Purpose: The purpose of the study was to compare the active pain management (APM) with structured physiotherapy (SPT) with the conservative care on postoperative pulmonary complications, pain, and comfort in children under three year. Method: A non-equivalent control group, non-synchronized design study was used. A total of 64 children participated in the study. The children in the experimental group (n=32) received APM with SPT after surgical operation. After transferred to the general unit, the parents were instructed to hold the child for 30 minutes to relieve anxiety and have him/her sleep comfortably for 2 hours. Scheduled 20 minutes chest percussion was performed by the parents for 2 days: twice every 4 hours, one in 6 hours, then one every 8 hours for the rest of two days. Analgesic was administered as needed. Pain and comfort were observed and recorded by nurses using the FLACC and COMFORT Behavior Scale. Results: One child in the control group was diagnosed with postoperative pneumonia. The children in the experimental group who were received the APM with SPT reported higher scores in comfort and lower scores in pain than those in the control group. Conclusion: The findings suggest that APM with SPT can help prevent postoperative pulmonary complications and pain.
Objective: This study employed a pretest-posttest quasi-experimental design to evaluate the effectiveness of the Respected Parents & Respected Children(RPRC) parent education program developed for working mothers of dual-income families with young children. Methods: A total of 32 working mothers were randomly assigned to two groups, an intervention group (n = 16) and a control group (n = 16). Mothers in the intervention group participated in the parent education program. After the termination of the program, differences between the pretest and posttest in terms of mothers'parenting behaviors, parenting efficacy and parental role satisfaction were compared in both groups. Results: Mothers in the intervention group were significantly improved in their parenting behaviors and parenting efficacy, whereas mothers in the control group did not show any significant differences between pretest and posttest scores. However, there was no significant difference in parental role satisfaction between the intervention group and the control group. Conclusion/Implications: These findings suggest that RPRC parent education program is effective in bringing about positive changes in working mothers'parenting confidence, which can be crucial for the future developmental outcomes of their children.
The purpose of this study was to examine the effects of parenting efficacy, parenting behavior, and parenting stress on children's problematic behavior in Korea and China. The subjects were 292 children and their mothers who are caring for their 3-5 years old children in Korea and China. Data was collected using a parenting efficacy index, parenting behavior index, parenting stress index and child behavior check list. The data were statistically analyzed using t-test, one-way ANOVA (Scheff$\acute{e}$ test), correlation analysis and multiple regression analysis. The study showed that there were no significant differences in parenting efficacy, parenting behavior, parenting stress and children's problematic behavior in Korea and China. There were some significant differences in children's problematic behavior according to the socio-demographic variables, that is the gender of the child, the mother's education, the father's education, in Korea and China. Correlation analysis indicated that the parenting efficacy, parenting behavior, parenting stress and children's problematic behavior in Korea and China had significant correlations in some sub-variables. It was also found that the gender of the child, the mother's education, the father's education, the frustration and uneasiness of the parents, the control behavior, and the stress of parent-child dysfunctional interaction, were all significant predictors of the preschool children's problematic behavior in Korea, and the mother's education, the family income, the affection behavior, the rejection behavior, and the control behavior, were all significant predictors of the preschool children's problematic behavior in China.
Injury has now replaced disease as the biggest single cause of death in children after their first birthday. Each day child dies from preventable, unintentional injury and the medical cost of these injury is increasing remarkably. It is necessary to develope injury prevention models to explain, predict, manage, evaluate and analyze the information about accident. The purpose of this paper is, firstly, to investigate parent's actions regarding safety measures at home and secondly, to identify the influencing factors of parents' safety behaviors. The selection of such factors is guided by the theoretical framework of the Pender's Health Promotion Model. Method ; The questionnaire was developed on the basis of other investigations, through pilot testing, peer review, and review by field health workers. The questionnaire was completed by 231 mothers of young children. Data was collected between April and May 2002. Variable Use of three different domains of safety behavior, safety habits, supervision and perception of safety devices, were listed. Mothers were self reported on internal locus of control, mother & child relationships, and marital intimacy. Also the elements of the Health Promotion Model: perceived benefit, barrier, threat, and self-efficacy, were surveyed. Results & discussion The results indicate that most parents take considerable action to reduce household hazards. The constructs derived from the Model were statistically significant differences for a small part of the variables on parental behavior to reduce hazards in the home, such as age, education, economic status, self-efficacy, perceived benefit, internal locus of control. Future studies ought to include social influences, such as expectations, perceived norms, knowledge, and child-related variables, relevant to parental safety measures in their home.
The Purpose of this study was to examine the direct or indirect effects of psychological family environment self-control, and friends characteristics of middle school students on their problem behaviors. Data were corrected from 520 senior students of middle school (266 boys and 254 girls) who reside in Inchon. The level of problem behaviors was directly influenced positively by closeness with friends and negatively by self-control and open communication with mothers. And the level of problem behaviors was indirectly influenced positively by intrafamily conflicts and negatively by self-control, parental monitoring and open communication with parents. Self-control was the most powerful predicator of problem behaviors of middle school students. Self-control was directly influenced positively by open communication with fathers and negatively by intrafamily conflicts. Closeness with friends was directly influenced positively by parental monitoring and negatively by self-control and open communication with mothers.
