• Title/Summary/Keyword: Mothers with IDDM Children

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Factors Associated with Depression and Resilience in Children with IDDM

  • Kim, Dong-Hee;Yoo, Il-Young
    • Child Health Nursing Research
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    • v.13 no.2
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    • pp.166-172
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    • 2007
  • Purpose: The main objectives of this study were to examine relationship between depression and resilience in children with IDDM and identify factors associated with depression. Method: Data were collected from 63 children whose ages ranged from 10 to 15 years and who had been diagnosed with IDDM for over six months. Resilience was measured with an instrument developed by Kim (2002) and depression with the CDI by Beck (1967). Descriptive analysis, Pearson correlation coefficients and multiple regression analyses were used to analyze the data. Results: The mean score for depression was 11.71 (range: 0-54) and resilience was 99.03 (range: 32-128). There was a significant positive relationship between depression and academic performance (r=0.598, p>.01), and negative relationships between depression and perceived parenting attitude (r=-0.579, p>.01) and resilience (r=-0.577, p>.01). The result of multiple regression analysis showed that academic performance (${\beta}=-0.419$, p>.01), perceived parenting attitude (${\beta}=-0.338$, p>.01) and resilience (${\beta}=-0.219$, p>.05) were statistically significant for depression. Conclusions: The children with IDDM who reported lower resilience, negative parenting attitude, and better academic performance were more depressed. It is important for nurses to identify the strengths of the children with chronic illnesses and to help them increase their resilience level to prevent depression. Parenting classes are necessary to help parents support resilience of their children and counseling programs for mothers of these children are also recommended.

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Caring Experience of Mothers with IDDM Children (인슐린의존형 당뇨병 환아 어머니의 돌봄 경험)

  • 최미혜
    • Journal of Korean Academy of Nursing
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    • v.28 no.1
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    • pp.81-92
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    • 1998
  • This study is to define the caring experience of mothers with insulin-dependent diabetes mellitus children, by finding core category, contextual factors, ntervening factors, and the patterns of caring, and to velop a practice theory on it. Research method followed grounded theory methodology by Strauss & Corbin. Subjects were six mothers. whose children have had insulin-dependent diabetes mellitus for 4 months to 14 years by the interview time. They were selected by theoretical sampling. Data were collected from September, 1995 to January, 1996. Interview were done by long interview technique and observation. Each interview took 50 minutes to 2 hours. Content of interview was recorded and transcribed later. Based on the results of previous interview, content of next interview was planned until data reached to the saturation point. Results were as follows : One hundred and forty concepts were found. These concepts were grouped into thirty-three categories, and then to ten categories. Mothers with diabetic child were revealed to face “being overwhelmed by burden”. Overwhelming by burden is found to be progressed through the cycle production-coping-decrease or in crease process. Mothers showed four patterns of adaptation in caring the diabetic children. 1) If mothers felt large amount of overwhelming by burden because of difficulty of caring and unsympathizing but they had sufficient support, no condition of the child, and their coping mechanism was positive, most of them overcome with strong will, but some fell into burnout. 2) If mothers felt large amount of overwhelming by burden because of difficulty of caring, unsympathizing, insufficient support. serious condition of the child, and their coping mechanism was negative, they fell into burnout by coping with feeling. 3) If mothers felt small amount of overwhelming by burden because of little difficulty of caring and sympathizing, sufficient support. no serious condition of the child, but their coping was negative, most of them fell into burnout by coping with feeling, but some overcome. 4) If mothers felt small amount of overwhelming by burden because of little difficulty of caring and unsympathizing, sufficient support, no serious condition of the child, and their coping was positive, they overcome with strong will. On the basis of the above result, in order to help mothers take good care of their children, nursing assesment and intervention on life readjustment, and getting support should be required. Especially, through understanding mothers' personalities, individual support consistent with each of them should be required. Therefore education. counseling, mutual support and exchange of information will have to be accomplished.

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