• Child Health Nursing Research
• /
• v.23 no.4
• /
• pp.407-415
• /
• 2017

Purpose: The purpose of this study was to examine how child development knowledge, child rearing knowledge, and use of healthcare services after discharge affect maternal confidence among mothers of premature infants. Methods: Participants in this study were 55 mothers who were involved in internet communities for mothers with premature infants and 30 mothers who visited hospitals for follow up care after having their babies discharged from Neonatal Intensive Care Units (NICU) in South Korea. Results: Presence of operation history, child development and rearing knowledge, and use of healthcare service explained 12.2% of maternal confidence. Presence of operation history (${\beta}=.32$, p<.05) and child development knowledge (${\beta}=.52$, p<.05) were significant predictors for maternal confidence. Conclusion: The results of this study suggest that mothers with premature infants need further education especially on motor development, developmental knowledge, and knowledge related to operations for mothers whose child had surgery in the NICU. Also information about services provided from community health services for premature infants need to be advertised and distributed.

• Child Health Nursing Research
• /
• v.12 no.2
• /
• pp.189-195
• /
• 2006

Purpose: The purpose of this study was to examine the effect of a maternal self-efficacy promotion program for Korean primiparas on maternal confidence and mother-infant interaction. Method: This study was non-equivalent quasi-experimental research with a control group selected by purposive sampling. Based on Bandura’s (1986) self-efficacy theory, the research team developed the maternal self-efficacy promotion program. The program included achievement experiences, verbal persuasion, and vicarious experiences. The program was provided through face-to-face teaching at the time of discharge, counseling sessions over the telephone, and a home visit. Subjects also learned about parenting skills using a videotape developed by the research team. Sixteen primiparas were recruited to the experimental group at one hospital in Kyongi province, and fifteen primiparas who were matched according to socioeconomic status were recruited to the control group at a postpartum care center in the same province. Results: Subjects in the experimental group demonstrated significantly higher maternal confidence and mother-infant interaction than those in the control group. Conclusion: The maternal self-efficacy promotion program appears to be an effective nursing intervention for parenting of first-time mothers in Korea.

• Child Health Nursing Research
• /
• v.13 no.4
• /
• pp.390-398
• /
• 2007

Purpose: This comparative descriptive study was conducted to determine differences in maternal health related characteristics, child rearing burden, and social support depending on economic status. Method: Using home visits, data were collected from 100 poverty stricken mothers, 51 in the extremely poor group and 49 in the low income group, and 200 mothers of a general group being seen in one public health center. The instrument used for this study was a self-report questionnaire to identify maternal health variables including child rearing burden and social support. Results: Parent's education level, marital status, and primary caregiver were significantly different according to socioeconomic status. Poverty stricken groups showed poor rates for prenatal checkups, lower Fe supplementation, and more artificial abortions and history of cesarean section. Continuing breast feeding as planned was significantly lower for mothers with low economic status. Present health problems of the mother, child-rearing burden, and social support were not significantly different among the three groups. Conclusion: These findings suggest that special attention and interventions for the poverty stricken groups is important to improve maternal and child health status.

• Research in Community and Public Health Nursing
• /
• v.15 no.1
• /
• pp.76-83
• /
• 2004

Purpose: This study was aimed at investigating the relationship between retention of the maternal child health handbook, awareness of DPT additional immunization and DPT additional immunization, and to provide basic information to enhance the DPT additional immunization rate. Method: The study subjects were 312 women whose children were between four and six years old, and residing in six provinces of Gyungsangnam do. Data was collected with a 10 item questionnaire by interviews from July 1st to 30th, 2003, and analyzed with descriptive statistics and X2 test at a significance level of 0.05, by two tailed test. Results: The awareness of DPT additional immunization was significantly higher in the women who retained the maternal child health handbook, than their counterparts. The rate of DPT additional immunization was significantly higher in the women who were aware of the DPT additional immunization or who retained the maternal child health handbook, than their counterpart. Conclusion: The DPT additional immunization rate was related to retention of the maternal child health handbook and awareness of DPT additional immunization. Therefore it is recommended that measures be developed and taken to increase the retention rate of the maternal child health handbook and awareness of DPT additional immunization, to enhance the rate of DPT additional immunization.

• Child Health Nursing Research
• /
• v.18 no.1
• /
• pp.36-42
• /
• 2012

Purpose: The purpose of this study was to explore recognition of mother-child interaction by preschoolers' mothers. Methods: Data were collected through in-depth interviews with mothers of 12 preschoolers. The data were analyzed following Downe-Wamboldt's content analysis methodology. Results: From the data, 170 significant statements were selected and were classified into 7 categories and three domains (maternal, child, dyadic). First, the maternal domain consisted of maternal sensitivity, acceptable responsiveness, and child developmental encouragement. Second, the child domain consisted of child's sensitivity, responsiveness, and initiative. Third, the dyadic domain consisted of mutuality. Conclusion: These results suggest that preschoolers' mothers recognize the significant qualitative aspects of interaction with their children. Based on these results, instruments for preschooler-mother interaction need to be developed.

