• Title/Summary/Keyword: child health

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An Analysis of the Concepts in Child Health Nursing Studies in Korea (2) : The Practice, The Client-Nurse, The Environmental Domain (국내 아동간호학 분야의 연구개념 고찰 Ⅱ- 간호실무, 대상자 간호사, 환경 영역을 중심으로)

  • Han Kyung-Ja;Kim Hyun-Ah;Kim Jeong-Soo;Kim Sook-Young;Cho Kyung-Mi
    • Child Health Nursing Research
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    • v.10 no.2
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    • pp.165-172
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    • 2004
  • The main purpose of this study is to examine the concepts appeared on research and provide future research directions in field of child health nursing. 205 studies of the total 318 studies had been analyzed first for the concepts of the client domain and this time 113 studies were analyzed for the practice, the client-nurse and the environmental domain in nursing. The practice domain includes mentalistitic, enactment, knowledge utilization, role related phenomenon, the client-nurse domain includes touch, communication, interaction phenomenon, and the environmental domain includes physical, social, symbolic environment. All were originally published between 1990 and 2000 in Korea. An analysis of concepts for this study was used the metaparadigm framework for nursing proposed by H. S. Kim(2000). 1. 103 studies belonged to the practice domain. Among them, 56(54%) studies used concepts related to enactment phenomenon like education(21.4%), giving information(7.1%), breast feeding(5.4%), caring(5.4%), airway suction(5.4%), nonnutritive sucking(5.4%). 44(43%) studies used concepts related to knowledge utilization like program development and evaluation of smoking, mother-infant interaction, home health nursing, obesity management. And only 3(3%) studies used role related concepts like quality of nursing, direction of health education, contents of child health nursing education. 2. Only 2(0.006%) studies belonged to the client-nurse domain. One concept is empathy in communication phenomenon and the other concept is role conflict in interaction phenomenon. 3. 8(0.02%) studies belonged to the environmental domain. Among them, 3 studies related to physical environment like space, noise and 5 studies related to social environment like social support, home environment. But the concept of symbolic environment was not used. The findings of this study provide the evidence that research related to the client-nurse domain and the environmental domain should be conducted actively to improve the practice of child health nursing. So that the research in field of child health nursing should be dealt with the concepts of four domains to develop knowledge systematically.

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Changes in parents' health concerns by post-preterm birth period in South Korea: a cross-sectional study

  • Yu Jin Jung;Hun Ha Cho
    • Child Health Nursing Research
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    • v.30 no.2
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    • pp.118-128
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    • 2024
  • Purpose: This study aimed to examine the health concerns of parents regarding their premature infants and to identify changes in these concerns during perinatal period and after discharge. Methods: This was a retrospective study performed at a single tertiary center that enrolled 119 premature infants who were discharged from the neonatal intensive care unit (NICU) and visited the outpatient pediatrics department between December 2018 and October 2021. Data on the concerns of 176 parents regarding enrolled premature infants' health from before birth to 1 week after NICU discharge were obtained from outpatient records. The t test and with the chi-squared test were used to analyze the data for this study. Results: The consistently greatest focus of parents' health concerns was the respiratory system. The second focus of parents' health concerns before discharge was the central nervous system. However, during the first week after NICU discharge, the gastrointestinal system was the second-most frequent focus of parents' health concerns among parents of infants without diseases related to prematurity and infants with older gestational ages. Conclusion: The results of this study offer insights into the health concerns among parents of premature infants. Parental health concerns about premature infants vary over time, from before birth to post-discharge, necessitating supportive interventions to enhance parental understanding of their child's health status.

The Effect of a Child-Parent Secondhand Smoke Prevention Program (자녀와 학부모의 간접흡연예방 연계교육 프로그램의 효과)

  • Shin, Sung-Rae;Jeong, Goo-Churl;Kim, Hee-Soo
    • Korean Journal of Health Education and Promotion
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    • v.28 no.3
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    • pp.1-15
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    • 2011
  • Objectives: The purpose of this study was to investigate the effect of a child-parent secondhand smoke(SHS) prevention program(C-PSHSPP). Methods: The participants were parents whose children were attending daycare centers located in S city. The institutions were selected using two-stage cluster sampling and data were collected using a structured questionnaire. Descriptive statistics were performed using SPSS version 18.0. Results: Number of cigarettes smoked per day, rate of smoking when with child decreased significantly. Parental awareness on SHS and scores on changes of experiential process increased significantly. Conclusions: From these results, it is suggested that the C-PSHSPP has beneficial effects in decreasing parental daily smoking amount at the same time increasing parental awareness on SHS and importance of smoking cessation. Therefore, C-PSHSPP can be recommended as a SHS intervention program for preschool children.

