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Literature review on maternal-fetal interaction (모-태아 상호작용에 대한 문헌고찰)

  • Cho, Kyeul-Ja;Kim, Jung-Soon
    • Korean Parent-Child Health Journal
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    • v.3 no.2
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    • pp.49-66
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    • 2000
  • Pregnancy is a task of creation in which a women mobilizes her self and the resources available to her in the generation of a new person. Through the pregnancy, a mother has formed the new human relationship with a fetus. Maternal-fetal relationship is considered one of mechanism making the relationship of mother and child. It is important to well-being of mother and fetus, too. The earliest interaction between a mother and her child is during prenatal period. Maternal-fetal dyad is unique and perceived interactions with the fetus make the pregnancy real for the mother. Maternal behavior is "instinctive" and is formed in early childhood by copy of the mother. But, Rubin argues that this behavior is an open intellectual system rather than a prepackaged bundle of traits. There is openness to new learning and a high value placed on knowing which occurs with silent organization in thought. Thus, nurses and other health professionals provide prenatal care that optimally is part of the environment in which the maternal-fetal dyad develops. Thus it is appropriate for nurses to increases their understanding of the dyad and to explore ways to enhance its development. This study focusses on the interaction ability and response of fetus, and the maternal-fetal interaction. The research of fetal responses that involve physiological changes and motor movement have been shown to coccur to both external sensory stimuli and to maternal emotional states. The fetus does also have sensory capacity to be aware of some maternal behaviors, and the motor ability to respond in a way the mother can notice. Thus, very rudimentary interactions appear to be possible. Maternal awareness of fetal activity was supported by several studies. More interesting to the present study are description of maternal-fetal interaction and the finding that there appear to be levels of sensitivity to the fetus involved in maternal-fetal interactions. First, recognition comes that the fetus is separate from the maternal self. Next, the fetus engages in. Lastly, the parent may describe active interaction with the fetus, believing that mother and fetus are communicating on a meaningful level. Several interventions, developed to promote more active interaction between mother and fetus, have been reviewed. In general, the parents were taught to stimulate the fetus and to notice the fetus' responses. This type of intervention might increase the mother's sensitivity to her unborn baby, and she may have a head start toward learning how to res pond sensitivity to the newborn infant. Research In the area of maternal-fetal interaction is scarce. Sensitive behavior is construed as an appropriate and timely response to a signal of need from another person, but no such signal of need can be claimed regarding the fetus. The highest level of maternal-fetal interaction, therefore, might be based more on maternal representations of the imagined fetus than on factual evidence of fetal participation.

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A Study on the Development of a Flourish Competency Enhancement Program for Infant Teachers (영아교사의 행복플로리시 역량 증진 프로그램 개발을 위한 인식 및 요구도)

  • Kang, Hyun Mi;Hwang, Hae Ik
    • Korean Journal of Childcare and Education
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    • v.11 no.4
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    • pp.167-187
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    • 2015
  • The purpose of this study was to purpose fundamental data which can be used for the development of a flourish competency enhancement program for infant teachers. The methods of the questionnaire study were performed on 213 infant teachers. The results are as follows. First, as a result of investigating their awareness of a flourish competency, many of the infant teachers replied that they were aware of it to a certain extent. The differences of institution type were statistically significant. Second, as a results of looking for any possible difference in the teacher's background variables in needs for the development of an enhancement program for flourish competency, there weren't significant differences in opinions on the needs of the program, effects of the program, purpose of the program, execution cycle, methods of the program training, intention of involvement. But needs of flourish competency existed of significant differences in institution type and execution time and program operator existed of significant differences in institution type and career. This study is hope to suggest some of the development directions of a flourish competency enhancement program for infant teachers.

