• Title/Summary/Keyword: child health

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Mothers' Perceived Difficulties in the Management of Chronic Conditions of Children with Spina Bifida: A Qualitative Descriptive Approach (이분척추 환아의 어머니가 인식한 질병관리의 어려움: 질적 서술적 접근)

  • Lim, Seoung-Wha;Yi, Myungsun
    • Child Health Nursing Research
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    • v.22 no.4
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    • pp.247-256
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    • 2016
  • Purpose: The purpose of the study was to identify and describe the caregiving difficulties that mothers of children with spina bifida experience from their own perspectives. Methods: A qualitative descriptive study was designed. Data were collected from five mini-focus group interviews and four individual interviews using open-ended questions. Nineteen mothers of children with mild spina bifida participated in the study during 2014-2015. Data were analyzed using qualitative content analysis to identify major difficulties perceived by the mothers. Results: Five domains were identified with 12 subdomains. "Daily routine continence management" describes difficulties arising in bladder and bowel management for the child with spina bifida. "Management of school life of child" deals with difficulties in relation to the school facilities, such as the toilets, as well as teachers and friends. "Relationship with family and neighbors" illustrates problems in relations with their spouse, normal children, relatives and neighbors. "Maintaining physical and psychological health" includes physical and psychological problems of the mothers. "Finance" describes economic burden that the mothers face in the management of child's illness. Conclusion: The findings from this study provide insight into the practical issues related to the management of chronic conditions of children with spina bifida from the mothers' perspectives.

A Study to Validate the Korean Child Development Review (0-5세를 위한 한국형 영.유아 발달 선별검사(K-CDR)의 타당성에 대한 연구)

  • Shin, Hee-Sun;Kim, Jeong-Mee;Lim, Seong-Or
    • Child Health Nursing Research
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    • v.13 no.2
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    • pp.222-229
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    • 2007
  • Purpose: This study was done to evaluate the validity of the Korean - Child Development Review in screening children with developmental risks. Method: The participants in the study were 172 children aged 6-75 months old and their parents. Data were collected by questionnaire or interview. Korean Denver II and Bayley test were administered with K-CDR for validation of children who were referred for developmental assessment at D University Hospital or public health center. The data were analyzed using correlation, $X^2$ test, and cross tab analysis. Results: There was a significant relationship between the K-CDR and Korean Denver II. The correlation coefficients were .42 to .61 by developmental sector. The sensitivity and specificity of K- CDR were .84 and .66 respectively when "abnormal" with MDI of Bayley test defined as lower than 85 the score which was used as a diagnosis of developmental delay. The responses to 6 questions for parents showed significant differences according to 3 groups by developmental state. Parents of children in the developmental disability group more frequently checked problems from the 26 problem checklist about their children's development and behavior. Conclusion: The results show that K-CDR is valid and has good sensitivity and moderate specificity in screening developmental delay.

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Knowledge, Attitude and Anxiety in Mothers of Children with Epilepsy (뇌전증 아동 어머니의 뇌전증에 대한 지식, 태도 및 불안)

  • Park, So Yeon;Ju, Hyeon Ok
    • Child Health Nursing Research
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    • v.22 no.1
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    • pp.54-60
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    • 2016
  • Purpose: The purpose of this study was to evaluate levels and correlations of epilepsy specific knowledge, attitude and anxiety in mothers of children with epilepsy. Methods: Participants were 176 mothers of children with epilepsy living in B and Y cities. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients with the SPSS 21.0 program. Results: Participants scored 57.2 (${\pm}1.7$) out of 100 points on epilepsy-related knowledge; 35.6 (${\pm}5.0$) out of 48 points on attitude toward epilepsy; 58.1 (${\pm}15.3$) out of 85 on anxiety related to a child's epileptic condition. The participants had higher levels of epilepsy-related knowledge if their family monthly income was three million KRW or higher (t=-2.92, p=.004); if there was no side effect from the medication (t=-2.91, p=.004); and if the mothers' perception of the child's health was good (F=6.181, p=.001). There was a positive correlation between knowledge and attitude related to epilepsy (r=.321, p<.001), and a negative correlation between knowledge and anxiety (r=-.257, p=.001). Conclusion: Findings indicate that interventions which reduce mothers' anxiety by providing epilepsy specific knowledge and help to achieve more positive attitudes to better ways of coping with child's disease.

Effects of a First Aid Coaching Program on First Aid Knowledge, Confidence, and Performance of Child Care Teachers

  • Lee, Juhee;Oh, Won-Oak
    • Child Health Nursing Research
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    • v.24 no.3
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    • pp.310-318
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    • 2018
  • Purpose: The purpose of this study was to develop a first aid coaching program (FACP) and to investigate its effects on the first aid knowledge, confidence, and performance of childcare teachers. Methods: A Delphi survey that included 16 experts was used to develop the FACP. A total of 60 participants were included to test the effectiveness of the program. The FACP developed using the survey results focused on improving first aid knowledge, confidence, and performance using a coaching-based method. First aid and cardiopulmonary resuscitation (CPR) performance was assessed using 39 items from the program content. Results: Using a 3-round Delphi survey, 6 areas and 42 detailed topics for group and individual coaching programs were developed. The knowledge scores were significantly higher in the experimental group than in the control group (t=4.24, p=.001). The confidence scores were significantly higher in the experimental group than in the control group (F=3.89, p<.001). The performance scores were significantly higher in the experimental group than in the control group (t=12.40, p<.001). Conclusion: Continuous application of the FACP among child care teachers is expected to minimize the harm caused by minor accidents at child care facilities. This program should be formally implemented on a consistent basis.

