• Title/Summary/Keyword: infant's development

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가족관련변인과 영유아발달의 관계 : 종일제 보육과 어머니 단독양육의 비교 (The Relations between Familial Predictors and Infant-Toddler Development: Comparison between Full-Time Child Care vs. Exclusive Mother Care)

  • 장영은
    • 한국보육지원학회지
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    • 제10권4호
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    • pp.159-176
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    • 2014
  • 본 연구는 영유아기 종일제 어린이집 이용 여부에 따라 가족관련 변인이 영유아발달에 가지는 관계성의 강도가 다를 수 있다는 가설을 검증하는 데에 목적이 있다. 한국아동패널연구의 3차년도 및 4차년도 조사자료를 분석하여 종일제 어린이집을 이용(주당 30시간 이상의 어린이집 이용)집단과 어린이집이나 대리양육자를 이용하지 않는 어머니 단독양육 집단을 추출하여, 일련의 가족관련 변인과 영유아의 발달적 결과 간의 관계성의 양상과 그 강도를 비교하였다. 분석방법으로 이변량 상관관계분석을 실시하였으며 두 집단의 상관계수 간의 유의한 차이를 검증하였다. 연구결과, 만2세의 경우 어머니의 사회적 양육유형이 영아의 의사소통을 정적으로 예측하는데 있어 종일제 어린이집을 사용하는 가족에서 그 크기가 유의하게 큰 것으로 나타났다. 만 3세 때에는 가정환경검사 중 다수의 하위변인에서 어린이집을 이용하지 않는 가족의 경우, 종일제 어린이집을 이용하는 경우에 비해 유의하게 강한 상관관계로 표현어휘 및 수용어휘 발달을 예측하였다. 즉, 어린이집에서 시간을 보내는 경우, 가정환경 외에 다른 요인이 발달을 예측할 수 있음을 시사한다. 하지만 이들 변인 외에 분석에 사용된 다양한 변인과 영유아 발달 간의 상관관계에 집단차는 발견되지 않아 발달에 기여하는 가족과정이 종일제 어린이집과 어머니 단독양육 집단 간에 유사 또는 차별적이라고 단순히 결론 내릴 수 없고, 발달연령, 가족과정 내의 예측요인, 그리고 발달적 결과에 따라 다소 복잡한 유형으로 차이를 보임을 알 수 있다.

Single-center experience of the Korean-Developmental Screening Test for infants and children

  • Suh, Chae-Ri;Sohn, Su Ye;Kim, Gun-Ha;Jung, Seong-Kwan;Eun, Baik-Lin
    • Clinical and Experimental Pediatrics
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    • 제59권12호
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    • pp.483-489
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    • 2016
  • Purpose: We investigated the number of test takers of the Korean-Developmental Screening Test (K-DST) in a single children's hospital within a year, according to age, referral rate, and follow-up percentage. Methods: For this study, 4,062 children who visited and received K-DST at Woorisoa Children's Hospital between January and December 2015 were enrolled. Seven test sets were used according to the Korean National Health Screening Program for infants and children in the following age groups: 4 to 6, 9 to 12, 18 to 24, 30 to 36, 42 to 48, 54 to 60, and 66 to 71 months. The results of the K-DST were categorized into 4 groups as follows: further evaluation (<-2 standard deviation [-2SD]), follow-up test (-2SD to -1SD), peer level (-1SD to 1SD), and high level (>1SD). Results: The test participants' population and follow-up population were concentrated before the age of 24 months (2,532, 62.3%). The children most commonly referred for further evaluation were those in the 30- to 41-month age group. A mismatch was found between the results of the K-DST and the additional questions. Most of the infants and children with suspicious developmental delays showed catch-up development in their follow-up tests (43 of 55, 78.2%). Conclusion: The use of K-DST should be encouraged, especially among children aged over 24 months. Multiple-choice question format for the additional questions is recommended to avoid confusion. We suggest a nationwide study to evaluate and revise the K-DST.

보육시설 영유아의 건강관리를 위한 특수보육 요구조사 I - 부모의 요구를 중심으로 - (Parent's Needs for Center-based Child Care Health Program)

  • 한경자;김지수
    • Child Health Nursing Research
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    • 제13권1호
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    • pp.43-50
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    • 2007
  • Purpose: To investigate the actual conditions of health care management in child day care centers and parents needs for a Center-based Child Care Health Program. Methods: Study design was cross-sectional descriptive study. 937 parents from 33 day care centers in Seoul completed a structured questionnaire. Results: 73.0% of the parents experienced sick events with their child at least once or more every 1-3months. These events resulted in 35.2% of the parents having to leave work early or to be absent from their jobs. 30.4% were asked to drive a sick child from the child day care centers to their home. Most parents (76.7%) agreed on the need for a Center-based Child Care Health Program (CCCHP), and expected general health & illness management, and growth & development evaluation from the CCCHP. Conclusion: These results show that there is a great demand for Center-based Child Care Health Program. They suggest that there is an urgent need to develop CCCHPs to promote children's health and to support parents. Also the results of this study can be utilized as a basis for the establishment of a childcare policy in Korea.