Enrollment in Private Medical Insurance and Utilization of Medical Services Among Children and Adolescents: Data From the 2009-2012 Korea Health Panel Surveys

  • Ryu, Dong Hee;Kam, Sin;Doo, Young-Taek
    • Journal of Preventive Medicine and Public Health
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    • v.49 no.2
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    • pp.118-128
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    • 2016
  • Objectives: The purposes of this study were to examine the status of children and adolescents with regard to enrollment in private medical insurance (PMI) and to investigate its influence on their utilization of medical services. Methods: The present study assessed 2973 subjects younger than 19 years of age who participated in five consecutive Korea Health Panel surveys from 2009 to 2012. Results: At the initial assessment, less than 20% of the study population had not enrolled in any PMI program, but this proportion decreased over time. Additionally, the number of subjects with more than two policies increased, the proportions of holders of indemnity-type only ('I'-only) and of fixed amount+indemnity-type ('F+I') increased, whereas the proportion of holders with fixed amount-type only ('F'-only) decreased. Compared with subjects without private insurance, PMI policyholders were more likely to use outpatient and emergency services, and the number of policies was proportionately related to inpatient service utilization. Regarding outpatient care, subjects with 'F'-only PMI used these services more often than did uninsured subjects (odds ratio [OR], 1.69), whereas subjects with 'I'-only PMI or 'F+I' PMI utilized a broad range of inpatient, outpatient, and emergency services relative to uninsured subjects (ORs for 'I'-only: 1.39, 1.63, and 1.38, respectively; ORs for 'F+I': 1.67, 2.09, and 1.37, respectively). Conclusions: The findings suggest public policy approaches to standardizing PMI contracts, reform in calculation of premiums in PMI, re-examination regarding indemnity insurance products, and mutual control mechanisms to mediate between national health insurance services and private insurers are required.

Childcare Teachers Educational Beliefs and Self-efficacy according to Psychological Preferences of the MBTI Test (MBTI 성격유형검사의 선호경향에 따른 보육교사의 교사신념과 자기효능감)

  • Kim, Hyo Eun;Lee, So Eun
    • Korean Journal of Childcare and Education
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    • v.12 no.1
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    • pp.171-185
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    • 2016
  • The purpose of this study is to investigate the pervasive MBTI psychological preferences of childcare teachers and to examine the effects of MBTI psychological preferences and teachers' educational beliefs on childcare teachers'self-efficacy. The participants of this study were 141 childcare teachers. An independent samples t-test, Pearson's productive correlation, and step-wise multiple regression were employed to analyze the data. The results are as follows: First, Depending on the MBTI psychological preferences trends in childcare teachers, there were differences in self-efficacy. Second, personality type Sensing(S) was positively correlated with preference for easy tasks. Personality type Thinking(T) was negatively correlated with behavioral education belief, and was positively correlated with interactional education belief, self-regulated efficacy and total score of self-efficacy. Personality type Judging(J) was positively correlated with interactional/maturational education belief and self-regulated efficacy. Third, interactional education belief and MBTI psychological preferences of childcare teachers had asignificant influence on self-efficacy.

Family Stresses and Coping Strategies among Commuting Couples (주말부부의 가족스트레스 및 대처전략에 관한 연구)

  • Choi, Jeong-Hye
    • Journal of Families and Better Life
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    • v.20 no.6
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    • pp.49-60
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    • 2002
  • This study focused on family stresses and coping strategies among commuting couples. The participants of this study consisted of a national samples of 134 couples(268 individuals), who had been commuting for at least six months. The major findings obtained from the study are summarized in the following: First, the degree of family stresses among commuting couples was 2.98, when the maximal stress value was set to 5.0. No difference in the level of stress was detected from the roles of the wife and those of the husband. The most stressful aspect for the commuting couples came from the role of parents who care for their children. The second stressful aspect was their responsibility for their own parents, and finally the stress from the housework and maintenance of their marital lives followed next. There was no difference between the wives and husbands on the stressors. Secondly, the level of the coping strategies developed by the commuting couples themselves against their stresses was 3.37, when the maximal stress coping value was set to 5.0. Again, there was no difference in this level between wives and husbands. Among the strategies, they used ‘cognitive restructuring’the most frequently; sharing their responsibilities with other members in family life came next; and developing their own techniques to manage their stresses followed. Thirdly, the ages of the couple, the age of the first child, type of jobs, duration of the marriage and commute, and frequency of meeting affected the level of family stress among commuting couples. Finally, commuting couples developed quite different strategies to cope with their family stresses, and religion and family type affected significantly the type of coping strategies.

