• Title/Summary/Keyword: child health

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Development of an Instrument to Measure the Quality of Care through Patients' Eyes for Hospitalized Child (입원한 아동에게 제공되는 환자의 눈을 통한 간호의 질 측정도구 개발)

  • Cho, Haeryun;Oh, Jina;Jung, Dukyoo
    • Child Health Nursing Research
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    • v.21 no.2
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    • pp.131-140
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    • 2015
  • Purpose: The purpose of this study was to develop an instrument that evaluated QUality Of care Through patients' Eyes for hospitalized child (QUOTE-Child), and examine the validity and reliability. Methods: Preliminary items were reviewed through expert content validity and face validity. To test the validity and reliability of the instrument, the data were collected from 221 care givers of hospitalized children. Data were analyzed using exploratory factor analysis, Pearson correlation coefficient, Cronbach's alpha and Spearman-Brown coefficient. Results: Factor analysis yielded 19 items in four factors including 1) respect, 2) explanation, 3) kindness, and 4) skillfulness, with a cumulative explanatory variance of 70.68%. For criterion-related validity, a significant positive relationship was found between quality of care and pediatric family satisfaction. For internal consistency reliability, the Cronbach's ${\alpha}$ was .93 (importance) and .95 (performance) for the overall instrument. The half split reliabilities were .86, .95 (importance) and .92, .97 (performance). The Cronbach's ${\alpha}$ of 110 data was .92 (importance) and .94 (performance). Conclusion: Researchers and practitioners can use this instrument to systematically assess quality of care for hospitalized children and identify areas of support for hospitalized children and their family.

Stress, Coping and Social Support of Mothers of Children with Seizure Disorders (경련성 질환아 어머니의 스트레스, 대응 및 사회적 지지)

  • Park, Ho-Ran;Park, Seung-Hee;Koo, Hyun-Young
    • Child Health Nursing Research
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    • v.12 no.3
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    • pp.417-425
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    • 2006
  • Purpose: This study was done to investigate stress, coping and social support of mothers of children with seizure disorders, and to identify the relationship between these variables. Method: The participants were 105 mothers of children with seizure disorders. Data were collected through self-report questionnaires which were constructed to include stress, coping and social support. The data were analyzed using the SAS program. Result: Stress of mothers was significantly different according to number of times the child had been hospitalized and the mothers perception of the state of the child's health. Coping by mothers was significantly different according to religion, general health state and if mother knew the child's diagnosis. Social support for mothers was significantly different according to education level, monthly medical expenses and number of times the child had been hospitalized. Social support for mothers was correlated with stress and coping. Conclusion: The above findings indicate that coping in mothers of children with seizure disorder is related to social support. Therefore nursing interventions to reduce stress and improve coping should be provided for mothers of children with seizure disorder.

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Factors Influencing Emergency Room Nurses' Intention to Report Child Abuse (응급실 간호사의 아동학대 신고의도 영향요인)

  • Choi, Yoon Ji;Yang, Sook Ja
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.1
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    • pp.66-75
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    • 2022
  • Purpose: The purpose of this study is to identify the factors influencing the intention to report child abuse of emergency room nurses based on the health belief model. Methods: This was a descriptive study that used a cross-sectional design. A total of 188 emergency room nurses working at general hospitals with more than 300 beds in Seoul participated in the study. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression analysis with the SPSS 25.0 program. Results: Correlations and regression analyses showed that the perceived severity (β=.14, p=.024), perceived barrier (β=-.25, p<.001), and self-efficacy (β=.31, p<.001) were factors influencing emergency room nurses' intention to report child abuse, and the explanatory power of the model was 33.0%. Conclusion: The results of this study related to the health belief model, being a valid theoretical basis for child abuse reporting intention research, significantly suggest new research directions in the future. In addition, to increase the nurses' intention to report child abuse in the emergency room, the influencing factors identified in this study can be utilized and develop specific interventions using the health belief model.

A Study on $PM_{10}$, $CO_2$ Concentrations in Child Daycare Centers and Teachers' Awareness of Indoor Air Quality (보육시설의 $PM_{10}$, $CO_2$ 농도와 보육교사의 실내 공기질 인식에 관한 연구)

