• Child Health Nursing Research
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• 제27권4호
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• pp.317-327
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• 2021

Purpose: This study aimed to identify small for gestational age (SGA) infants' growth patterns, nutritional status, and associated factors. Methods: This prospective cohort study was conducted at primary-care child health clinics in Greater Kuala Lumpur, Malaysia. The sample consisted of infants who fulfilled the criteria and were born in 2019. The anthropometric data of infants were assessed at birth and at 1, 3, 6, 9, and 12 months. Results: A total of 328 infants were analysed. In total, 27.7%(n=91) of the subjects were SGA infants, and 237 of them were not. Significant differences in the median weight-for-age and length-for-age z-scores were observed between SGA and non-SGA infants at birth, 1 month, 6 months, and 12 months. There was a significant difference between the growth patterns of SGA and non-SGA infants. Birth weight and sex significantly predicted the nutritional status(stunting and underweight) of SGA infants during their first year of life. Conclusion: SGA infants can catch up to achieve normal growth during their first year of life. Even though the nutritional status of SGA infants trends worse than non-SGA infants, adequate infant birth weight monitoring and an emphasis on nutritional advice are crucial for maintaining well-being.

• Child Health Nursing Research
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• 제25권2호
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• pp.154-164
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• 2019

Purpose: The study aimed to develop a play toolkit to facilitate infants' and toddlers' symbolic thought and fine motor development. Methods: This study used a methodological study design including two phases of development and evaluation. After reviewing the play culture and developmental health issues in Kyrgyzstan through a literature review and interviews with local experts and parents, the toolkit was developed and evaluated using content validity and utilization tests. Results: The toolkit was based on Westby's symbolic play and the fine motor milestones in the Bright Futures Guidelines. The Toolkits were composed of an overall suggested play schedule according to the child's age, four kinds of play props, and a utilization guidebook for parents. The play props were a felt book, sorting and assembling blocks, cup blocks, and a tangram. The guidebook contained age-appropriate operating methods and alternative ways to use the materials. Conclusion: A play toolkit was developed to enhance nurturing practices among parents of infants and toddlers. The findings may help facilitate effective interactions between parents and their children. Considering that nurturing care is critical for achieving better child health outcomes, enhancing parenting resources and parent-child relations could function as an effective strategy for promoting child health.

• 한국인구학
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• 제23권2호
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• pp.143-166
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• 2000

이 연구는 상이한 성선호의 문화적 전통을 지닌 인종집단들을 대상으로 하여 의료수준과 유아사망력의 관계를 파악하기 위한 것이다 이를 위해 1990년 중국인구센서스 중에서 연변자치 주에 거주하는 조선족과 한족 그리고 서쌍판납자치주의 한족과 다이족의 원자료를 활용하였다. 이 논문은 성선호, 사회경제적 수준, 의료수준과 유아의 성별 차별사망력의 관계를 설명하기 위한 새로운 모형을 제시하고 있다. 의료인력이 널리 가용한 지역사회에서는 유아사망력의 수준이 성선호에 의하여 영향받을 가능성이 낮다. 그러나 지역사회의 의료수준이 낮으면, 특정한 성을 선호하는 경향이 강한 인종집단의 구성원들은 선호하는 성의 자녀들의 생존을 위하여 모든 노력을 기울이게 될 것이다. 이에 반해서 부모들이 선호하지 않는 성의 자녀생존을 위한 행위들은 이에 수 반되는 비용이나 여러 가지 조건들에 의하여 영향을 받게될 것이다. 따라서 선호하는 성의 유아사망력의 수준은 선호하지 않는 성의 그것에 비해 월등히 낮을 가능성이 크다. 그러나 사회경제적 발전과정에서 의료수준이 향상되고 이에 수반되는 비용이 낮아지면, 선호하지 않는 성의 유아사망력은 급격히 감소하고 성별 사망력의 차이는 줄어드는 경향을 보이게 된다. 이 연구에서 강한 남아선호관을 지닌 조선족 및 한족과, 반대로 여아를 선호하는 경향이 강한 다이족의 유아사망력을 분석한 결과는 이러한 명제들을 뒷받침 해준다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권4호
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• pp.357-365
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• 2021

