The purpose of this study was to contribute to family nursing for reducing stress and improving coping of the parents of mentally retarded children. Data were collected through self-reported questionnaires during a period of 2 months between November 1994 and January 1995 in the Kyoung-in area. The subjects consist of 180 parents (90 mothers and 90 fathers) of mentally retarded children attending schools for the handicapped and 186 parents (93 mothers and 93 fathers) of normal children. The levels of general stress and of parental role stress were measured with the General stress scale and the Parental role stress scale, respectively, while the Coping scale was adopted to measure the level of coping. The data were analyzed by using Chi-square test. fisher's exact test, Repeated masured ANOVA, oneway ANOVA and Scheffe comparison test. The results were as follows ; 1. The level of general stress was significantly higher in the mothers and the fathers of the men-tally retarded than in the respective parents of the normal. Of the parents, the mothers experienced significantly greater level of general stress than the fathers did in both groups of the retarded and of the normal. 2. As for the parental role stress, the mothers and the fathers of the mentally retarded experienced significantly greater stress than respective parents of normal children did. In particular, the stress was significantly higher in the mothers than the fathers of these children in both groups. The difference in the levels of parental role stress experienced by mothers and by fathers was significantly bigger among those of the mentally retarded tnan among those of normal children. 3. No significant difference in the level of coping was observed between the mothers of both groups and the fathers of both groups. By contrast, the fathers revealed significantly greater scores in coping than the mothers in both groups. 4. General stress experienced by the fathers of the mentally retarded was different by health status, satisfaction with spouses, and the supports from their spouses. Health status, satisfaction with spouses, and monthly income Influenced parental role stress experienced by those fathers. Their level of coping was associated with their satis-faction with spouses and family life. 5. Of the mothers of the mentally retarded, the level of general stress was different by their health status, while parental role stress was related to the satisfaction with their spouses and the child's age. The level of coping among the mothers was different by the supports from their spouses. The above findings indicate that those parents of the mentally retarded did not take more coping strategies than those of the normal did, despite greater stress experienced among themselves. Hence, nursing intervention for managing stress should be given to those parents including fathers of mentally retarded children. Mothers of the mentally retarded, in particular, should receive high priority in planning nursing care, since they experience greater levels of both general stress and parental role stress than their spouses, which is most likey due to primary responsibility in child rearing given to them at home.
This study attempted to analyze the psychological impact of mentally retarded children on their normal siblings in the family. The data were collected from siblings of 130 mentally retarded children using a questionnaire with a semantic differential scale. ANOVA and simple correlation coefficient tests were employed to examine the relationship between the siblings’ self-concept and psychological frustration. The major results of the study are as following. 1. Female siblings showed a lower degree of self-concept than male siblings. 2. No significant relationship was found between self-concept and frustration stimuli. 3. Parent related frustration stimuli was no significantly different in sex age, siblings, religion, and retardation level of mentally retarded children. 4. Siblings related frustration stimuli was significantly related to only one item in sex. 5. Their peers related frustration stimuli while sex as well as religion was significantly related to only one item.
Background: The purpose of this study was to present a practical method of medical treatment to improve the balance and motor ability of the mentally retarded child with a single mentally retarded child-subject. Methods: The subject of the study was a 39-month-old mentally retarded female. This study included a 2-week basic period and a 13-week treatment period. The treatment method was based on the Bobath Approach. Gross motor function measurement (GMFM) was used to examine changes in motor ability, and the Pediatric Balance Scale (PBS) was used to measure changes in balance ability. The curative program was composed of normalization of muscle tone, strengthening of leg endurance and muscular strength, the improvement of trunk alignment, and the increase of balance. Visual rate of change was used to examine the results. Results: As a result of this study, balance ability increased on the Pediatric Balance Scale (PBS) by 24 points, and motor function increased in terms of Gross Motor Function Measurement (GMFM) by 6.9% (18 points). Standing increased by 41% (16 points), and walking, running, and jumping increased by 31.9% (23 points) compared to thebasic period. Therefore, the Bobath Approach appears to be an appropriate method to improve balance and motor ability in mentally retarded children. Conclusion: It is surmised that aggressive intervention by physical therapists and occupational therapists, and a follow-up study, are required for the growth of motor ability in mentally retarded children.