  • Lee, Ji-Eun;Choi, Byung-Sun
    • Journal of the Korean Society of School Health
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    • v.23 no.1
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    • pp.29-40
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    • 2010
  • Purpose: The purposes of this study were: (a) to assess indoor air quality such as $PM_{10}$, $CO_2$ concentrations in child daycare centers, (b) to compare the levels with each standard, and (c) to identify teachers' awareness of indoor air quality in child care centers. Methods: Data were obtained from seventeen child daycare centers and ninety-eight teachers in a district of Seoul, from April 3 to May 12, 2009. Collected data were analyzed by SAS 8.2, and descriptive statistics, $x^2$ test, student t-test, Pearson correlation analysis, and Spearman rank correlation were used. Results: The mean of $PM_{10}$ and $CO_2$ level were $50.3{\mu}g/m^3$ and 792.1ppm. Sixteen child daycare centers (94.2%) met the guidelines of the $PM_{10}$ level, so did thirteen child daycare centers (76.5%) in the $CO_2$ level. $CO_2$ levels were significantly low in child daycare centers using air cleaners than those do not using them (t=-6.03, p<.001). Types of child daycare centers were significantly correlated to the levels of $CO_2$, which public child daycare centers were low in $CO_2$ levels than those of private child daycare centers (t=-2.54, p=.013). There was no significant correlation between teachers' awareness and management attitude of indoor air quality while teachers' awareness of indoor air quality significantly raised the frequency of carpet cleaning. Methods of cleaning routines were significantly correlated with $PM_{10}$, and $CO_2$ levels. Conclusion: The $PM_{10}$ and $CO_2$ concentrations in child daycare centers were satisfactory. Those conditions are affected by general characteristics of child daycare centers and teachers' attitude regarding management of indoor air quality.

Correlation of 'The Period of Child Care Support Agency' and 'Child Language·Cognitive Development' (육아지원기관 이용기간과 아동의 언어·인지 발달 정도의 상관관계)

  • Lee, Ye-Jin;Park, Hyunchun;Noh, Jin-Won
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.484-491
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    • 2016
  • This study is to investigate the correlation of the period of child care support agency and child language cognitive development and to lead the development of the child in a positive side. For this purpose, Korea Children's Panel's 2012 data by the Korea Institute of Child Care and Education (KICCE) were used, selected 913 children of total 1703 parts. The result was derived from the results of frequency analysis, t-test, one-way ANOVA and multiple linear regression analysis. Analysis result, there was significant correlation between the period of child care support agency and child language cognitive development, and the longer the period of child care supper agency was the better child language cognitive development. Applying this results in health policy to expand the 'Free Childcare Policy', it will be higher for young child language and cognitive development.

Relationship between the Suicidal Ideation of the Married Women and the Characteristics of Their Children (기혼여성의 자녀특성과 자살생각의 관련성)

  • Kim, Eunjung;Lee, Sunmi;Lim, Seungji;Chung, Woojin
    • Health Policy and Management
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    • v.23 no.4
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    • pp.358-368
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    • 2013
  • Background: There are some data to support the theory of a protective effect of parenthood against suicide, as proposed by Durkheim in 1897. We conducted this study to examine the relationship between children characteristics and suicidal ideation among Korean married women. Methods: The data were obtained from the Korean National Health and Nutrition Examination Surveys IV, conducted in 2007-2009, respectively (3,202 married women aged 20-49 years). The children characteristics are the age of the youngest child and the number of children living with subject. Data were analyzed by using logistic regression with SAS 9.2. Results: The risk for suicidal ideation was higher among married women having a young child (aged <7 years). It had strong effect on suicidal ideation in non-employee subjects. The odds ratio for suicidal ideation of women having a youngest child aged 2-3 years compared with reference groups was 1.673 with statistical significance. But the association of suicidal ideation with number of children shows insignificant. Conslusion: The findings suggest a different result with the theory, the protective effect of being a parent of young child on suicide risk for women, first suggested by Durkheim and supported by previous studies and the need for further prospective investigation that lead to policies according children characteristics aimed at improving married women's life.

Health Education Program Development for Infants, Toddlers and Preschool Children (영유아보건생활 교육프로그램 개발에 관한 연구)

  • Lee Ja-Hyung;Kim Il-Ok
    • Journal of Korean Academy of Nursing
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    • v.35 no.2
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    • pp.262-269
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    • 2005
  • Purpose: The purpose of this study was to develop a health education program for child care workers of infants, toddlers and preschoolers to improve their care ability. The program provided child care teachers and children with information on how to take care of their health. Method: This program development was based on a systematic design of instruction by Dick & Carey(1996). The process included a review of literature, setting an instructional goal, getting advice from various experts, designing instruction and instructional medias, designing formative evaluation, revising the program and making a summative evaluations. Result: The products of this program were the 'Teachers Guide Book & CD-ROM.' The guide book included health education programs for infants, toddlers and preschoolers. The infant program included a basic baby care program for teachers. The toddlers and preschoolers program included basic health promotion, dental health, nutrition management, communicable disease prevention, substance abuse prevention and a safety program. Conclusion: These programs provided a systematic content of health education for children and their teachers, and useful data which can be applied to child care centers.

