
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    • pp.197-212
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    • 2017
  • Objectives: This study aims to supplement the limitations of the preliminary study and expand the use of the Child-Adolescent Functional Assessment Scale by providing standardized T-scores for measuring function in different areas, as well as guidelines for their interpretation. Methods: The Child-Adolescent Functional Assessment Scale and Korean-Child Behavior Checklist were administered to a total of 623 individuals, including 467 parents of emotionally and behaviorally disturbed elementary school students, 45 parents of emotionally and behaviorally disturbed middle school adolescents and 111 parents of elementary school students with developmental disorders, as well as to a control group consisting of 186 parents of mainstream elementary school children in the Seoul metropolitan area. Results: In contrast to the preliminary study, the emotional domain was disassociated into two factors, negative affect and emotion regulation, and the coefficient of determination for misconduct was increased significantly. Also, the overall reliability and validity of the Child-Adolescent Functional Assessment Scale were similar to those in the preliminary study, and the item structure was consistent. This study provides standardized T-scores of function in different areas based on the revised scale, and provides guidelines for their interpretation. Conclusion: The Child-Adolescent Functional Assessment Scale can assist the Child Global Assessment in Functioning in providing the information necessary for case management and treatment planning by comparing the impairment severity in each area of functioning, and also determining changes in behavior and function after treatment interventions. On the other hand, this scale has yet to clearly distinguish between rebellious behavior and misconduct. Further research is necessary to provide standards for more diverse age groups and for its utilization.

The role of the Neonatal Nurse Specialist in 21st Century (21세기 신생아 전문 간호사의 역할과 전망)

  • Lee, Ja-Hyung
    • Korean Parent-Child Health Journal
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    • v.3 no.2
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    • pp.81-93
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    • 2000
  • The role of the neonatal nurse specialist has been well established over the past decade and now reform in 21st century. Neonatal nurse specialists responsibilities in caring for critically and long-term chronically ill infants and their families are very important. Neonatal nurse specialists have a two fold responsibility in caring for these infants. First, through acquiring advanced practice education in complex neonatal care and diagnostic skills, neonatal nurse specialists meet the physiologic needs of the infant. Second, neonatal nurse specialists provide a more holistic approach to their care through evaluating the family in treatment plans and involving the family in discharge planning for the infant. In some institutions, neonatal nurse specialists are directly involved in institutional and/or home follow-up care and case management also. It is the neonatal nurse specialists responsibility to function collaboratively with the multidisciplinary team in managing critically or chronically ill infants from admission to discharge. The role of the neonatal nurse specialist case manager can be described as one that focuses on individualized care of the infant, while providing continuity of care to both the infant and family. The neonatal nurse specialist's role will vary depending on the neonatal intensive care unit(NICU). Therefore, the multidisciplinary collaborative approach to long-term management of infants in the NICU is extremely important to provide successful transition to home or to long-term rehabilitative care facilities because care for the chronically ill infant is complex and multifaceted. I suggest the role of neonatal nurse specialist in 21st century are as follows. 1. Diagnostic/patient assessment 2. Management of patient health/illness 3. Administering/monitoring therapeutic interventions and regimens 4. Monitoring/ensuring quality of health care practices 5. Organization and work role 6. Helping role 7. Teaching/coaching role 8. Management of rapidly changing situations 9. Consulting role The advanced practice nursing model of care delivered by neonatal nurse specialist's in the NICU incorporates medical and nursing role functions and emphasizes holism, caring, and a health perspective for critically and chronically ill neonates and their families.

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2013 Students' Mental Health School-Community Cooperative Model : Management of High Risk Students and Change in Awareness of Mental Health in School (2013 학생 정신건강 지역협력모델 구축·지원 사업 : 정신건강 고위험군 관리와 학교 내 정신건강 인식의 변화)