The purpose of this study is to investigate the relationship between the development of laterality and bilateral motor abilities measured with respect to various rhythm movements in upper extremity of mentally retared children. The development of laterality was measured by a survey of dominace-hand. The bilateral motor abilities were assessed by means of a tentative rhythm beat test of hands. One hundred sixty eighty subjects with special education needs shose age ranged from 7 to 18 years old were used for an experimental group. Fity nine normal children whose age ranged from 3 to 6 years old were also chosen as a control group. The major findings were a follows: 1. The development of lateral dominace-hand in mentally retared children differed from that of normal subjects with as increase in chronological age; the degree of the attainment of lateral dominance - hand was 75 percest of the mean level of the normal children. Though normal children establish a dominance - hand by ths age of years old, meatally retarded children are likely to show 57 percent of normal development at the age of 7 through 9 years old and 65 percent of normal development at the age of 16 through 18 years old. 2. A greater delay in mentally retarded was found through a rhythm test which was development to assess bilateral motor abilities in upper extremity. A closser relationship betwin chronological age and the development of bilateral motor abilities in mentally retared children was found. 3. In view of these findings, it was indicated that bilateral motor abilities of the retarded and non-retarded children were significantly correlated to the acqusition of dominance-hand.
As the result of a survey conducted by the author on the status of tile 12 educational institutions for mentally retarded children in Korea and their quartering facilities as well as on 934 children accommodated in such institutions, the following conclusion has been reached: 1) More than a half (approximately 58 percent) of the facilities for mentally retarded children are concentrated in Seoul. About eighty-three percent of these facilities are private establishments, of which 70 percent have their proprietors concurrently as their superintendents. Although these facilities were first established as many as 22 years ago, it has been only five or six years since education was actually started for mentally restarted children. 2) Out of a total of 179 employes, teachers number 99, there by constituting approximately 57.6 percent. Out of them, however, only 32 teachers or 2.8 percent have special teachers licenses. Thus, each teachers has to take care of an average of 29 children. This is excessive a number of children per teachers in view of the special nature of this education, there by indication how urgent it would be to secure more teachers lot this field. 3) Out of the mantally retarded children investigated 57.6 percent suffer from physical disorder in addition to mental retardation, 53.0 percent from mental alienation illnesses besides retardation, and 25 pent from physical, mental disorders in addition to retardation. It is therefore necessary to maintain medical and nursing facilities together with educational facilities. however, two places have no medical facilities at all, and four other places, without medical personnel, have to receive medical support from nearby hospitals or clinics. 4) The total number of children in the surveyed facilities is 934, who can be broken down into 58.7 percent boys and 41.3 percent for girls. They are classified into 12.5 percent for idiot, 37.7 percent for imbeciles, 32.7 percent for morons, and 17.3 percent for thoes children on borderline. Their average age is 13.9 years. 5) As the result of education, the illiteracy rate of mentally retarded children has decreased from 78.1 percent to 32.1 percent while the percentage of those taking the primary school course has increased for 12.2 per cent to 33.5 percent. As a result, it has been learned that education is definitely necessary for Retarded children though it may be a difficult task. 6) The children who have mentally retarded children among their brothers or sisters constitute 6.3 percent of the total number. The corresponding rate for boys is 3.5 percent while that for girls is a remarkably higher rate 10.6 percent. Through studies on the causes of their mental retardation, it has been learned that 39.6 percent of them is of the inherent type and 35.3 percent is of the environmental type. Control and improvement of health of mothers and children, early diagnosis and early treatment are believed to be very important because they could prevent or alleviant much of these conditions. 7) The storage age of teachers and employes is 35.3 years, an indication that a great proportion of them is experienced in a way or another as their major difficulty or problems in serving with these special school, 22.5 percent cited inadequate payment 24.5 gave the inadequate public understanding, and 22.5 percent pointed out the lack of understanding on the part of give parents.
Although importance of music education for the mentally retarded children is realized, it is hard to improve study effects for those children with the existing music education methods due to cognitive disorders of the children. In the paper, we propose a system to improve music cognition ability of the mentally retarded children. The system is designed based on the existing MMCP theory. Our system has the following characteristics. First, the system can improve cognitive, physical, social and emotional development as well as development of music cognition ability. Second, the individualized music education is possible for the children. Third, more active and interactive education is possible.
