• Journal of Preventive Medicine and Public Health
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• v.54 no.6
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• pp.451-460
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• 2021

Objectives: This study aimed to determine the associations between parental depression and early childhood development among children aged 36 months to 59 months in Indonesia. Methods: From Indonesia's Basic Health Survey (RISKESDAS) 2018, this study included 6433 children aged 36 months to 59 months and their parents. Maternal and paternal depression was examined using the Mini International Neuropsychiatric Interview survey instrument, which was previously translated into Indonesian. The study also used the Early Child Development Index to measure child development and its 4 domains (cognitive, physical, socio-emotional, and learning). Multivariate logistic regression analysis was performed to determine the association between parental depression and early childhood development. Results: Overall, 10.3% of children aged 36 months to 59 months were off-track for development. After adjusting for biological, parental, and social characteristics, children born to parents with depression were found to be 4.72 times more likely to be off-track for development (95% confidence interval, 1.83 to 12.15). Conclusions: Children of depressed parents were more likely to be off-track for development. The findings highlight the need for early diagnosis and timely intervention for parental depression to promote early childhood development.

• Child Health Nursing Research
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• v.23 no.3
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• pp.300-311
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• 2017

Purpose: There are many forest and outdoor programs being offered but systematic reviews of effects are lacking. This study was done to identify content, format, and strategies of forest therapy programs for elementary school students. Methods: Literature search using keywords in English and Korean was performed using 6 electronic databases in December 2016. Search participants were elementary school students and interventions conducted in the forest. Seventeen forest therapy studies were selected for evaluation. Risk of Bias Assessment tool for non-randomized study was used for quality assessment. Results: All studies were quasi-experimental designs. Forest therapy programs included various activities in forests such as experience of five senses, meditation in the forest, walking in the forest, ecological play, observation of animals and insects. All studies used psychosocial health variables and forest healing programs had positive effects on sociality, depression, anxiety, self-esteem, stress, aggression, anger, and school adjustment. Limitations of these studies were vague reporting of the study, lack of ethical review and rigorous research designs. Conclusion: Forest therapy for elementary school child can be an effective way to improve psychosocial health. Future studies with rigorous study designs are needed to assess long-term effects of forest therapy on physical and psychosocial health.

• Journal of Korean Public Health Nursing
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• v.32 no.1
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• pp.109-121
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• 2018

Purpose: This study was conducted to identify the barriers and improvements to promoting physical activity among children using community child care centers. Methods: A qualitative research using focus group interviews was employed. Three focus group interviews were conducted with a total of 18 service providers, and open-ended questions were used. All interviews were recorded as they were spoken and transcribed and data were analyzed using qualitative content analysis. Results: Two main themes in the barriers to promoting physical activity were 'lack of resources' and 'limitations of program composition'. In addition, five sub-themes emerged as a result of analysis: 1) lack of human resources, 2) lack of finance, 3) lack of space, 4) one-off and short-term physical activity programs, 5) learning-oriented programs. Conclusion: The results indicate that it is necessary to have adequate human resources and a realistic government subsidy that allow community child care centers to provide sufficient services to children. In addition, promoting physical activity can be achieved through physical activity programs focused on peer group advisors, habituation, and development of programs suited to the needs of children and their environment.

• Child Health Nursing Research
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• v.22 no.2
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• pp.126-136
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• 2016

Purpose: The purposes of this review were to address misconceptions of childhood fever and fever management practice among parents and health care providers, and to identify the scientific evidences against such misconceptions and practices. Methods: Journal databases and clinical guidelines from 2000 to 2015 were searched. The search terms were fever, fever management, misconception, myth, fiction, fact, fever phobia, child, antipyretics, tepid bath, alternating use/combined use of antipyretics, and physical cooling method. Results: There are significant gaps between current concepts and practices, and the scientific evidence. Misconceptions and unrealistic concerns about childhood fever still exist among parents and even health care providers, worldwide. The evidences suggest that antipyretics should be given carefully with the aim of relieving discomfort or pain rather than decreasing the temperature itself. Alternating use of antipyretics should be discouraged due to the risk of confusion and error. Antipyretics do not prevent febrile convulsions. Moreover, the scientific evidence does not support tepid sponge massage. Conclusion: Evidence-based childhood fever management interventions should be targeted toward parents and health care providers. By adopting an evidence-based approach to nursing interventions, pediatric nurses can ensure children receive appropriate and safe fever management.

• Child Health Nursing Research
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• v.18 no.3
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• pp.101-108
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• 2012

Purpose: This study was designed to analyze recent trends in research about caregivers of hospitalized children in Korea and to suggest future research directions in this area. Methods: Eighty one studies selected from http://www.kan.or.kr, www.childnursing.or.kr, www.riss4u.net, and www.ndsl.kr published from 1995 to 2011 were used. The analysis framework of concepts was derived from client domain (Kim, 2000) and knowledge type (Kim et al., 2004). Results: In terms of research design, nonexperimental studies (82.7%) were the most frequent, followed by experimental studies (14.8%) and qualitative studies (2.5%). Mothers were the most frequent caregivers, and hospitalization was the most frequent health problem of the children. In terms of categories of the concepts, 35 (39.3%) studies included essentialistic concepts like coping and adaptation, 15 (16.9%) studies included problematic concepts like anxiety and uncertainty, and 39 (43.8%) studies included health-care experiential concepts like educational needs and nursing needs. In term of knowledge types, there were 35 (39.3%) studies of the explanatory knowledge type, 44 (49.5%) descriptive ones, and 10 (11.2%) prescriptive ones. Conclusion: The results indicate that further research is necessary on problematic concepts and prescriptive knowledge types for child health nursing practice which will lead to expanding nursing knowledge.