  • Kim, Jin A;Ha, Kyung Hee;Hong, Hyun Ju;Kim, Hee Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.26 no.2
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    • pp.94-103
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    • 2015
  • Objectives : The purpose of this study was to examine the results of the 2013 students' mental health school-community cooperative model. This study investigated teachers' awareness of change in school environment and analyzed the follow-up conditions of students. Methods : The sample consisted of 55 schools which participated in the 2013 students' mental health school-community cooperative model. Two questionnaires were used : one was composed of items about mental health resources, school policy and practice, school climate and community referral, and the other was on management of follow-up conditions for high risk students. Results : First, teachers' awareness regarding school mental health resources, school policy and practice, school climate, and community referral showed positive change. That is, the 2013 students' mental health school-community cooperative model works for improving teachers' interest, awareness and effort regarding mental health. Second, students, who were found by screening test and observation, were managed continually. Most students received follow-up interventions at school, and half of the students were referred to a specialized institution such as a mental health clinic, Wee center, personal counseling center, community welfare center, and so on. Conclusion : This study was a preliminary research, therefore follow-up studies are required in order to accomplish the 2013 students' mental health school-community cooperative model.

Factors Affecting Asthma and Atopic Dermatitis in Korean Children: A Population-based Cross-sectional Survey (부모의 특성을 포함한 아동기 천식과 아토피 피부염의 영향요인: 제5기 2차년도(2011년) 국민건강영양조사 자료를 중심으로)

  • Yi, Yunjeong;Kim, Jisoo
    • Child Health Nursing Research
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    • v.21 no.1
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    • pp.20-27
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    • 2015
  • Purpose: The purpose of this study was to investigate factors affecting childhood asthma and atopic dermatitis. Methods: For this study, data for 1,170 children (1-11 years) from the Fifth Korean National Health and Nutrition Examination Survey (KNHANES V-2, 2011) were analyzed. First correlation matrices were computed to test the normality of every data set and then to be in accordance with the real demographic composition, data were added weight before being analyzed. Results: The child with asthma of a three generation family (OR=3.91, 95% CI [1.33, 11.45], p=.013) compared with a two generation family showed higher asthma development, and maternal asthma (OR=9.71, 95% CI [2.66, 35.40], p=.001) showed higher asthma development in child. The only factor affecting atopic dermatitis was parental perceptions of child health: poor (OR=3.40, 95% CI [1.29, 8.98], p=.014). Conclusion: These results suggest that childhood asthma and atopic dermatitis are both affected by parental perceptions of child health. Accordingly, management and support programs for children who have asthma and/or atopic dermatitis and their families should be comprehensive and also give attention to any other health problems because health perception represents quality of life.

The physical and emotional health of South Korean mothers of preterm infants in the early postpartum period: a descriptive correlational study

  • Park, Jiyun;Bang, Kyung-Sook
    • Child Health Nursing Research
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    • v.28 no.2
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    • pp.103-111
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    • 2022
  • Purpose: This study investigated the physical and emotional health of South Korean mothers of preterm infants in the early postpartum period. Methods: In this descriptive correlational study, the participants included 91 mothers of preterm infants who were admitted to the neonatal intensive care unit of a tertiary hospital in South Korea. Physical health status was measured using a self-reported questionnaire, postpartum depression using the Edinburgh Postnatal Depression Scale, anxiety using the State-Trait Anxiety Inventory, and guilt using a 4-item scale. Results: Fatigue had the highest score among mothers' physical health problems, followed by shoulder pain, nipple pain, neck pain. The average postpartum depression score was 11.02 points, and 44% of women had postpartum depression with a score of 12 or above. Postpartum depression significantly was correlated with physical health (r=.35, p=.001), anxiety (r=.84, p<.001), and guilt (r=.75, p<.001) and was significantly higher for women with multiple births, and preterm infants who required ventilator and antibiotic treatment. Anxiety also showed a significant difference according to preterm infants' condition. Conclusion: The significant correlations between postpartum depression and physical health, anxiety, and guilt indicate a need for nursing interventions that provide integrated management of mothers' physical and emotional health.