A Study on the Physical Health Satisfaction and Leisure Activity Satisfaction of a Grandchild Caregiving Grandmother (손자녀를 돌보는 조모의 신체 건강 및 여가 활동 만족도에 관한 연구)

  • Cho, Yoon Joo
    • Korean Journal of Child Education & Care
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    • v.19 no.3
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    • pp.71-83
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    • 2019
  • Objective: The aim of this study was to investigate variables which account for grandchild caregiving grandmothers' physical health satisfaction and leisure activity satisfaction. Methods: The sample included 141 grandmothers. Data were analyzed by descriptive statistics, Pearson's correlation, and hierarchical multiple regression. Results: Firstly, the variables that explained physical health satisfaction of grandchild caregiving grandmothers were educational level, family income, the number of grandchild, and caregiving conflict with adult child. When their educational level were higher, had more money, cared for grandchild more, and did not experience conflict with adult child, they showed the higher scores of physical health satisfaction. Secondly, as to leisure activity satisfaction of grandchild caregiving grandmothers, educational level and caregiving conflict with adult child were included. That is, they had higher educational level, and without caregiving conflict with adult child, grandchild caregiving grandmothers reported higher levels of leisure activity satisfaction. Conclusion/Implications: Based on these results, various implications and interventions were suggested.

Predictors of Small Bowel Transit Time for Capsule Endoscopy in Children with Inflammatory Bowel Disease

  • Itsuhiro Oka;Rie Funayama;Hirotaka Shimizu;Ichiro Takeuchi;Shuko Nojiri;Toshiaki Shimizu;Katsuhiro Arai
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.26 no.4
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    • pp.181-192
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    • 2023
  • Purpose: The development of assistive devices has allowed for the performance of capsule endoscopy in children. Anticipating the capsule's transit time could affect the efficacy of the investigation and potentially minimize the fasting period. This study determined the predictors of small bowel transit time for small-bowel capsule endoscopy in children and adolescents with inflammatory bowel disease. Methods: We retrospectively examined children and adolescents with inflammatory bowel disease who underwent capsule endoscopy by the age 18 at a Japanese tertiary care children's hospital. Small bowel transit time predictors were analyzed using multiple regression with explanatory variables. Results: Overall, 92 patients, aged 1-17 years, with inflammatory bowel disease (63 Crohn's disease and 29 ulcerative colitis cases) were examined for factors affecting small bowel transit time. In the simple regression analysis, diagnosis, age, height, weight, serum albumin, general anesthesia, and small intestine lesions were significantly associated with small bowel transit time. In the multiple regression analyses, serum albumin (partial regression coefficient: -58.9, p=0.008), general anesthesia (partial regression coefficient: 127, p<0.001), and small intestine lesions (partial regression coefficient: 30.1, p=0.037) showed significant associations with small bowel transit time. Conclusion: Hypoalbuminemia, the use of general anesthesia for endoscopic delivery of the capsule, and small intestine lesions appeared to be predictors of prolonged small bowel transit time in children and adolescents with inflammatory bowel disease. Expecting the finishing time may improve examination with a fasting period reduction, which benefits both patients and caregivers.

Comparative Analysis of Nurse-led Health Care in Child Daycare Centers (어린이집 방문간호사의 직무에 대한 인식비교)

  • Oh, Won-Oak;Im, YeoJin;Park, Ihnsook;Lee, Anna;Suk, Min Hyun
    • Journal of Korean Public Health Nursing
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    • v.37 no.1
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    • pp.25-40
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    • 2023
  • Purpose: To compare perceptions of nurse-led health care visits in child daycare centers and calculate determination coefficients (DC) reflecting the job values. Methods: This was a secondary analysis study that applied the evaluation report for visiting nursing services for child daycare centers, prepared by the Seoul Nurses Association in 2021. Totally, 86 visiting nurses, 1997 childcare teachers, and 1915 parents were included in the study. The job recognition questionnaire was used to identify the levels of readiness, importance, and difficulty of a visiting nurse's job. Results: The visiting nurses showed high levels of readiness and importance for most duties and tasks expected of them. Compared to the nurses, the parents determined a greater importance towards the jobs of visiting nurses. The visiting nurses and childcare teachers exhibited similar levels of importance for the job. The highest and lowest DC scores were obtained for 'child developmental evaluation and referral' and 'child education', respectively. Conclusion: The duties and tasks verified in this study can be evidence for the job description, and should be preferentially developed for enhancing the competency of visiting nurses. Considering the importance of nurse-led health care, this will warrant an expansion of services to other regions.