Recently, childhood obesity is increasing in Korea mainly due to westernized dietary pattern. The purpose of this study is to investigate diet pattern(habit and behavior), nutritional knowledge and taste favor in normal and obese children. We carried out anthropometries and self questionaire about life style among the 5th-grader in elementary school(88 boys, 102 girls) in Seoul. The results are as follows : Physical conditions are boys’average hight and weight 142.0cm, 37.5kg ; and girls’143.7cm, 35.6kg. BMI are normal group 38.7% and abnormal group 61.3%(obese 24.2% underweight 16.1% overweight 14.0% very underweight 7.0%) A great part of obese children live in apartment house(79.5% of obese children in southern Seoul; 60.2% in northern Seoul). Obese parents have obese children. Diet behavior, diet pattern, food habit and food preferance of children are similar to their parents, especially their mothers. Preferance in taste of children follows in order of hot, sweet and mild. Especially obese children favor sweet taste more than others. The 61% of them are interested in weight control. Their nutritional knowledges are poor(4.9/10). They like more westernized food(hamberger) than korean food(In-jul-me).
Purpose: This study aimed to assess the quality of life (QoL) of children with glycogen storage disease (GSD) and their parents and to determine the impact of myopathies. Methods: A prospective case-control study was conducted at the Cairo University Children's Hospital and National Liver Institute, Menoufia University. A promising new style of questionnaire called the Stark Quality of Life Questionnaire was used to assess the quality of life. Results: Fifty-two children diagnosed with GSD (cases) and 55 age- and sex-matched healthy children (controls) were included. A statistically significant difference was found between cases and controls regarding food intake; mental behavior parameters such as mood, energy, and social contact; and physical behavior parameters such as running and tying shoelaces. Children with myopathies had significantly lower QoL scores in most of the parameters. Conclusion: GSDs alter children and their parents' mental and physical abilities. Lower QoL scores were detected in children with both skeletal myopathy and cardiomyopathy, but the difference was not statistically significant when compared with the children without myopathies.
The purpose of this study was to test the revised Health Promotion Model of Pender and to determine the factors to promote health behavior for adolescents' smoking behavior. The subjects of the study was 783 boys of 4 high school students. among 39. schools locating in Daejeon metropolitan city. The data was collected from July 1st to 15th. 1997 by school health nurse The research tool were HPLP of Walker. Pender. General self-efficacy scale of Sherer. control scale was measured by subconcept of hardiness scale of Pollock. and perceived barrier. perceived benefit. activity-related-affect tool were made by researcher via literature review The data were analyzed by SAS program using frequency. t-test. ANOVA. Schefee test. regression. The results were as follows 1. The mean of total health promoting behavior was $2.27\pm.35$. Among sub domain of health promoting behavior, the highest score was interpersonal support$(2.72\pm.60)$. and the lowest was health responsibility $(1.58\pm.44)$. 2. There were statistically significant difference in total health promoting behavior according to religion. parenting style. school performance. girl friend. father's smoking of individual characteristics. 3. The socioeconomic status. smoking, parent pattern. family structure of individual characteristics and experience domain associated with perceived benefit. perceived barrier. activity-related affect. interpersonal influence of behavior-specific cognition and affect domain. The perceived barrier. self-efficacy. girl friend and father's smoking of interpersonal influence. and control explained $25.8\%$ of variance of health promoting behavior. From above results school health nurse has to emphasize on health responsibility for health promotion of adolescent. But they couldn't intervene for parent pattern. socioeconomic status. family structure of individual characteristics and experience domain. it could be possible for school health nurse to promote health of adolescents through improving perceived barrier. also develop program to increase self-efficacy and through parent health class for fathers. Above results point to the importance of including parents in smoking prevention effort targeting adolescents. Because increasing control also promotes health of adolescents. it should be studied further about the specific measure. To verify the variables for increasing the fitness of health promoting model. it needs further replication of the research.
Ideological characteristics and child rearing practices of North Korean society were studied with in-depth interviews of twelve adults who had escaped from North Korea since 1990 and with a questionnaire consisting of 17 items completed by 158 subjects who had also escaped from North Korea. There are 3 ideological characteristics of North Korea : Monotheism, collectivism, and patriarchalism. Collectivism resulted in collective behavior styles; monotheism made the hero worship of the Kim Il Sung lineage possible, and patriarchalism contributed to boy-preference and to differentiated sex-role expectations for their children. In practice, parents emphasize honesty and loyalty to the Communist Party, and they use praise as verbal reinforcement. Parents also emphasize obedience and control rather than democratic participation.
Purpose: The purpose of this study was to identify the effects of a school-based obesity control program based on behavior modification and self-efficacy for obese elementary school children. The program was composed of strategies to modify diet and exercise habits and to increase self-efficacy. Method: The subjects were 57 obese children (experimental group = 28, control group = 29) whose Rohler index was 150 and over. The program was implemented once a week for 12 weeks from September 16 to December 12, 2003. The data was analyzed by Fisher's exact probability, $x^2$-test, t-test, and Wilcoxon Rank Sum test. Result: The Rohler index, fat mass and lean body mass of the experimental group positively changed after the intervention more than those of the control group, but there was a significant difference in the Rohler index only (t=2.06, p=.045). In addition, obesity stress significantly decreased (z=-2.86, p=.047) and dietary self-efficacy significantly increased (t=2.35, p=.023) in the experimental group than those of the control group. Conclusion: This study supports that a school-based obesity control program based on behavior modification and self-efficacy can be effective in decreasing obesity stress and increasing dietary self-efficacy. Parents, school nurses and the other support groups should be encouraged to participate from the planning stage of the program to be effective in weight control of obese elementary school children. Also school-based program should be implemented as an essential course in the curriculum, not as an elective.
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