Factors Affecting the Self-Management of Adolescents with Type 1 Diabetes Mellitus based on the Information-Motivation-Behavioral Skills Model (제1형 당뇨병 청소년의 자기관리 영향요인: 정보-동기-행동기술 모델을 기반으로)

  • Lee, Hooyun;Choi, Eun Kyoung;Kim, Heejung;Kim, Ho-Seong;Kim, Hee-Soon
    • Child Health Nursing Research
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    • v.25 no.2
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    • pp.234-243
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    • 2019
  • Purpose: The purpose of this study was to investigate associations between self-management and diabetes knowledge, diabetes-related attitudes, family support, and self-efficacy in adolescents with type 1 diabetes mellitus based on the information-motivation-behavior skills model. Methods: Data collection was conducted between March 18 and September 30, 2018. Patients (N=87) aged 12 to 19 years were recruited from the outpatient clinic of S children's hospital and an online community for patient with type 1 diabetes mellitus. Data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearsons correlation, and hierarchical multiple linear regression with SPSS IBM 23.0, with the two-tailed level of significance set at 0.05. Results: The mean score of self-management in adolescents with type 1 diabetes mellitus was $61.23{\pm}10.00$ out of 80. The regression analysis showed that self-efficacy and family support significantly explained 56.9% of the variance in self-management (F=21.38, p<.001). Self-efficacy (${\beta}=.504$, p<.001) and family support (${\beta}=.188$, p<.001) were significant predictors of self-management. Conclusion: It is necessary to develop individual interventions to improve self-efficacy and family support for adolescents with type 1 diabetes mellitus to help them enhance their self-management.

Mediating Effects of Adult-Child Relationship and the Association between Marital Adjustment and Mental Health of Elderly Couples : An Application of the Actor-Partner Interdependence Model (노년기 부부의 결혼적응과 정신건강간의 관계에서 성인자녀관계의 매개효과 : 자기상대방효과 상호의존모형 적용(APIM))

  • Lee, Ju-Yeon;Chung, Hye-Jeong
    • Journal of Families and Better Life
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    • v.31 no.1
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    • pp.129-147
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    • 2013
  • The primary focus of the study assesses how individual spouses' and their partners' marital adjustment influence their own and their mental health. The study also examines whether this influence was mediated by the relationship with their adult-children. Data were collected from 271 dyads of elderly couples by using a self-report questionnaire. Marital adjustment was measured in terms of intimacy and comparison level of marriage. Mental health was measured in terms of depressive mood, anxiety, and somatization. The Actor-Partner Interdependence Model (APIM) analysis revealed that marital adjustment was positively associated with one's own mental health and with one's own relationship with their adult-children, but not with their partner's. On the other hand, the relationship with adult-children was positively associated with one's own and with their partner's mental health. Furthermore, analysis of the mediating model using APIM indicated that marital adjustment through one's own adult-children relationship had direct and indirect effects on one's own mental health. It is interesting to note that the wives' mental health were directly influenced by their partners' relationship with adult-children. However, the effect of the husbands' mental health was not significant. These findings highlight dyadic interdependence among spouses' perceptions of marital and adult-children relationship with their mental health. The results suggest implications for educators and clinicians working with elderly couples to improve their psychological and relational health.

The comparison of effect in oral health education frequency for elementary school students from a part of community child center (일부 지역아동센터 구강건강증진 프로그램 운영 횟수에 따른 효과 비교 연구)

  • Kim, Hee-Kyoung;Bae, Soo-Myoung;Shin, Sun-Jung;Ryu, Da-Young;Son, Jung-Hue;Eom, Mi-Ran;Shin, Bo-Mi;Lee, Min-Sun;Kim, Eun-Ju;Choi, Yong-Keum
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.5
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    • pp.759-771
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    • 2011
  • Objectives : The aim of study is the comparison of effect in oral health education frequency and contents for elementary school students from a part of community child center to run and suggest a practical and effective oral health promotion program for local community child center. Methods : The program has been running for 4 trials in G district in Seoul and 2 trials has been conducted in S city in Gyung gi province. The comparison was done in independent samples test of awareness, knowledge and behavior of children of community child center in both G district and S City and paired t-test was conducted before and after oral health promotion program to find out those same 3 items. Results : As a result, after the comparison of plaque control score of Oral health promotion program frequency, significantly better result was show in 4 trial program with 55.3 score(p<0.05), No significant result of plaque control score was shown in 2 trail program(p>0.05). Conclusions : As a result of the Oral Health Promotion program which has been conducted in 2 different session type, knowledge, awareness and behaviour has been changed, however, There were no significant difference between Oral health education frequency of those two different program. Also with the result of Plaque control score of those two programs were not satisfying level. Therefore, in conclusion, the management and operation of the Oral Health Promotion program is needed and it must be based on health promotion which it would change the behavior and attitude of the children.