Perceptions of School Health Care among School-aged Children and Adolescents with Chronic Disease: An Integrative Review (만성질환을 가진 학령기 아동·청소년의 학교 건강관리에 대한 인식: 통합적 문헌고찰)

  • Uhm, Ju-Yeon;Choi, Mi-Young
    • Child Health Nursing Research
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    • v.26 no.2
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    • pp.309-322
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    • 2020
  • Purpose: The purpose of this integrative review was to synthesize previous research on perceptions of school health care among school-aged children and adolescents with chronic diseases. Methods: This study was performed in accordance with Whittemore and Knafl's stages of an integrative review (problem identification, literature search, data evaluation, data analysis, and presentation of the results). Four databases (PubMed, CINAHL, Embase, and Web of Science) were used to retrieve relevant articles. Results: Eighteen articles were included in this review. We identified five thematic categories: peer-related issues, a safe school environment, self-perception of an existing disease, self-management, and a supportive school environment. Conclusion: It is necessary to establish a school health care system with a supportive environment for children and adolescents with chronic diseases.

Meal skipping children in low-income families and community practice implications

  • Bae, Hwa-Ok;Kim, Mee-Sook;Hong, Soon-Myoung
    • Nutrition Research and Practice
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    • v.2 no.2
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    • pp.100-106
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    • 2008
  • We examined dietary habits, food intakes, health status, and school and community life of meal skipping children, and investigated factors predicting meal skipping of children. A sample was composed of 944 children in low-income families who were provided with public meal service. The sample was obtained from the Survey of Meal Service for Poor Children conducted by the Korea Institute for Health and Social Affairs in 2007. Meal skipping was significantly associated with a lower nutrition and health status, and poor school performance of children, as hypothesized. The school age of child, family structure, region, job of caretaker, concern about diet, and the child's visit to welfare center significantly predicted frequency of meal skipping. We suggested a few implications for community practice to reduce meal skipping of children.

Healthcare access challenges facing six African refugee mothers in South Korea: a qualitative multiple-case study

  • Kim, Min Sun;Song, In Gyu;An, Ah Reum;Kim, Kyae Hyung;Sohn, Ji Hoon;Yang, Sei Won
    • Clinical and Experimental Pediatrics
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    • v.60 no.5
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    • pp.138-144
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    • 2017
  • Purpose: Following legal reform in 2013, the annual number of asylum seekers entering South Korea has increased from 1,143 in 2012 to 5,711 in 2015. We interviewed six African refugee mothers of young children regarding their health needs and barriers to access maternal child health services. Methods: We recruited mothers who had visited a clinic for immigrants between July 2013 and August 2015. Participants were African refugee women, aged over 18 years, who had given birth in Korea within the previous 5 years and had come to Korea over a year before recruitment. Interview questions examined participants' experiences in pregnancy and childbirth and concerns regarding their child's health status. Initial data analysis involved all researchers' immersion in the entire collection of transcripts. We then noted recurrent topics and themes and identified similar issues. Results: At the time of giving birth, 5 participants were asylum seekers and one had undocumented status. The following barriers impeded their access to maternal child healthcare: socioeconomic factors (unstable social identity, low economic status, difficulty obtaining health insurance), language barriers (lack of linguistically appropriate health information, limited access to translation services), and cultural barriers (religious and cultural differences). Weak social support also hindered access to healthcare soon after migration; however, social links with the community emerged as a key coping strategy following settlement. Conclusion: We identified barriers to maternal and child healthcare and coping strategies among African refugee mothers in Korea. Future research should assess refugees' health status and improve health access and literacy among refugee mothers.

Effects of on-the-job Training for Health Extension Workers in Tigray, Ethiopia: A Pilot Study (에티오피아 일개 지역 보건지소 건강관리요원에 대한 직무교육의 효과)

  • Bang, Kyung-Sook;Lee, Insook;Chae, Sun-Mi;Kang, Hyunju;Yu, Juyoun;Park, Ji-Sun
    • Korean Parent-Child Health Journal
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    • v.16 no.1
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    • pp.11-16
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    • 2013
  • Purpose: Ethiopia is one of the sub-Saharan countries most affected by high maternal and infant mortality. The government has trained health extension workers (HEWs), the community health workers, to deliver preventive and basic curative health services to community residents in Ethiopia. Very few studies have investigated on-the-job educational effects for HEWs on improvement of their knowledge and performance confidence in maternal and child health care (MCH). This study aimed at identifying the educational effects for HEWs in one health center in Tigray, Ethiopia on improvement of their knowledge in MCH. Methods: Twelve HEWs from 6 health posts participated in this study. A health center officer provided a total of 5 educational sessions on antenatal and postnatal care, family planning, and newborn care from August, 2012 to April, 2013. Ten to 12 items regarding the topics were tested before and after each education. Wilcoxon signed rank test was used to analyze the data. Results: All the HEWs were female with average 4-year working experience. Their knowledge significantly increased after education, except the first session. Their satisfaction on education was greater than 45 points out of 50. Conclusion: This study suggests a focused education for HEWs should continue to improve their capacity on MCH.

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