• Title/Summary/Keyword: Pediatric Nursing

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Effect of Diabetic Camp Program on the Depression, Self-Efficacy and Self-Esteem in Diabetic Children and Adolescent. (당뇨캠프 프로그램이 당뇨병 환아의 우울, 자기효능감, 자기존중감에 미치는 영향)

  • Yoo, Joo-Wha;Han, Kyung-Ja;Choe, Myoung-Ae;An, Hae-Young
    • 아동간호학회:학술대회논문집
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    • 1997.11a
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    • pp.49-59
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    • 1997
  • The purpose of this study was to explore the effect of diabetic camp program on depression, Seoul National University Hospital self-efficacy and self-esteem of the juvenile diabetic patient who had participated with diabetic camp program at Seoul and Kyung In area from August 5 to August 9, 1995. Nursing staffs explained them how to respond to the questionnaire of depression, self-efficacy and self-esteem prior to beginning the program and following the program. The questionnaire of depression, self-efficacy and self-esteem was developed by both diabetes mellitus nurse specialist and pediatric nursing professors in reference with the previous research. Response items of the questions were structured as yes or no for the elementary school students and that of the questions were structured as 5 likert scale for the both middle and high school students. Paired t-test was used for the significance of the difference between values before and after the diabetic camp program. Depression decreased following the program, while self- esteem increased significantly following the program in elementary school students. There was no change in self-esteem, while self-efficacy increased significantly following the program in middle and high school students. Self-efficacy following the program was high as the frequency of exercise increased in the elementary school students. Self-efficacy prior to the program was high as the experience of diabetic education increased in the middle and high school students. self-efficacy and self-esteem prior to the emu was highly correlated with that following the camp in middle. and high school students. The result suggests that diabetic camp program could be one of ways to decrease depression and to increase self-efficacy of the diabetic children.

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Who are the Assistant Cooks at the Community Child Centers in South Korea? Focus Group Interviews with Workfare Program Participants

  • Park, Jiyoung;Park, Chongwon;Kim, Sanghee;Hoor, Gill A. Ten;Hwang, Gahui;Hwang, Youn Sun
    • Child Health Nursing Research
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    • v.26 no.4
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    • pp.445-453
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    • 2020
  • Purpose: Community child centers (CCCs) were introduced to provide after-school activities and care, including meal services to children from low-income families. The assistant cooks, who have the main responsibility for making and serving food at CCCs, are a major factor influencing the eating habits of children using CCCs. In this study, we tried to identify and understand who the assistant cooks are, what their job responsibilities are, and what they need in order to be able to provide children with healthy meals. Methods: Three focus group interviews were held with 17 workfare program participants who worked as assistant cooks at CCCs, and content analysis methods were applied using the NVivo 12 qualitative data analysis software. Results: The assistant cooks reflected on their perceptions of the children's health at the CCCs, their own cooking style, and their role at the CCCs. Additionally, barriers to the optimal provision of their services were pointed out, and improvements were suggested. Conclusion: The results of this study can be used as a fundamental resource for the development of tailored interventions that consider a child's unique environment to address health disparities, specifically with respect to childhood obesity.

Barriers to Promoting Physical Activity among Overweight and Obese Children from Low-income Families Using Community Child Care Centers (저소득가정 비만아동의 신체활동 증진 장애요인 : 지역아동센터 이용 아동을 중심으로)

  • Lee, Ja-yin;Park, Jiyoung;Kim, Hee-Soon;Kim, Wan-Soo;Hwang, Gahui
    • Journal of Korean Public Health Nursing
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    • v.31 no.2
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    • pp.327-340
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    • 2017
  • Purpose: The aim of this study was to identify the barriers to promoting physical activity among obese children from low-income families using community child care (CCC) centers. Methods: This study employed an exploratory-descriptive qualitative research using focus group interviews. The participants were recruited from CCC centers, and 4 focus group interviews were conducted with 10 overweight and obese children and 14 primary caregivers. All interviews were recorded and transcribed verbatim. The data were analyzed using content analysis. Results: The barriers to promoting physical activity were classified into three areas: 1) individual, a lack of will for physical activity; 2) interpersonal, a change in communicative mean with the peer group, absence of parental monitoring due to work-family balance, and an absence of consistent rules; and 3) organizational, lack of physical activity programs and human resources, and confined space for physical activity. Conclusion: The physical activity of children in low-income families is influenced by a range of ecological barriers. These findings can be used to develop tailored intervention to prevent and manage childhood obesity in low-income children.

