• 제목/요약/키워드: Child-care Provider

검색결과 22건 처리시간 0.026초

주의력결핍/과잉행동장애 아동 가족의 삶의 질 영향 요인 (Factors Influencing Family Quality of Life among Mothers of Children with ADHD)

  • 오원옥
    • Child Health Nursing Research
    • /
    • 제14권4호
    • /
    • pp.396-404
    • /
    • 2008
  • Purpose: This study was conducted to identify the level of quality of family life, parental locus of control, and parental sense of competence, and to elucidate factors that influence family quality of life in the mothers of children with Attention Deficit/Hyperactive Disorder (ADHD). Method: A convenient sample of mothers from 6 child psychiatric clinics was used in this cross-sectional survey design. Questionnaires used for data collection included the following scales: Family Quality of Life, Parental Locus of Control-Short Form Revised, Parental Sense of Competence. Results: The level of family quality of life was mid-range. A positive relationship was found between Family Quality of Life and the research variables. The significant predictors of family quality of life were parental locus of control, parental sense of competence, and duration of medication and these variables accounted for 21.8% of the variance in family quality of life. Conclusions: These results indicate that family quality of life is an important factor which health care provider should assess and evaluate for children with ADHD and their families. The results of this study suggest that family quality of life is an important link with parental sense of competence and parental locus of control.

  • PDF

어린이와 청소년 환자에서 일차의료의 지속성과 입원 위험도의 관련성 (Association of Higher Continuity of Primary Care with Lower Risk of Hospitalization among Children and Adolescent Patients)

  • 최용준;강성현;김용익
    • 보건행정학회지
    • /
    • 제18권1호
    • /
    • pp.85-107
    • /
    • 2008
  • This study aims to describe levels and distribution of the continuity of primary care among children and adolescent patients who are 2-19 years old, and analyze the effects of it on the risk of hospitalization. Study population was 2-19 year old child and adolescent patients as of 2002, who had more than three ambulatory care visits in the years of 2002-3 and whose most frequent provider was the primary care practices (189,660 persons). Association of levels of primary care with the risk of hospitalization was evaluated using multiple event survival analysis. Outcome variables were whether the patient had hospitalized or not, and whether the patient had hospitalized due to ambulatory care-sensitive conditions or not. Multiple event survival analysis revealed statistically significant association of the levels of primary care with the risk of hospitalization. Hazard ratio was 1.34 [1.27-1.41] at the medium level of continuity and 1.47 [1.39-1.55] at the lower level where outcome variable was whether the patient had been hospitalized or not. Hazard ratios were 1.35 [1.21-1.50] at the medium level of continuity and 1.60 [1.44-1.78] at the lower level, where outcome variable was whether the patient been had hospitalized due to ambulatory care-sensitive conditions or not. This study produced some evidences on the benefits of continuity of care, which will in turn support the introduction of personal doctor registration program in the future.

Nurses' Perceived Needs and Barriers Regarding Pediatric Palliative Care: A Mixed-Methods Study

  • Kang, Kyung-Ah;Yu, SuJeong;Kim, Cho Hee;Lee, Myung-Nam;Kim, Sujeong;Kwon, So-Hi;Kim, Sanghee;Kim, Hyun Sook;Park, Myung-Hee;Choi, Sung Eun
    • Journal of Hospice and Palliative Care
    • /
    • 제25권2호
    • /
    • pp.85-97
    • /
    • 2022
  • Purpose: This study aimed to describe nurses' perceived needs and barriers to pediatric palliative care (PPC). Methods: Mixed methods with an embedded design were applied. An online survey was conducted for nurses who participated in the End-of-Life Nursing Education Consortium- Pediatric Palliative Care (ELNEC-PPC) train-the-trainer program, of whom 63 responded. Quantitative data were collected with a survey questionnaire developed through the Delphi method. The 47 items for needs and 15 items for barriers to PPC were analyzed with descriptive statistics. Qualitative data were collected through open-ended questions and analyzed with topic modeling techniques. Results: The mean scores of most subdomains of the PPC needs were 3.5 or higher out of 4, and those of PPC barriers ranged from 3.22 to 3.56, indicating the items in the questionnaire developed in this study properly reflect each factor. The needs for PPC were divided into 4 categories: "children and adolescents," "families," "PPC management system," and "community-based PPC." Meanwhile, PPC barriers were divided into 3 categories: "healthcare delivery system," "healthcare provider," and "client." The keywords derived from the topic modeling were perception, palliative, children, and education for necessities and lack, perception, medical care, professional care providers, service, and system for barriers to PPC. Conclusion: In this study, by using mixed-methods, items of nurses' perceived needs and barriers to PPC were identified, categorized, and weighted, and their meanings were explored. For the stable establishment of PPC, the priority should be given to improving perceptions of PPC, establishing an appropriate system, and training professional care providers.