Purpose: A change in diagnosis from ulcerative colitis (UC) to Crohn's disease (CD) has been reported in pediatric inflammatory bowel disease; however, only a few clinical characteristics and predictors of this diagnostic change have been reported. We aimed to describe the clinical characteristics of patients with UC who underwent a change in diagnosis to CD and identify variables associated with the change. Methods: The medical records of pediatric patients with UC who were followed up at the National Center for Child Health and Development between 2006 and 2019 were retrospectively reviewed. Clinical data on disease phenotype, laboratory parameters, endoscopic findings, and treatment of patients whose diagnosis changed to CD (cCD) were compared to those of patients whose diagnosis remained UC (rUC). Results: Among the 111 patients initially diagnosed with UC, 11 (9.9%) patients were subsequently diagnosed with CD during follow-up. There was no significant difference between the cCD and rUC groups in terms of sex, age at initial diagnosis, and the extent and severity of disease at initial diagnosis. Albumin and hemoglobin levels were significantly lower in the cCD group than in the rUC group. The proportion of patients who required biologics was significantly higher in the cCD group than in the rUC group (p<0.05). Conclusion: Approximately 10% children initially diagnosed with UC were subsequently diagnosed with CD. Hypoalbuminemia and anemia at initial diagnosis and use of biologics could be predictors of this diagnostic change.

• Child Health Nursing Research
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• 제17권2호
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• pp.100-110
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• 2011

Purpose: The purpose of this study was to analyze papers published in the Journal of Korean Academy of Child Health Nursing (JKACHN) to identify the current state of child health nursing research and recommend directions for future research. Methods: Using analysis criteria developed by the researchers, 233 papers published in JKACHN between 2005 and 2009 were reviewed. Results: Both quantity and quality of these papers showed significant improvement compared to before 2005. The number of published papers, the proportion of intervention studies, and studies that involved children directly as participants had increased. However, published papers still leave much to be desired. Quantitative studies were dominant (91.4%) and many of these studies were survey designs (65.7%). Children, especially young children were still less likely to be direct participants. All experimental studies were quasi or pre-experimental studies. There were few qualitative research studies. Conclusion: Findings of this study indicate that strengthening peer review according to review guidelines will improve the quality of published papers and promote JKACHN as an international journal. Instead of proxy accounts from parents or nurses, research involving direct accounts by children is needed. Child-friendly data collection methods need to be developed and used by child health nurse researchers.

• 한국학교ㆍ지역보건교육학회지
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• 제12권2호
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• pp.97-112
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• 2011

Objectives: The purpose of this study is to identify upper primary school children's knowledge and attitude about cancer, empathy, and attitudes about child with cancer, and to examine the relations between these variables and factors that influence. Methods: Methods: The participants included 474 fifth and sixth grade students. Data were analyzed using Pearson correlation coefficients, ANOVA and Tukey test with SPSS/WIN 18.0. Results: Mean scores were for knowledge about cancer 6.03 out of a possible 1, attitude about cancer 2.23 out of a possible 5, attitudes about child with cancer 1.11 out of a possible 3, and empathy 3.18 out of a possible 5. There were significant differences in knowledge about cancer according to school grades and parents' interest in health management. Attitude about cancer showed significant differences according to harmony of family life, worries about cancer, school life, academic achievement, school parents' interest in health management and cancer education. Empathy showed significant differences according to school grades, gender, school life, harmony of family life, and parents' interest in health management. Attitudes about child with cancer showed significant differences according to school grades, school life, and parents' interest in health management. Knowledge about cancer and empathy showed a positive correlation with attitudes about child with cancer. Knowledge and attitude about cancer, and empathy showed a significant influence on attitudes about child with cancer. Conclusion: Results of this study indicate that development of an appropriate knowledge and attitudes about cancer, and empathy by late school-aged children should lead to the positive attitudes about child with cancer.