Development of Educational Program for Hospice Smart Patient Service Provider (호스피스 스마트 환자 서비스 제공자를 위한 교육과정 개발)

  • Park, Chai-Soon;Yoo, Yang-Sook;Park, Hyun-Jeong;Choi, Dong-Won;Choe, Sang-Ok;Kim, Seong-Eun;Kim, Hyo-Jung
    • Asian Oncology Nursing
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    • v.9 no.1
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    • pp.43-51
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    • 2009
  • Purpose: The purpose of the study was to develop an educational program reflecting the educational needs of Hospice Smart Patient service providers. Method: The description, goal, curriculum, method, and process evaluation of the educational program were constructed based on Modified Tyler-type Ends-Means Model followed by the analysis of current curriculum and needs of service providers. Results: The curriculum was constructed based on hospice volunteer program currently offered in Korea and the recommendations of hospice service volunteers and experts. A total of 90 hr was required to complete the curriculum that was composed of 'Introduction to cancer', 'Treatment and treatment complications of cancer', 'Post-treatment nutritional care', 'Helpful information', 'Introduction to hospice and palliative care', 'Comprehension of life and death', 'Holistic hospice and palliative care', 'How to communicate as a smart patient', 'Hospice and ethics', 'Pediatric hospice', 'Bereavement management', and 'Clinical practicum'. Conclusion: It is necessary to implement the developed educational program and evaluate its effectiveness, as well as making the service available to a greater number of cancer patients.

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Effects of Perceived Parental Attitudes on Children's Views of Smoking

  • Ozturk, Candan;Kahraman, Seniha;Bektas, Murat
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2615-2619
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    • 2013
  • Background: The aim of this study was to examine the effects of perceived parental attitudes on children's discernment of cigarettes. Materials and Methods: The study sample consisted of 250 children attending grades 6, 7 and 8. Data were collected via a socio-demographic survey questionnaire, the Parental Attitude Scale (PAS) and the Decisional Balance Scale (DBS). Data analysis covered percentages, medians, one-way analysis of variance (ANOVA) and post-hoc tests using a statistical package. Results: There were 250 participants; 117 were male, 133 were female. The mean age was $13.1{\pm}0.98$ for the females and $13.3{\pm}0.88$ for the males. A statistically significant difference was found in the children's mean scores for 'pros' subscale on the Decisional Balance Scale (DBS) according to perceived parental attitudes (F=3.172, p=0.025). There were no statistically significant differences in the DBS 'cons' subscale scores by perceived parental attitudes. Conclusions: It was determined that while perceived parental attitudes affect children's views on advantages of smoking, they have no effect on children's views on its disadvantages.

A Study on Performance of Breast-feeding by Employed Mother (취업모의 모유수유 실태와 지속방안)

  • Byun, Soo-Ja
    • Women's Health Nursing
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    • v.1 no.2
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    • pp.155-173
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    • 1995
  • The purpose of this research was to obtain information about the performance of breast-feeding by employed mother and the supportive accommodation in the work place. The survey questionnaire was answered by 323 employed mothers who had child over the six months and visited the pediatric clinic in the hospital and the public health center in Seoul. The results were as follows : 1. Of the 323 employed mothers, 4.7% of mothers performed breast-feeding, 58.3% of mothers did artificial-feeding and 37% of mothers did mixed-feeding during the six months after birth of baby. 2. The characteristics of employed mothers found to be related breast-feeding include Age, Education, Number of Baby, Type of Delivery, Place of Delivery, Obtaining Information On Breast-Feeding. 3. The performance of breast-feeding during the work was different significantly according to the mother's job(medical and non-medical) and the method of feeding. 4. The reasons why they could not perform the breast-feeding include not enough time because of working(80.4%) and lack of knowledge about breast-feeding method with combining employment. 5. The results showed that the rest supports of the work environment was insufficient to perform breast-feeding in he workplace except maternal leave.

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Role and Role Burden of Caregivers with Hospitalized Children (입원아동 보호자의 역할과 역할부담감)

  • Jeong, Eun;Kwon, In Soo
    • Korean Parent-Child Health Journal
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    • v.18 no.1
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    • pp.28-38
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    • 2015
  • Purpose: This study was conducted to identify the role and role burden of caregivers with hospitalized children. Methods: The participants included 149 main caregivers from two pediatric hospitals whose children have been hospitalized for at least 2 days at children's hospital. The data were collected from August 1 to september 30, 2013 using self-report questionnaires of checklist type for caregivers' role and Likert scale for role burden. Results: Role for hospitalized children showed that personal hygiene was the highest, and consultation with nurses and doctors was the lowest in total frequency per day. Of the role for the caregivers themselves and family, personal hygiene was the highest, and home management was the lowest. The degree of role burden perceived by hospitalized children's caregivers was the slightly high. Of the categories, emotional burden was the highest and dependent burden was the lowest. There were differences by caregivers' age, children's age, and children's health status. Conclusion: The caregivers performed various roles, especially more frequently on personal hygiene and nutrition for their hospitalized children and themselves and family, and had slightly high role burden. These results may contribute to develop nursing interventions that can help adapt on hospitalization of children and their caregivers.