여성 퇴직자의 생애사를 통해서 본 취업 지속 배경에 관한 질적 연구: 교직.공무원직 퇴직자를 중심으로 (Career Sustaining Strategies of Female Retirees in South Korea: A Qualitative Study of Retirees from the Teaching and Public Service Professions)

  • 성미애;옥선화
    • 가정과삶의질연구
    • /
    • 제24권5호
    • /
    • pp.69-87
    • /
    • 2006
  • This article attempts to explore how the women retirees under study were able to continue work until retirement. This study used life histories, especially focusing on daily working lives, and uncovered a number of key issues through in-depth interviews. The main results are as follows: Firstly, the women retirees examined here had been raised as highly educated people, and their strong educational background was a base component for them to have relatively secure careers. Their parents had also supported practically the women retirees during their working lives. In addition, the women retirees had to can out the roles of 'provider' for their original families, procreation families or in-law families, even though they were not given the recognized roles of provider. Secondly, the women retirees had a private infra system to support them with housework and child care. In addition, because they were financially able to employ housemaids, the women retirees did not experience conflicts with their husbands, who took on a neo-traditional sex role. Finally, thanks to relatively good working conditions such as having vacations and being able to come to and leave the office on time, the women retirees were able to continue work until retirement no mean feat in a society which openly practiced gender discrimination.

General anesthesia in the management of early childhood caries: an overview

  • Oubenyahya, Hanan;Bouhabba, Najib
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • 제19권6호
    • /
    • pp.313-322
    • /
    • 2019
  • Early childhood caries is a global healthcare concern in developing and industrialized countries. If left untreated, it leads to immediate and long-term complications that affect the well-being and quality of life of concerned families. Therefore, many preventive and treatment approaches are available to the healthcare provider to curb this virulent form of caries. After behavioral interventions, general anesthesia is used in specific settings when a young patient presents with extensive teeth damage and exhibits a lack of cooperation that is incompatible with conventional dental office care. However, without proper follow-up, any positive results might be lost over time.

Role for Social Media in Pediatric Liver Disease: Caregiver and Provider Perspectives

  • Mogul, Douglas B.;Bowring, Mary Grace;Lau, Jennifer;Babin, Erin;Bridges, John F.P.;Harpavat, Sanjiv;Miloh, Tamir
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제23권6호
    • /
    • pp.548-557
    • /
    • 2020
  • Purpose: To better understand the benefits and harms of engagement with online pediatric liver disease communities within social media. Methods: We conducted a survey of caregivers of children with liver disease participating in online pediatric liver disease communities within social media, as well as a survey of healthcare providers (e.g., physicians, surgeons, nurse coordinators) from this field to better understand the perceived benefits and harms of participation. Results: Among 138 caregivers of children with liver disease that completed the survey, 97.8% agreed social media was a good place to learn about patient experiences and 88% agreed it was a good source of general information. Among caregivers, 84.8% agreed social media helps them to better advocate for their child. While 18% agreed that the information over social media was equal to the information from their healthcare team and 19% neither agreed/disagreed, only 3% indicated they would use this information to change care without telling their provider; in contrast, among 217 healthcare providers, 55% believed social media may lead caregivers to change management without telling their team. Conclusion: Engagement with online disease-specific communities in social media yields several benefits for caregivers and, in contrast to healthcare providers' concerns, participation is unlikely to lead to problems including caregivers changing the treatment plan without first discussing these plans with their team. Openness between caregivers and medical teams about the role for social media can help to improve trust and maximize the potential benefits of engagement with these groups.