The Reaction and the Supporting Need for the Mother in Caring for their Chronicly III Child after Discharge (퇴원에 따른 만성 질환아 어머니의 반응과 환아 돌보기 지지 요구)

  • Chai, Hyun-Yi
    • Journal of Home Health Care Nursing
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    • v.8 no.1
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    • pp.50-61
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    • 2001
  • With the improvement of current medicine, the number of the chronicly ill children are increasing. The illness of the child drives all of the family to despair. especially it is a burden on the mother who takes care of the ill child. She's faced with many emergencies and feels powerless. The home care for a child is for finding a child's problems early and mediating them. The purpose of this study was to investigate the mother's reaction following their chronicly ill child's discharge and to investigate the supporting needs for caring for an ill child. The subjects of this study were mothers with a chronicly ill child being discharged from a general hospital in Seoul and the data was collected from July 20 to September 30. Data was collected by using questionnaires which were developed by the researcher. (The questionnaires were composed of the average 5 points - Likert's method). The Mother's reaction means that the higher the score, the more negative the mother's thoughts about discharge are. Supporting need for caring for ill an child means that the higher the score, the higher the demand of nursing is. The statistical analysis used the SPSS program for t-test. ANOVA, and Pearson Correlation. The results of this study were as follows: 1. The mother's reaction scores following discharge were the lowest. 19 and the highest 72 so that the total average was 43.15. The answer, 'I worry that my baby will be troubled with illness again after discharge gained the high points (3.94 of 5 points). The answer. 'The discharge of my baby makes me gloomy' gained 2.05-it was the lowest points. Their were significant differences according to religion (p=.006). salary (p=.050). the burden of the medical fee (p = .005) and caregiver (p=.027). 2. Supporting Need for caring for ill an child was the lowest 15 and the highest 67. the total average was 47.87. The answer. 'I'd be glad to get a person whom I could always get counsel about the health of my baby with' scored the high point (average 4.04 of 5). The answer. 'Caring for my baby at home makes me exhausted' gained the lowest point. 2.49. Their were significant differences according to religion (p=.019) and diagnosis (p=.019). 3. The relationship between the reaction of the mother and supporting need for caring for an ill child was a positive correlation (r=0.585). In conclusion. this study revealed that mothers weren't positive about their chronicly ill child's discharge and they wanted to get support for caring for an ill child. Through this study. I proposed that the program to support the chronicly ill child at home and home care by continuous counselling after discharge should be develop.

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The Effects of Ego-Identity and Crisis on Quality of Life in Midlife Married Women (중년기 기혼여성의 자아정체감 및 위기감이 삶의 질에 미치는 영향)

  • 김경신;김정란
    • Journal of the Korean Home Economics Association
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    • v.39 no.4
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    • pp.105-120
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    • 2001
  • The purpose of this study was to analyze on effects of midlife ego-identity and crisis on quality of life in married women. The data were obtained through 394 midwife married women who live in Kwangju and Chonnam. The results were as follows. (1) The mean scores of ego-identity and quality of life were higher than the medium point. The mean scores of crisis was a little lower than the medium. (2) The ego-identity was significantly influenced by religion, health condition, social intimacy, marital relations, and parent-child relations. The crisis was influenced significantly by income, health condition, marital relations, and ego-identity. And the quality of life was influenced significantly by religion, health condition, marital relations, parent-child relations, and crisis. (3) On the result of path analysis, religion, health condition, marital relations, parent-child relations, and crisis directly influenced the Quality of life. Besides, income, social intimacy, and ego-identity indirectly affected the quality of life.

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Perceptions in Mothers of Problem Behaviors of Children with Developmental Disabilities (발달장애 아동 어머니가 지각하는 자녀의 문제행동)

  • Kim, Hye-Young;Lee, Ja-Hyung
    • Korean Parent-Child Health Journal
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    • v.9 no.2
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    • pp.161-169
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    • 2006
  • Purpose: The purpose of this study was to identify the problem behaviors of children with developmental disabilities and to verify the difference of problem behaviors on the family characteristics. Method: The participants were 61 couples who were 3-9 years-old children with developmental disabilities and their mothers. And the data was collected from July to Oct. 2004. To measure the perception of problem behaviors, Eyberg Child Behavior Inventory (ECBI) were used that modified by Song(1992) and Kim(2006). Result: 'Gets angry when doesn't get his or her own way', 'Is easily distracted' were frequent with children with developmental disabilities. As a result of analysing problem behaviors(intensity and number) on the family characteristics, education level of mother was significant statistically. Conclusion: The results of the present study suggest that developing health programs for children with developmental disabilities and their mothers are need which can be applied for various nursing fields like hospital, community health center and so on.

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Types of Parenting of Fathers during Early Childhood: A Q Methodological Approach

  • Park, Sun-Jung;Choi, Eun-Young;Ko, Ga-Yeon;Park, Bock-Soon;Park, Byung-Jun
    • Child Health Nursing Research
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    • v.25 no.3
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    • pp.344-354
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    • 2019
  • Purpose: The purpose of this study was to examine types of parenting among fathers. The characteristics of parenting each type in early childhood were identified by systematically analyzing and classifying father's perceptions of parenting using the Q-methodology, which places importance on the perspective of the performer. Methods: The Q-method, which is effective for measuring individual subjectivity was used. The subjects in this study were 50 fathers with young children (2~36 months). Results: Four parenting types were identified analyzing the subjective perceptions of fathers with young children about parenting. One type was centered on character development. Another was centered on social development. A third was centered on physical health and development. The fourth was centered on building values. Conclusion: Parenting education programs should be developed based on type-specific characteristics and further research should investigate the effects of father's parenting type.