The Influence of Family-of-Origin Experiences on Marital Intimacy (기혼남녀가 지각한 원가족 경험이 부부 친밀감에 미치는 영향)

  • Jang, Sun-Woong;Chung, Hye-Jeong;Lee, Ju-Yeon
    • Journal of Families and Better Life
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    • v.29 no.1
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    • pp.71-82
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    • 2011
  • The purpose of this study was to investigate the effects of family-of-origin experiences(family-of-origin health, parents' marital satisfaction, parents' care, and parents' overprotection) on marital intimacy. Data were collected using the self-administered questionnaire method by Internet Survey of 480 married men and women. The results showed that first, there were significant differences between family-of-origin experiences (family-of-origin health, parents' marital satisfaction, parents' care, and parents' overprotection) and marital intimacy according to sex, educational level, income, and the first-rum child's school level. Second, marital intimacy was positively correlated with family-of-origin health, parents' marital satisfaction, and parents' care, but was negatively correlated with parents' overprotection. Third, the results of multiple regression analyses showed that indicated that the marital intimacy of married men and women were influenced by education level, income, the first-born child's school level, and family-of-origin health.

Concept Analysis of Parents' Treatment Adherence for an Epileptic Child or Adolescent (뇌전증 아동·청소년 부모의 치료이행 개념분석)

  • Lee, Juna;Yoon, Ju Young
    • Research in Community and Public Health Nursing
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    • v.32 no.2
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    • pp.205-219
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    • 2021
  • Purpose: This concept analysis was conducted to clarify 'parents' treatment adherence for an epileptic child or adolescent'. Methods: The analysis used a hybrid model comprising three phases: theoretical phase, fieldwork phase, and integration phase. In the theoretical phase, fifty studies were reviewed. Interviews with four parents of epileptic children or adolescents were conducted during the fieldwork phase. In the integration phase, the results derived from prior phases were synthesized and clarified. All phases were performed cyclically. Results: The concept, 'parents' treatment adherence for an epileptic child or adolescent' was defined as parents' voluntary and goal-directed behavior towards the epilepsy treatment for their children: a collaborative decision-making process with health-care providers, establishing a support system, adaptability to the treatment plans, and appraisals of the child's health condition. Conclusion: This achievement is thought to contribute to improving the accuracy and validity of the concept measurement. It has implications for additional research on how the concept 'treatment adherence' differs in diverse health problems and other population groups than parents of children and adolescents with epilepsy.

A study on oral health awareness-recognition factors and oral health promotion activities of social workers engaged in child care facilities (아동양육시설에 종사하는 생활지도원의 구강건강인지 및 지각요인과 구강건강증진행위에 대한 조사)

  • Lim, Sun-A;Song, Ae-Hee;Lee, Myeong-Seon
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.6
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    • pp.1119-1127
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    • 2012
  • Objectives : The aim of this study was to examine the level of oral health knowledge, oral health importance, oral health status and oral health interest of the social workers engaged in child care facilities to analyze the influential factors on oral health promotion activities and provide the basic data for oral health promotion activities. Methods : The subjects in this study were those social workers engaged in child care facilities from May 15th to May 25th in 2011. The self-report questionnaires were distributed and withdrawn and then a total of 205 papers from the subjects that participated in this study were analyzed for the final analysis. Results : 1. Oral health knowledge had $12.16{\pm}1.66$ in a full score of 15 and oral health importance, oral health status and oral health interest were $1.12{\pm}0.36$, $2.80{\pm}0.50$ and $2.14{\pm}0.8$ respectively in a full score of 5. 2. According to the general characteristics, the difference analysis of cognition-recognition factors showed that singles had significantly higher oral health knowledge married couples (p<0.05) and the social workers unusing auxiliary oral hygiene devices had significantly higher oral health interest than those using them(p<0.01). 3. The mean of oral health promotion was $3.28{\pm}0.51$, characteristics of detailed specific-area were as follows ; the toothbrushing was $3.77{\pm}0.57$, the use of fluoride was $2.67{\pm}0.98$, periodic dental screening and treatment were $2.98{\pm}1.09$ and eating habits was $4.14{\pm}0.57$. These results generally showed tooth-brushing and eating habits show a little higher figures. 4. Considering the factors oral health promotion behaviors of social workers engaged in child care facilities, the higher oral health interest was, the higher oral health promotion behavior was. Conclusions : It seems that social workers engaged in child care facilities are required to pay attention to the importance of oral health and learn oral health knowledge, which will lead to much better improvement of oral health for children brought up by them.