애착과 자아존중감이 청소년의 건강효능감에 미치는 영향 (A Childhood Attachment and Adolescent's Self Esteem as Predictors of Health Efficacy in Adolescents)

  • 탁영란;이은영
    • Child Health Nursing Research
    • /
    • 제10권1호
    • /
    • pp.89-97
    • /
    • 2004
  • Purpose: Adolescence is viewed as a critical period in the formation of health behavior and many health behaviors developed during this era persist into adulthood. Social-cognitive theory, self-efficacy as a central construct, has been used to predict and intervene the health behavioral patterns in adolescent. Previous research demonstrated that the attachment in childhood and self-esteem as psychosocial factors are predictors of the health efficacy in adolescent and it is viewed as solely an antecedent for the lifelong health behavior. Method: To investigate the path pattern of attachment in childhood, self-esteem and health efficacy in adolescents, 381 adolescents in high school from two urban cities in Korea were recruited for cross-sectional sample. Attachment in childhood was measured using Mother-Father-Peer Scale. Self esteem was measured with Hare self esteem. Perceived self efficacy in Health was measured by the School Health Efficacy Questionnaire. The path analysis revealed a significant relationship between attachment in childhood and self-esteem, self-esteem and health efficacy in adolescents. Self esteem was the strongest contributing factor for health efficacy in adolescent. The results suggest that attachment in childhood may aid in formulating positive self -esteem in adolescents and self-esteem played a major role in predicting health efficacy in adolescents. Conclusion: Therefore, self-esteem enrichment should be incorporated with adolescent health promotion and certainly should be a component in any health education program in school health program and interventions. These results have implications of psychosocial and family related factors on health promotion and health education for the health care provider with regard to primary and secondary prevention in adolescent population.

  • PDF

암환아 부모의 질병에 대한 불확실성, 자기효능감 및 대처정도 (Uncertainty, Self-Efficacy & Coping in Parents′ of Children with Cancer)

  • 오원옥;박은숙
    • Child Health Nursing Research
    • /
    • 제4권2호
    • /
    • pp.274-285
    • /
    • 1998
  • Improvements in therapy have resulted in increasing numbers of children being successfully treated for cancer. However the agrressiveness of therapy & uncertainty about prognosis are associated with many adverse effects, psychological as well as physical for both the child & family. The purpose of this study were to measure the degree of perceived uncertainty, self-efficacy & coping, and then to examine the relationship between the perceived uncertainty, self-efficacy & coping in parents of children cancer patients. The subjects of this study consist of 140 parents with pediatric cancer, registered at pediatric cancer ward & Out Patient Department. Data was collected from July 1st to August 15th 1998. The tools used in this study were Mishel's the Parents' Perception of Uncertainty Scale (28 item, 4 likert scale), Shere's Self-Efficacy Scale (17 item, 5 likert scale) & Folkman & Lazarus Ways of Coping Checklist(34 items, 4 likert scale). Data was analyzed by t-test, Anova, Pearson Correlation coefficient. Results of this study are summerized as follows 1. Parents perceived their uncertainty to be slightly high(Mn 2.41). The degree of perceived uncertainty by the four components were followed as lack of clarity (2.60), unpredictability(2.59), ambiguity(2.51) & lack of information(1.90). The degree of perceived uncertainty of parents with pediatric cancer revealed to be influenced significantly by the family outcome, reliability about health care provider & perceived severity of illness. 2. The range of parents' self-efficacy was measured iron 35 to 85 point, so revealed slightly high. The degree of self-efficacy related to be Influenced signiicantly by the sequency of child birth, family religion & degree of perceived support. 3. The degree of parents' coping was measured slightly high (Mn 2.78). The degree of coping related to be influnced significantly by the sequency of child birth, number of sible & degree of perceived support. 4. parents' uncertainty was related inversely to the parents' self-efficacy(r=-.38, p<.001) & coping(r=-.26, p<.001). And also parents' self-efficacy was positively related to coping(r=.56, p<.001) From the above results, it can be concluded that predicting & controlling parents' uncertainty with children cancer are necessary to improve positive coping strategies. This information may be used as a foundation for developing nursing interventions to decrease perceived uncertainty & to foster self-efficacy & coping for parents with children cancer.

  • PDF

익산시 취학전 어린이의 중증 유아기 우식증 유병률과 위험요인 (PREVALENCE AND RISK FACTORS OF SEVERE EARLY CHILDHOOD CARIES IN PRESCHOOL CHILDREN IN IKSAN CITY)

