• Child Health Nursing Research
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• v.14 no.3
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• pp.221-231
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• 2008

Purpose: The purpose of this study was to examine the toilet training status (TTS) of Korean toddlers and their mothers' level of knowledge of toilet training (TT) and to identify the relationship between toddlers' TTS and mothers' level of knowledge of TT. Method: The participants in this study were 315 12-29 month old infants and their mothers recruited from outpatient clinics of hospitals and day care centers. T-test, ANOVA and Pearson correlation coefficients were used to analyze the data. Results: TTS of Korean toddlers showed was more advanced compared with previous research samples except for independent hand washing after toileting and this improved with age. The mothers showed higher understanding of the importance of a positive experience and a different pace for each child in the appropriate period for toilet training but less appreciation of the readiness of child to initiate TT. There was a significant correlation between TTS and mothers' level of knowledge of TT. Conclusion: Using the above findings, health professionals who work with children and their families need to develop parent education programs on TT that will promote toddlers' physical and socio-emotional development.

• Clinical and Experimental Pediatrics
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• v.52 no.7
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• pp.778-784
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• 2009

Purpose : We aimed to determine the ideal age for initiating toilet training and investigate the factors influencing the training. Methods : The study population comprised 1,370 children aged 2-6 years, who visited the pediatric clinics in Jeonju, Iksan, and Gunsan. Their parents were given questionnaires in order to gather data about the types of diapers used, ages when toilet training was initiated and completed for each day and night, its adverse effects, and the educational level and employment and economic status of the mothers. Results : The toilet training initiation age was low for those living in the country, having an elder sibling(s), and using cloth diapers, and for those whose mothers were employed and had a low economic status. The training completion age was 22.9 months when the training was initiated before the age of 18 months; this was lower than the training completion ages of 25.9 and 31.0 months when the training was initiated at the age of 18-24 months and after 25 months, respectively. However, the required durations in these cases were 8.4, 5.6, and 3.8 months, respectively. Encopresis and refusal occurred more often when the training was initiated before the age of 18 months than when initiated after this age. Conclusion : Toilet training should begin at least after the age of 18 months considering the developmental status of infants. It is recommended for the future researchers to develop specific guidelines regarding toilet training.

• Journal of Korean Academy of Nursing
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• v.3 no.3
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• pp.119-132
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• 1973

This study observed on habitual methods of toilet training for infants and toddlers in Korea thru 300 mothers at four medical institutions Ewha Woman′s University Hospital, Ewha Maternal and Child Health Center, Severance Hospital and Seoul National University Hospital) with a design to analyze beginning time, duration of period, methods employed, motives, equipments used, special terminology used for the subject training. The main purpose of this study was to generalize the proper methods of toilet training, and also to contribute a better psychological education for the mother and child. The results obtained from this study were as follows; 1. Majority of (67.3%) observed were in the age category between 30 and 40 years, and dominant numbers (64.7%) were housewives with high level of education and from middle class family background. 2. In the most cases (85%), toilet training was carried out by mothers(including wives who had a job) while more than half of mothers (53.7%) maintained their important motive for the training was "due to having high regard for cleanliness" 3. As for the time of beginning toilet training: finding indicated that starting period was decided (70%) at inconsiderate desertion of each mother. whereas, only minority group (30%) represents the cases where mother started the training when they consider tile child was physically and psychologically randy. Also greater number (77.7%) started bladder training prior to that of bowel. 4. It is noticeable that in course of training a large number of mothers (48.3%) applied strict training method when the child proper talenting, and the more rigid and strict in tile training. the more malformation of personality of the infant and toddler were seen after the training period (P<0.01). 5. Over the half of the total cases denoted (bowel 54.3%, bladder 67.7%) starting period before one year and in most cases (bowel 79.3%, bladder 729)the training was accomplished within 12 month, and therefore it was noted that earlier start(before 1 year) shortened the training period (with 12 month) . There was no significant difference between male and female infants in both starting period and duration of period in bladder training, however, in bowel training there was a tendency that female started earlier(7-12 months needed, 51.4%) than tile male (13-18 months needed, largest number 41.4%), and also in cases of female the period for needed for training were shorter than the cases of male. 6. Many a number (bowel 50.3%, bladder 97.7%) employed the method of continuous talenting at regular interval in accordance with that of child′s habit formed before training. Equipment used were various kinds, however, pieces of paper for male (45.5%) and piss pot or bedpost (42.3%) for female were common, on the other hand, "Eung-ga" for defecation (52.3%) and "Shii" for the urination (95.3%) were most standard expression that used during the training period.