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Factors Affecting Mother's Adaptation to Breastfeeding (어머니의 모유수유 적응에 영향을 미치는 요인)

  • Kim, Sun-Hee
    • Journal of Korean Academy of Nursing
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    • v.40 no.2
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    • pp.225-235
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    • 2010
  • Purpose: The aim of this study was to identify factors which influence breastfeeding adaptation from among the following: parity and feeding behavior, social support, psychological, and demographic factors. Methods: The respondents were 179 breastfeeding mothers. Data were collected from June 2 to 19, 2009 at two community health centers and one pediatric outpatient department. Data were analyzed using the SPSS program and included descriptive statistics, t-test, ANOVA, correlation, and multiple regression. Results: The major findings of this study were: 1) Significant differences in the level of breastfeeding adaptation were related to number of children, current problems related to breastfeeding, and lay supporters. 2) Level of breastfeeding adaptation was significantly related to marriage satisfaction, proportion of breastfeeding, length of previous breastfeeding, planned length of breastfeeding, parenting stress, and encouragement to breastfeed given by medical personnel. 3) Regression analysis showed that parenting stress, marriage satisfaction, current problems related to breastfeeding, and proportion of breastfeeding explained 44.3% of variance for breastfeeding adaptation. Length of previous breastfeeding also explained 9.7% of breastfeeding adaptation among mothers who had breastfed an elder child. Conclusion: Mothers with lower marriage satisfaction, breastfeeding problems, and higher parenting stress require more help from their family and nurses for breastfeeding adaptation. Future research should include variables, such as mother's and baby's behavior related to breastfeeding, knowledge about breastfeeding, and attitude toward breastfeeding.

Knowledge of Turkish Mothers with Children in the 0-13 Age Group about Cancer Symptoms

  • Demirbag, Birsel Canan;Kurtuncu, Meltem;Guven, Hadiye
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.1031-1035
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    • 2013
  • Background: There have been few studies in Turkey on the incidence of childhood cancers. A mother's knowledge about signs and symptoms of cancer is important for early diagnosis, effective treatment, and improvement of life expectancy. This study was conducted with a group of mothers of children, aged 0-13, at a Family Health Center (FHC) in Turkey's Eastern Black Sea Region, to analyze their knowledge about cancer symptoms in childhood. Materials and Methods: The study group of this descriptive/cross-sectional research comprised 2,061 mothers, ages 19-49, at an FHC in the Eastern Black Sea Region in February 1, 2011 - June 1, 2011. Before the study, permission was obtained from the local ethics board and the institutions concerned. A value of p<0.05 was accepted as statistically significant. Results: Of the mothers, 34.9% were between the ages of 40-47, 40.5% had three children, 73.8% had no experience with children with cancer, 45.9% said they learned about cancer on television, 39.7% stated that the primary reason for childhood cancer was the mother's smoking during pregnancy, 68.8% said that early diagnosis would save a child, and 98% wanted to learn about childhood cancer. Conclusion: It was determined that the mothers' knowledge of cancer was deficient.

Effects of Distraction using Operating Doll on Preschool Children's Pain during an IV Catheter Insertion (작동인형을 이용한 관심전환이 정맥주사 시 학령전기 아동의 통증에 미치는 효과)

  • Lee Boon-Sim;Kwon In-Soo
    • Child Health Nursing Research
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    • v.11 no.4
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    • pp.490-497
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    • 2005
  • Purpose: The purpose of this study was to investigate the effect on pain of distraction with an operating doll in preschool children(3-6 years old) during an IV catheter insertion. Method: The research design was a nonequivalent control group posttest design, and the participants were 22 children in the experimental group, and 23 children in the control group. The children were hospitalized for enteritis and pharyngitis in a university hospital. The subjective pain was measured using FACES Pain Rating Scale by self report, and the pain behavior responses were scored using Procedure Behavior Check List by observing a film of the entire procedure, and changes in pulse and oxygen saturation as the physiological pain responses were measured by pulse oximeter. Data were analyzed with the SPSS Win 10.0 program. Result: The degree of subjective pain, pain behavior responses, and changes in pulse during IV catheter insertion were significantly lower in the experimental group. But there was no significant difference in $O_2$ saturation between the two groups. Conclusion: Distraction using an operating doll was effective in decreasing pain during inserting the IV catheter in preschool children.

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