  • 이광희
    • 대한소아치과학회지
    • /
    • 제30권4호
    • /
    • pp.678-683
    • /
    • 2003
  • 유아기 우식증의 새로운 정의와 진단기준을 적용하여, 익산시 3-5세 취학전 어린이 612명을 대상으로 중증 유아기 우식증의 유병률을 조사하고, 질문지 조사를 통하여 중증 유아기 우식증의 위험요인을 함께 조사하였다. 어린이들의 상악 유전치의 순면과 설면 및 인접면을 검사하고, 6개의 상악 유전치 중에서 한 개 이상의 우식와동이 있거나 우식으로 인해 상실되었거나 충전된 평활면이 있는 경우에 중증 유아기 우식증에 이환된 것으로 진단하였다. 중증 유아기 우식증의 유병률은 36-47개월이 20.8%, 48-59개월이 23.6%, 60-71개월이 30.8%이었고, 남아가 27.8%, 여아가 25.0%이었다. 재우기 위한 목적으로 수유한 경우의 유병률은 33.0%로서 그렇지 않은 경우의 23.0%보다 높았으며 유의한 상관성이 있었다(P<0.05). 잠든 후 수유를 즉시 중단한 경우의 유병률은 28.6%로서 그렇지 않은 경우의 66.7%보다 낮았으며, 유의한 상관성이 있었다(P<0.01). 어린이의 이를 닦기 시작한 시기에 따른 유병률은, 처음 이가 날 때가 21.5%, 앞니가 난 후가 25.2%, 어금니가 나는 중이 27.7%, 어금니가 난 후가 43.7%, 그 이후가 60.9%로서, 이를 닦기 시작한 나이가 늦어질수록 유병률이 증가하였으며, 유의한 상관성이 있었다(P<0.01). 주 보육자의 칫솔질 횟수가 규칙적인 경우의 유병률은 25.1%로서 불규칙한 경우의 34.0%보다 낮은 경향이 있었다(P<0.10). 주 보육자가 구강청결용품등을 사용하는 경우의 유병률은 21.8%로서 사용하지 않는 경우의 28.8%보다 낮은 경향이 있었다(P<0.10).

  • PDF

자녀를 둔 어머니의 출산과정 경험 (An Ethnographic Research Study on Childbearing Process of Mother with Children in Korea)

  • 김영희
    • 여성건강간호학회지
    • /
    • 제7권3호
    • /
    • pp.271-283
    • /
    • 2001
  • The childbearing process is a sociocultural phenomenon of a woman who gives birth to a child as well as a biological phenomenon. The purpose of this ethnographic research study was to explore the experience of childbearing process of mothers with children from pregnancy to the 3 months postpartum in Korea and to understand deeply the perspectives of childbearing women reflected on Korean sociocultural values. A convenient sample of 10 childbearing women were observed from January to October 2000 through field work in Seoul, Korea. Data analysis was accomplished under ongoing process. The results of this study were as follows : The mothers with children experienced self-reflection, family relation, and physical adaptation during pregnancy. In self-reflection, all mothers experienced universality and diversity in their self-discovering process. The universal experiences were maturation, life with family and priority on maternal value between being a mother and a woman. The diverse experiences were taking a dual role of working mother, emotional drift of a resigned mother, and disheartened life of a mother who has two daughters. In family relation, the foundation of the new marital relationship were attained during childbearing process and sexual life were changed for the benefit of a healthy mother and a healthy baby. All mothers established friendly relations with their mothers, but established friendly or conflicting or constraining relations with their mother-in-laws due to husband based family culture. In physical adaptation, the informants endured well the physical discomfort and recognized general appearance change. Also maternal-fetal interaction occurred and mothers realistically felt motherhood and accepted themselves as mother-to-be. The mothers prepared for the best delivery, look for a safe childbirth center, newborn goods, endorsed family coping during hospitalization and responded labor pain to make it more endurable, less painful, fast passed owing to labor recognition of the natural process to be a mother. After childbirth, they felt emancipation, satisfaction, accomplishment, more easiness, actually feeling as mother-to-be, emptiness, and showed response to the sex of newborn. Their Sanhujori practice was different according to the Sanhujori environment including provider, place, time in postpartum and reflected on Sanhubyung. The mothers felt actually mother-to-be and happiness during lactation regardless of feeding pattern. These mothers had a different maternal image about rearing subjecthood through their child-rearing experience. But all mothers felt need for family support and social support. The universal rearing response were actual feeling of mother-to-be, a strenuous experience, a pride on child-rearing, confusion, reflecting marital relationship, and wondering rivalry among children. In conclusion, mother of all with children went through self-discovery, self-reflection and made connections with the family as a mother and as a woman simultaneously during the childbearing process. Therefore it is suggested when harmony and balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting the childbearing process from the perspectives of the women with children. Therefore health care providers must understand deeply the childbearing women with children based on this finding of and try a integrative approach with new ideology of maternity with biocultural perspectives in a clinical setting.

  • PDF