The purpose of this study was to develop effective oral health education programs for mentally retarded children and promote their oral health, by offering oral health education for 45 mentally retarded children between age 6 to 20, tracking the change of their knowledge depending on the frequency of education, and examining the educational effect before and after oral health education. The children with mental retardation attended a special school for idiots in Gweonseon-gu, Suwon, Kyonggi Province, being able to take training(IQ 25-49). The education program was designed to be suitable for their cognitive power after consultation with a special school teacher. A teacher provided the same education seven times, once a week, and an interview was held with each of them to assess their correct answer rate. The findings of this study were as below: 1. The repeated oral health education served to have the children with mental retardation acquire better knowledge about harmful food for the teeth, what had to be done after eating cookies or candies between meals, the right time for toothbrushing, the concept of dental caries, and how to cope with dental caries(p<0.01). But after that education was offered four times, the frequency of that education made no difference. 2. The repeated oral health education increased, their knowledge on the role of the teeth and the right choice of toothbrush(p<0.01), yet there was no significant difference in their knowledge about oral health behavior, because they had already been familiar with that. 3. As a result of investigating the change of their oral health know-ledge before and after oral health education according to the type of handicap, the type of handicap made no significant difference to the change of their oral health knowledge. 4. The oral health education for the children with menial retardation had a significantly different effect on their knowledge about harmful food for the teeth, what had to be done after eating between meals, the right time for toothbrushing, the role of the teeth. the right choice and use of toothbrush, how to do toothbrushing, and fluorine(p<0.01).
The relationship between copper content in scalp hair and mental retardation was investigated. Samples of scalp hair were collected from 297 mentally retarded children who were students in one of two schools providing special educational services, one, consisted of children living in an orphan home, the other, children living with parents. For comparison, 117 scalp hair samples were collected from the children who had got average or above average academic achivement in a regular elementary school. Hair samples were taken from the nape of the neck and the copper content was determined by an atomic absorption spectrophotometer (IL 551). There was no statistically significant difference in scalp copper levels across different age groups except female orphan group, but no trend or correlation between copper conents and age was found. The hair copper contents of the mentally retarded children groups were significantly lower than that of control groups. But there was no dose-response relationship between degree of mental retardation and hair copper level. The hair copper contents of the group accompanied by Down's syndrome and unknown group were significantly lower than that of control group in both sex, and in the case of accompanied by epilepsy or autism, lower than control group in male. Although the results of this study show no evidence that mental retardation has owed to copper deficiency, the possibility of copper deficiciency in their fetal or infant age could not be ruled out. Thus further study is needed to determine whether mental retardation could be attributed to copper deficiency, through the examinations about their living environments, dietary pattern, eating habit and the impact of copper deficiency on brain development.
The purpose of this study is to provide an instrument of architectural programming in dwelling and facilities design for the mentally retarded. To do this the normal daily life activities have been analyzed and find the living characteristics who live in mental rehabilitation facilities. Generally, mentally retarded people have below IQ.75, and their normal daily life and social adjustment have some problem. Additionally, multiple disability existence and the difference of disability level have great difference in their living activities depend on person. For this research, People who live in 4 rehabilitation facilities in Daegu, Kyungbuk were investigated. It is particularly necessally space organization for sever retardation and multiple disability children, mild or moderate retardation children and adults to analyze their behavior of moving, stool, meal, and living in a group.
The purpose of this study was to determine the drinking behaviors and drinking problems of adult, mentally retarded persons over 18 years old. It was also investigated whether gender, age, and pattern of employment create different result of drinking behaviors and drinking problems, and the variables explaining drinking problems were analyzed. One hundred forty adults, mentally retarded persons were surveyed in Seoul and KyeongGi area. The major findings were as follows; The majority of respondents ($58.2\%$) reported that they had consumed alcohol beverages sometimes prior to their having been interviewed. The average age of respondents who had consumed alcohol was 26.4 years and average age of first-use of alcohol was 22 years. For consumption frequency, $39.2\%$ of respondents reported that they drink alcohol once a month. Average alcohol consumption per occasion was 1.5 cups, and $10.9\%$ of respondents answered more than 5 cups per occasion. Regarding problems associated with drinking, $16\%$ of respondent of AUDIT and $51.4\%$ of Family CAGE answered that their children have drinking-related problems. Men drink more than women and experience more alcohol problems. Supervised employment group was the group with the greatest prevalence for drinking. For the amount of drinking, gender and employment pattern showed significant differences. Drinking problems (AUDIT and Family CAGE) of adult, mentally retarded persons were influenced by age of first-use of alcohol, frequency of alcohol use, and alcohol consumption.
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