• Korean Journal of Child Studies
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• v.5
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• pp.65-80
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• 1984

The purpose of this study was the description of general trends in feeding, weaning and toilet training in agricultural and fishing communities in Korea, where the traditions are better preserved; thereby to present useful material for improving child rearing practices. The results of this study showed that: 1) Breast-feeding is the dominant form of nursing. The mother nurses freely whenever the baby wants to be fed. The mother caresses the baby while she nurses him. The nursing period is relatively long, up to 1 and a half years. 2) Generally, the time of weaning starts late - between 9 months and 18 months. Many mothers apply a bitter tasting solution to their nipples to aid weaning. The many things give a baby foods, the recipe for which the acquire knowledge from his family and acquaintances. 3) Toilet training generally starts after 1 full year. Potties are commonly used. The infant is reminded of its error whenever it makes a mistake and cleanliness is stressed. Urination and defecation are taught to be dirty things. In summary, discipline is not strict enforced but given naturally as the infants grow: This was interpreted in terms of the traditional way of life and geographical characteristics.

• Childhood Kidney Diseases
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• v.19 no.1
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• pp.1-7
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• 2015

Coexisting voiding and bowel dysfunction in children are common in the clinic. The idea that overactive bladder (OAB) and constipation arise from one single pathophysiology has been reinforced in many studies. In Korea, a nationwide multicenter study conducted in 2009 showed that overall prevalence of OAB in children, 5-13 years of age, was 16.59% and this number has increased more recently. The initial step to manage coexisting fecal retention and OAB in children is to characterize their bowel and bladder habits and to treat constipation if present. Although diagnosing constipation in children is difficult, careful history-taking using the Bristol Stool Form Scale, and a scoring system of plain abdominal radiography, can help to estimate fecal retention more easily and promptly. Non-pharmacological approaches to manage functional constipation include increasing fluids, fiber intake, and physical activity. Several osmotic laxatives are also effective in improving OAB symptoms and fecal retention. Additionally, correction and education in relation to toilet training is the most important measure in treating OAB with fecal retention.

• Journal of the Korean Home Economics Association
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• v.11 no.3
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• pp.329-344
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• 1973

The purpose of this study is to find how the mother's rearing patterns and attitudes influence on a child's social personality development. Many contemporary psychologists insist that mother's rearing attitudes and methods before age of six influence on child's social personality development a great deal. Freud divided the child's developmental stages into three : oral, anal, and phallic period. According to his assumptions the way of mother's feeding and weaning has very important relationship with the personality development through ora period and how to handle toilet training will greatly influence through anal period. In addition to this, Symonds declares that a mother's rearing attitudes will influence the establishment of social characteristics of the child. The moderate attitude-not too overprotective or rejective or submissive or dominate-is desirable. If mother's attitude declines to one aspect among these four kinds too much, the child would have chances to develop maladjusted social characteristics such as aggressiveness , submissiveness, dependency, and dominativeness. The hypotheses of this study were based on Freud and Symonds theory and tested by correlation and the difference of percentage. The results of the study were as follows : I. The relationship between rearing pattern and social characteristics 1. When the child has too strictly scheduled feeding time, he will have aggressive attitudes. 2. The longer the feeding period, the more dependency the child will have. 3. In case the toilet training was taken place too early or strictly, the child will withdraw into his shell. 4. When the child failed to perform the toilet training and was punished because of that, the child's personality will likely to be too submissive or aggressive. II. The relationship between mother's attitudes and social personality 1. When the mother's attitude is too overprotective the child showed withdrawn characteristics (r = 89) or dependency ( r = 24). 2. The child whose mother has too rejective attitude also showed withdrawn characteristics ( r = 31). As Sears insisted self-demanding schedule is recommendable and the weaning supposed to be started after age of one and a half years and finished around age of two. The toilet training which has rather severe consequences than the feeding methods should be started when the child is able to understand what is expected to him. Sears says that about two years after birth would be proper but individual difference should be considered. As a conclusion, Flexible and understanding attitudes and rearing methods is necessary for a sound establishment of social personality.

• Childhood Kidney Diseases
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• v.7 no.2
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• pp.174-180
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• 2003