• 한국아동복지학
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• 제56호
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• pp.33-68
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• 2016

본 연구의 목적은 지역아동센터 종사자의 아동청소년정신건강 문제에 관한 대처경험을 이해하고자 하는 것이다. 이러한 목적을 달성하기 위해 지역 아동센터에 근무하는 종사자 10명을 2집단으로 나눠, 총 4회에 걸쳐 초점집단면접(focus group interview)을 통하여 자료를 수집하고 분석하였다. 분석결과, 지역아동센터 이용 아동청소년의 정신건강에 관한 종사자들의 경험은 4개의 주제, 12개의 하위주제로 구성되었다. 4개의 주제는 '아이들의 정신건강과 마주한 현실', '정신건강 문제를 인식한 종사자의 대처와 제한점', '마음으로 전해지는 노하우, 눈에 보이는 변화', '남겨진 과제, 아낌없이 줄 수 없는 종사자' 등이었다. 이러한 연구결과에 근거하여 지역아동센터를 이용하는 아동청소년의 정신건강 증진을 돕기 위한 방안을 제언하고자 하였다.

• 한국학교ㆍ지역보건교육학회지
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• 제9권1호
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• pp.17-31
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• 2008

Objectives: The purpose of this study was to examine the effects of child health program on body composition, body balance, physical fitness, health promotion behavior in obese elementary school. Methods: They ranged from the third to fith grade with over 20% body fat ratio. The subjects consisted of 20 obese elementary school children who participated in child health program. The contents of the program for 12 weeks from contained obese education, counseling and music rope jump twice a week. The program lasted from Sep. 3 to Nov. 30, 2007. The data were analysed with SAS 8.2. Results: Muscle mass(z=2.86, p=0.028), skeletal muscle mass(z=2.56, p=0.008), and fat free mass(z=2.57. p=0.006) in body composition were significantly increased. right arm balance(z=4.12. p=0.001), left arm balance(z=2.96, p=0.010), and trunk balance(z=3.70, p=0.001), right leg balance(z=2.42 p=0.013) in body balance were also significantly increased. endurance(z=2.61. p=0.028), agility(z=3.43, p=0.006), flexibility(z=4.37, p=0.000), power(z=6.94, p=0.000) in physical fitness were significantly increased. Health promotion and behaviors were significantly increased(z=2.21. p=0.012). Conclusions: Child health promotion seemed to be useful for body composion, body balance. physical fitness and health promotion behavior.

• Child Health Nursing Research
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• 제15권2호
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• pp.164-170
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• 2009

Purpose: In this study a comparison was done of child-rearing attitudes of parents and problem behavior of children as perceived by parents and children. Methods: The participants were 205 fifth and sixth graders living in the city of Gangneung and their parents. The child-rearing attitudes and the problem behavior were assessed using a self-reported questionnaire. Results: The perception scores of the parents and children for total parents child-rearing attitudes were significantly different. There were also significant difference in the subcategories, affectionate-hostile, autonomous-controlling, rational-irrational. The scores for total behaviors problem as well as the sub-categories were all significantly different for the parents and children. Conclusion: As there were differences in perception of child-rearing attitudes of parents and problem behavior of children between parents and their children, nurses should help parents to communicate with their children with affection and respect, and to observe their environment to identify problem behavior.

• Child Health Nursing Research
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• 제17권4호
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• pp.247-255
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• 2011

Purpose: The purpose of this study was to investigate knowledge related to child obesity of child daycare center workers. Methods: The participants in this study were 360 child daycare center workers in 2 cities in South Gyeongsang Province. Data were collected from February to June, 2011, using self-report questionnaires including questions about the general characteristics of the daycare center workers and their knowledge related to child obesity. Frequency, percentage, arithmetic mean, standard deviation, t-test and ANOVA were used to analyze the data with the SPSS WIN 16.0 program. Results: The knowledge scores of child daycare center workers about child obesity averaged 74.8. The domains of diet (0.87 points) and prevention (0.86 points) had high scores, while, the domains of general characteristics (0.64 points) and diagnosis (0.59 points) had low scores. Conclusion: These results indicate that obese education programs for child daycare center workers should be developed in order to identify and teach children with obesity appropriately.