• Child Health Nursing Research
• /
• v.14 no.2
• /
• pp.195-202
• /
• 2008

Purpose: The purpose of this study was to investigate parenting attitudes and to identify factors influencing this parenting attitude in mothers of children with hemophilia. Method: The participants in this study were 119 mothers of children with hemophilia (under 18 years of age) who were registered members of the Korea Hemophilia Foundation. Data were collected using the Mother-Infant Attachment Scale, Maternal Guilt Scale and Parenting Attitude Scale. The collected data were analyzed using SPSS program. Results: The parenting attitude was 3.02 (total possible score=4). By subcategories, achievement attitude was the highest (3.45). Of the factors influencing parenting attitudes, mother-child attachment, maternal guilt and self-esteem account for 45.6% of the variance. Conclusion: The findings of this study show that attitudes of parents of children with hemophilia were positive. As mother-child attachment and maternal guilt were identified as major factors in predicting parenting attitudes, there is a need to consider interventions that will increase mother-child attachment and decrease maternal guilt.

• Child Health Nursing Research
• /
• v.13 no.2
• /
• pp.119-127
• /
• 2007

Purpose: The purpose of this study was to identify factors influencing parenting confidence in first-time mothers and to provide basic data for development of maternal role education programs. Method: The participants were 194 first-time mothers of babies aged 1-6 months who visited well-baby clinics in 4 hospitals. Instruments used in this study were self-reported questionnaires. The data were analyzed using descriptive statistics, Pearson correlation coefficient and stepwise multiple regression. Results: The parenting confidence level was moderate with a mean score of 3.26(range 1-6). Infant temperament was significantly correlated with maternal role confidence. Maternal role confidence was significantly correlated with child-rearing environment. Infant temperament and parenting stress were significant predictors explaining 50% maternal role confidence. Conclusions: Nursing Interventions to promote parenting confidence among first-time mothers of infants in their first year are needed to improve maternal perception to infant temperament and reduce parenting stress.

• Child Health Nursing Research
• /
• v.22 no.1
• /
• pp.45-53
• /
• 2016

Purpose: The study was done to investigate behavioral problems in toddlers who were born prematurely and to analyze related factors. Methods: A cross-sectional explorative study was conducted with 72 preterm birth (PTB) children at 24 to 41 months of corrected age who were born at 28 to 37 weeks' gestation. During home visits, behavior problems were assessed using the Behavior Rating Index for Children (BRIC). Using a BRIC score of ${\geq}30$, children with suspected behavior problems were grouped in the non-regular behavior group. Results: Of the children, 38.9% belong to the non-regular behavior group. The mental development index score for the Korean-Bayley Scale of Infant Development- II was higher for the non-regular behavior group compared to the regular behavior group (t=2.26, p=.027). Logistic regression analysis showed that lower maternal attachment (<96, OR=3.4, 95% CI[1.1, 10.4]) and higher parenting stress (${\geq}97$, OR=4.8, 95% CI[1.3, 17.3]) were independently related to non-regular behavior. Conclusion: PTB Toddlers are at risk for behavior problems which are associated with low cognitive performance. Maternal-child attachment and maternal parenting stress were strongly related to behavior problems in these children. More attention is needed to understand possible behavior problems in young children with PTB, particularly focusing on maternal-child interaction and maternal mental well-being.

• Journal of Korean Academy of Nursing
• /
• v.34 no.2
• /
• pp.235-242
• /
• 2004

Purpose: The main purpose of this study was to identify the correlation between the child rearing attitudes and the maternal role strain of mother with infants. Method: This study is designed as a descriptive research study and the data was collected from 82 mothers and infants by means of an interview and questionnaire in a period from July 2002 to December 2002, when they came to screen their infant's growth and developmental state at a public health center. Result: The results of this study were as follows: There was a significant positive correlation between the child rearing attitudes and maternal role strain(r.=.53, p=.000). There was a significant difference between the father's employment state and child rearing attitude of mothers(t.=5.22, p<.000). There was a significant difference between male infant and female infants in maternal role strain(t.=3.8, p=0.04). Conclusion: When the child rearing attitude was positive, the subject's maternal role strain was high. Also further research is needed on social support or other factors in the subjects in child-rearing attitudes and maternal role strain.

• Child Health Nursing Research
• /
• v.23 no.4
• /
• pp.470-478
• /
• 2017

Purpose: This study was conducted to describe parenting stress in mothers of preschoolers who were born prematurely and to determine factors affecting parenting stress in child's problem behavior, mother-child interaction and parenting alliance. Methods: An exploratory survey study was conducted with 66 mothers of preschool children (5~6 years) with preterm births (PTB). Data were collected using Parenting Stress Index (PSI), Child Behavior Checklist (CBCL), Mother-Preschool Child Interaction Scale (MPIS), and Parenting Alliance Inventory (PAI). Results: Of the 66 mothers, 8(12.1%) showed high scores that were more than borderline for the PSI total score. In the multiple linear regression analysis, lower scores on the PAI (${\beta}=-.41$, p<.001), higher scores on the externalizing problem behavior of the CBCL (${\beta}=.40$, p=.001), and lower scores on the MPIS (${\beta}=-.21$, p=.043) were statistically significant contributors to maternal parenting stress. Conclusion: Findings indicate that mothers of PTB preschool children are at risk for parenting stress. Child's externalizing problem behavior, poor maternal-child interaction and parenting alliance were independent factors raising maternal parenting stress. More attention is needed on paternal parenting support, child's behavioral development, interaction with children for effective prevention and management of maternal parenting stress of PTB young children.