Purpose : Unstable bladder has been known to be one of the reasons for the genesis and persistance of primary vesicoureteral reflux(VUR) in children. And treatment of unstable bladder by anticholinergic agent may contribute to the resolution of primary VUR. We evaluated the effect of an anticholinergic agent(oxybutynin) on the resolution of primary VUR in children with different toilet training and voiding functions. Methods : 152 children with persistant primary VUR after one year of follow up were randomly assigned to the oxybutynin group(n=59, oxybutynin 0.2 mg/kg twice daily) and the control group(n=93, no oxybutynin) at Ewha Womans University Mok-Dong Hospital from October 1996 to April 2002. The resolution rate of the VUR and the difference according to the status of toilet training and voiding dysfunction were analyzed. Statistical analysis was done by the Chi-square test and a P-value of less than 0.05 was considered as significant. Results : VUR was resolved in 49.2%, improved in 20.3% and not changed in 30.5% in the oxybutynin group(n=59) which was not significantly different to 45.2%, 16.1%, 38.7% in the control group(n=93), respectively. In the non-toilet trained young children, VUR was resolved in 50.0%, improved in 23.5% and not changed in 26.5% in the oxybutynin group(n=34) which was not significantly different to 44.2%, 19.2%, 36.6% in the control group(n=52), respectively. In the toilet trained older children, VUR was resolved in 48.0%, improved in 16.0% and not changed in 36.0% in the oxybutynin group(n=25) which was not significantly different to 46.3%, 12.2%, 41.5% in the control group(n=41), respectively. In the toilet trained older children with no voiding dysfunction, VUR was resolved in 33.3%, improved in 11.1% and not changed in 55.5% in the of oxybutynin group(n=9) which was not significantly different to 53.6 %, 10.7%, 35.7% in the control group(n=28), respectively. In the toilet trained older children with voiding dysfunction, VUR was resolved in 56.3%, improved in 18.7% and not changed in 25.0% in the oxybutynin group(n=16), which looked higher than 30.7%, 15.4%, 53.9% in the control group(n=13), respectively, but these were not significantly different either. Conclusion : Oxybutynin was not effective in the resolution of primary VUR in non-toilet trained young children and toilet trained older children. Oxybutynin showed slightly higher tendency of reflux resolution in toilet-trained older children with voiding dysfunction but the difference was not statistically significant. Judicious use of oxybutynin is required in selected older children with VUR and voiding dysfunction.

• The Journal of Pediatrics of Korean Medicine
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• v.24 no.2
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• pp.1-12
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• 2010

Objectives Taking detailed patient history helps earlier diagnosis and treatment of developmental disability. In this study we analyzed the clinical questionnaire to find out the clinical characteristics of those with five-retardation, five-limpness, or five-stiffness. Methods The data was collected from 484 children under the age of six who have visited H oriental medicine clinic for developmental delay. The clinical questionnaire was filled out by their parents and the data was analyzed statistically. Results 436 children showed symptoms of five-retardation, 90 children suffered from five-stiffness, 54 children showed five-limpness and 7 children suffered from five-stiffness and five-limpness complex. Generally, boys had higher chance to show disease symptoms than the girls (2.32:1) and 40 children (8.26%) reported family history of developmental disability. Cerebral palsy ranks the most common familial disease, followed by developmental delay, mental retardation, autistic disorder and language disorder. Among the children we have studied, 285 children (63.19%) showed delayed unassisted walk while 192 children (42.57%) had language disorder. Also, 138 children (28.51%) had both walk and language disorders. The children in this study also showed delayed toilet training and half of them had little stranger anxiety when they were infants. It was also found that 120 children (24.79%) experienced epilepsy. This study reaffirmed that low birth weight, premature birth, and suffocation are major risks causing neurological damage. Conclusions They had history which including family history, problems at birth, epilepsy, face recognition, muscle tone disorder, delayed walking without assistance, language ability, and toilet training.

• Journal of the Korean Home Economics Association
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• v.35 no.3
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• pp.47-62
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• 1997

The purpose of this study was to survey mothers' child-rearing practices. A total of 288 middle class mothers having children aged three to four responded to the questionnaires on child-rearing practices. The results were as follows: 1. Mothers mostly gave birth to their children in th hospital, and only 13.9% of children were breast-fed within 6 months after birth. 2. Most of mothers began weaning within 6 months after birth and finished it within 24 months. 3. Toilet training generally started between 18 and 24 months, and mostly finished in 30 months. 4. The attitude of mothers on self-help training was moderately generous to their children. 5. Most of mothers took care of their children as primary caretakers except the employed mothers whose mothers and mothers-in-law mainly took the role. Implications of the study have been discussed in terms of developmental perspective.

• Therapeutic Science for Rehabilitation
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• v.2 no.2
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• pp.47-59
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• 2013

Objective : This study is conducted to find the influence on upper extremity function, cognitive function and activities of daily living when stroke patients receive task-oriented training in group or individually. Methods : Twenty-six inpatients are assigned to two groups(task training group and individual training group) randomly, who receive rehabilitation therapy after stroke diagnosis for 5 months(june to november, 2012) in a hospital. Both groups receive a task-oriented training for 30 minutes a day for 3 weeks. FMA were used to measure upper extremity function, K-MMSE were used to measure cognition, and MBI for ADL. Results : Before training. two groups were not different significantly in upper extremity function and cognitive function. But in activities of daily living, bathing self(p<.001), feeding, personal hygiene and total score(p<.05) are higher in group training group. After training, upper extremity function is higher in individual training group(p<.001). In both training group, upper extremity function, feeding, personal hygiene, bathing self, dressing, toilet, chair/bed transfers, ambulation and stair climbing, total score are improved significantly(p<.05). In comparing of variation before and after training, upper extremity function(p<.001), feeding and total score of activities of daily living are more improved significantly in individual training group(p<.05). Conclusion : The outcome shows that task-oriented training can improve upper extremity function and activities of daily living in both training group. Especially, the more upper extremity function is improved, the more activities of daily living is improved. In the future, it will be necessary longitudinal study for a long time for more patients.