A Study on Life and Health Status of Welfare Recipients after COVID-19: Focus on Group Differences by Gender, Living with Children and Household Type (코로나19 이후 복지대상자의 생활 및 건강에 대한 연구: 성별, 자녀유무, 가구형태에 따른 집단 간 차이를 중심으로)

  • Kim, HeeJoo;Jang, Yeon Jin
    • The Journal of the Korea Contents Association
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    • v.22 no.7
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    • pp.384-394
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    • 2022
  • This study aimed to examine how COVID-19 affected life and health of welfare recipients by comparing groups associated with sex, living with children, and household type and suggest directions for welfare policy and services. Researchers collected a random sample of 500 recipients from 𐩒𐩒gu, Seoul who are registered in Haengbok E-eum, the social security information system and conducted a survey on overall life domains and physical and mental health. For data analysis, t-test, Anova and chi-square test were used. The results showed that factors of sex, living with children, and household type made significant differences in difficulties of employment status, child care, leisure and cultural activities and overall social activities. In terms of health status, mental health status and life satisfaction have been decreased after COVID-19. There were statistical differences in COVID blue and thinking about death among different groups. Based on these findings, this study suggested directions for welfare services for the future New Normal society.

Effectiveness of obesity interventions among South Korean children and adolescents and importance of the type of intervention component: a meta-analysis

  • Choe, Siyoung;Sa, Jaesin;Chaput, Jean-Philippe;Kim, Deokjin
    • Clinical and Experimental Pediatrics
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    • v.65 no.2
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    • pp.98-107
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    • 2022
  • Background: Various interventions have been tested to prevent or treat childhood obesity in South Korea. However, the overall effect of those interventions is unclear, as very few reviews and meta-analyses were specific to Korean children and adolescents. Purpose: We aimed to examine the overall effect of obesity interventions among Korean children and adolescents, while also examining differences by sex, age group, baseline weight category, intervention duration, number of intervention components, and type of intervention components. Methods: A meta-analysis was conducted for all intervention studies sampling Korean children and adolescents, with at least one control group and one month of follow-up, published between January 2000 and August 2020. Cohen d was calculated as an effect size for treatment effect, using the standardized difference between intervention group's body mass index (BMI) change and control group's BMI change. Results: The final sample included 19 intervention studies with 2,140 Korean children (mean age, 12.2 years). Overall, interventions were strongly favored over their controls (d=1.61; 95% confidence interval [CI], 1.12-2.09). The subgroup analysis showed that interventions with at least one physical activity component (d=2.43; 95% CI, 1.63-3.24) were significantly better than those that did not include physical activity (d=0.02; 95% CI, -0.26 to 0.31). Conclusion: Type of intervention component appeared important, though no differential association was observed by sex, age, baseline weight category, intervention duration, and number of intervention components. Korean and non-Korean interventions may be substantively different. Additional studies are needed to understand why and how Korean interventions differ from non-Korean interventions.