• Korean Parent-Child Health Journal
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• v.18 no.2
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• pp.88-99
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• 2015

Purpose: This study was conducted to examine mother-child interactions and the quality of life of preschool children with epilepsy as perceived by mothers, and to investigate the relation between mother-child interactions and the quality of life of preschool children with epilepsy. Methods: Participants for this study consist of 92 mothers of children with epilepsy aged three to six years who were treated at university hospitals and a city hospital located in Seoul, Korea. The instruments used for this study were mother-child interactions of preschool children scale and the Korean version of the TAPQOL (TNO-AZL Preschool children Quality of Life). Results: The level of mother-child interactions for preschool children with epilepsy showed a mean score 125.91. The category of dyadic domain was rated the highest while the child domain category was rated the lowest. The level of mother-child interactions for preschool children with epilepsy showed a significant difference according to the mother-child relationship, birth history, seizure frequency, number of antiepileptic drugs and combined disabilities. The quality of life of children with epilepsy showed a significant difference according to the mother-child relationship, birth history, seizure frequency, number of antiepileptic drugs and combined disabilities. There is a statistically significant positive correlation between mother-child interactions and quality of life of preschool children with epilepsy. Conclusion: This study suggests that the mother-child interaction of preschool children with epilepsy showed a tendency to be led by mothers. In order to stimulate mother-child interactions, mothers should help their children enhance their reaction and participation.

• Korean Journal of Child Studies
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• v.31 no.2
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• pp.263-275
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• 2010

While child care policy has mainly focused on the financial support for child care centers, the Ministry of Health, Welfare and Family Affairs recently announced the introduction of a child care allowances. The purpose of this study is to investigate how mothers and directors of child care centers perceived this child care allowance. One hundred and seventeen directors and one hundred and fifty six mothers in the Seoul, Kyunggi-Do, and Cheonbuk-Do areas participated in the survey. The results demonstrated that both the mothers and the directors of child care center exhibit more differences than similarities in terms of their views of child care allowances. Moreover, the perception on some issues of child care allowance differed significantly depending on the types of child care center in question, the mother's economic participation or family income. Issues of importance to the successful introduction of a child care allowance system were also discussed.

• Korean Parent-Child Health Journal
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• v.21 no.1
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• pp.20-27
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• 2018

Purpose: The purpose of this study was to review the literature on paternity leave and family health over the last 10 years. Methods: Nine studies that met the criteria were selected from sixty-four studies. General characteristics, study design, and major findings about paternity leave were analyzed using an established analysis framework. Results: From the integrative review, paternity leave was found to affect the health of fathers, mothers, and children, as well as family health and gender equality. The father's paternity leave resulted in an increase in mothers' breast feeding rate, a decrease in maternal depression, a reduction in parenting stress, a reduction in all-cause mortality of men, feelings of instinctive paternal love, increased parenting, skills, and positive parent-child relationships. It was interpreted that paternity leave had a positive effect on the mental and physical health of individual members of the family. Conclusion: This study provides the basic data on the health effects of father's parental leave on the family system in a holistic view. In addition, this study proposes the direction of paternity leave and family health research and policy needs.

• Korean Journal of Child Studies
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• v.34 no.5
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• pp.127-144
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• 2013

The purpose of this study was (1) to examine the impact of chronic diseases on adolescent's peer relationships, and (2) to investigate the mediating effect of self-perceived health status and resilience on the relationship between their physical health states and peer relationships. The authors used the first-wave panel data from 'the Korean Children-Youth Panel Survey'. The sample included 2,351 first-grade of middle school students(boys 50.1%, girls 49.9%). Among the subjects examined 48.11% had chronic diseases. Using maximum likelihood estimation with Amos18(Arbuckle, 2009), SEM software, structural equation modeling was tested. The major findings were as follows : 1. Adolescents' chronic diseases had a negative impact on peer relationships. 2. Self-perceived health status and resilience had a mediating effect. This suggests that self-perceived health status and resilience could be protective factors when it comes to perceive peer relationships more positively for adolescents with chronic diseases. 3. Resilience was directly affected by self-perceived health status. This indicates that positive self-perception about their health status encourages adolescents with chronic diseases to be more resilient and to more positively affect their perception of their relationships with peers.

• Child Health Nursing Research
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• v.24 no.1
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• pp.68-77
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• 2018

Purpose: The purpose of this study was to develop parent coaching domains for the health management of childhood leukemia survivors. Methods: In this study, we conducted a literature review and in-depth interviews with 6 parents of childhood leukemia survivors who were identified using convenience sampling. We identified areas of parent coaching through the 4 stages of the GROW model, which are: goal setting, realistic grasp, confirmation of realization, and search for alternatives. Results: Nine domains and 27 subcategories emerged from the study. The 9 parent coaching domains for the health management of childhood leukemia survivors were routine life management, education and information provision, emotional support for the surviving children, social support for the surviving children, follow-up management, family support, school life management, symptom management, and improvement of growth and development. Conclusion: This research developed 9 parent coaching domains for the health management of children surviving leukemia. The results of this study are expected to contribute to the efficient health management of childhood leukemia survivors by enabling practitioners to continuously identify new coaching domains as needed for their health management. Researchers should improve the health management of childhood leukemia survivors by developing nursing interventions for these new coaching areas.