The Effects of Teachers' DAP Beliefs and Teacher Efficacy on Conflict Resolution Attitudes (보육교사의 발달에 적합한 실제(DAP)에 대한 신념 및 교사효능감이 갈등해결태도에 미치는 영향)

  • Choi, Insuk
    • Korean Journal of Childcare and Education
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    • v.8 no.2
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    • pp.81-99
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    • 2012
  • This study examined the effects of teachers' DAP beliefs and teacher efficacy on the conflict resolution attitudes of teachers. The study was based on the survey data from 128 early childhood teachers working in day care centers in the Incheon area. The valuables were all measured by teachers. The collected data were analyzed by Manova and Logistic Regression. The main results of this study were as follows. Firstly, there was a significant difference in collaborating and avoiding types of conflict resolution attitudes according to only age among demographic variables. Secondly, teachers' DAP beliefs and teacher efficacy were positively related to the collaborating type but negatively related to avoiding and competing types of conflict resolution attitudes. Finally, teachers' DAP beliefs and teacher efficacy had positive effects on cooperative conflict resolution attitudes after controling for demographic variables. Our findings indicate that teachers' DAP beliefs and teacher efficacy have effects on their conflict resolution attitudes during preschoolers' peer conflicts.

The Clinical Study on 121 Traffic Accident Child Patients (교통사고 소아환자 121례를 통한 임상적 고찰)

  • Jo, Min-Seo;Han, Jae-Kyung;Kim, Yun-Hee
    • The Journal of Pediatrics of Korean Medicine
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    • v.26 no.2
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    • pp.35-46
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    • 2012
  • Objectives The purpose of this study was to find out the characteristics of children patients who had been treated in the Oriental Medical Hospital due to traffic accidents. Methods The study was carried out with 121 children patients who visited the Oriental Medical Hospital from April 2011 to March 2012 and was analyzed by reviewing the patients' charts. Results In the distribution of sex the ratio between boys and girls were similar, but regarding the age, 0~6 year-old group was more than that of 7~15 year-old group. In the traffic accident patterns, 87.6% of the entire children patients were injured by car crash. The highest type in the collision between cars was rear-ending impact. The most patients (48.8%) visited our hospital for oriental medical treatment in less than 3 days after the traffic accident. The number of the first visitors in the Oriental Medical Hospital were 77 (63.6%) and those who visited other western hospitals before and were 44 (36.4%). The most frequent duration of admission and treatment in OPD was less than 7 days. Sleeping disorders (37.1%) were diagnosed the highest in 0~6 year-old group and C-spine sprain (49.0%) was diagnosed the highest at 0~7 years-old group. Herb medications were prescribed to relieve anxiety for 0~6 year-old group and for 7~15 year-old group, those were prescribed to activate blood eliminating phlegm and to normalize Qi flow. The highest effective treatment period was less than 7 days. Conclusions This data suggested that the oriental medical care could be more effective in treating children victims of traffic accidents by confirming many different symptoms depending on the age.

Analysis on Family Resilience of Long-term Childcare Givers: Focused on a Walsh Viewpoint (장기적으로 활동한 아이돌보미의 가족 레질리언스 분석: 월시(Walsh)의 관점을 중심으로)

  • Jung, Min Ja
    • Human Ecology Research
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    • v.55 no.4
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    • pp.441-450
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    • 2017
  • Childcare related studies have focused on the characteristics of care work, policy aspects, user family satisfaction, and job satisfaction of childcare helpers. But there have been few studies on family system characteristics that support childcare givers. Thus, this study conducted on the topic, "How to characterize the family resilience of long-term childcare givers?" The subjects belong to a healthy family support center in U. City, who belong to a group with an income in the top 20 % of about 20 persons working for more than 3 years. In an interview, qualitative questions were used Walsh's family resilience. The results are as follows. First, they had economic hardship, but their family would stand together and build up a family's power based on the couple's faith. They had a family role model based on their parents' family that included inherited maternity qualities from their mother. Second, the flexibility of the family organization changed to autonomous or co-role type and the connectivity. Especially, they appear as a family's leader. Third, their family communication was active, shared-care, responsible and passionate with family affection and understanding. The conclusions results are as follows. Participants were high school graduates as well as had work experience. They were characterized by positive family energy, a family belief system, family-based resources, flexibility, connectivity, open family communication and expression skills. Therefore, it can be suggested that it is necessary to check the family's resilience during an interview for the reliable, long-term supply of human resources for childcare activities.