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미숙아에서 발견된 가성부갑상선 기능저하증 1례 (A Case of Pseudohypoparathyroidism in a Premature Infant)

  • 양종일;서장원;김지영
    • Clinical and Experimental Pediatrics
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    • 제46권10호
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    • pp.1032-1035
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    • 2003
  • 저자들은 미숙아에서 이학적 검사상 AHO를 동반하지 않고, 생화학 검사에서는 저칼슘혈증, 고인산혈증, 혈청 PTH의 증가와 24시간 소변의 기저 cAMP의 증가를 보이면서, 대퇴골의 자발골절을 동반했던 가성부갑성선 기능저하증 1례를 문헌 고찰과 함께 보고하는 바이다.

신생아중환자실 캥거루 케어 전국 실태조사- 간호행위, 장애요인, 간호사의 지식과 신념 (National Survey of Kangaroo Care Practice, Barriers, Knowledge, and Belief)

  • 김희영;장은경;이진희;이은정;오세연;조금식
    • 임상간호연구
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    • 제23권2호
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    • pp.211-221
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    • 2017
  • Purpose: A National survey was conducted to assess neonatal intensive care nurses' practice, barriers, knowledge, and belief regarding Kangaroo Care (KC). Methods: A descriptive survey was conducted. Kangaroo care questionares were sent to nurses in all hospitals in Korea whose were identified as providing neonatal intensive care services(N=263). Descriptive statistics were used to summarized the data. Results: Among 67 neonatal care units, 61.1% adapted KC in their practice. About 60% of nurses in the KC providing hospital actually practiced KC. Major barrier of practicing KC were infant safety concerns, as well as work load of nurses. Respondants who had practiced KC were more knowledgable and were more positive in their belief regarding KC. Conclusion: The findings suggest that in order to overcome barriers of practicing KC, educational programs are recommended designed for nurses. In addition, development of KC practice guideline is necessary to facilicate successful and safe KC.

만성 설사와 범발성 혈관내 응고 증후군을 초래한 장병성 선단 피부염 1례 (A Case of Acrodermatitis Enteropathica with Chronic Diarrhea and Disseminated Intravascular Coagulation)

  • 이지은;허준호;최병호
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제2권2호
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    • pp.240-244
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    • 1999
  • 저자들은 만성설사와 범발성 혈관내 응고 증후군을 동반한 2개월된 남아에서 장병성 선단 피부염을 의심하여 아연을 경구 투여한 후, 증상호전을 보인 장병성 선단 피부염 환아 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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A Study of Segmental and Syllabic Intervals of Canonical Babbling and Early Speech

  • Chen, Xiaoxiang;Xiao, Yunnan
    • 비교문화연구
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    • 제28권
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    • pp.115-139
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    • 2012
  • Interval or duration of segments, syllables, words and phrases is an important acoustic feature which influences the naturalness of speech. A number of cross-sectional studies regarding acoustic characteristics of children's speech development found that intervals of segments, syllables, words and phrases tend to change with the growing age. One hypothesis assumed that decreases in intervals would be greater when children were younger and smaller decreases in intervals when older (Thelen,1991), it has been supported by quite a number of researches on the basis of cross-sectional studies (Tingley & Allen,1975; Kent & Forner,1980; Chermak & Schneiderman, 1986), but the other hypothesis predicted that decreases in intervals would be smaller when children were younger and greater decreases in intervals when older (Smith, Kenney & Hussain, 1996). Researchers seem to come up with conflicting postulations and inconsistent results about the change trends concerning intervals of segments, syllables, words and phrases, leaving it as an issue unresolved. Most acoustic investigations of children's speech production have been conducted via cross-sectional designs, which involves studying several groups of children. So far, there are only a few longitudinal studies. This issue needs more longitudinal investigations; moreover, the acoustic measures of the intervals of child speech are hardly available. All former studies focus on word stages excluding the babbling stages especially the canonical babbling stage, but we need to find out when concrete changes of intervals begin to occur and what causes the changes. Therefore, we conducted an acoustic study of interval characteristics of segments and words concerning Canonical Babble ( CB) and early speech in an infant aged from 0;9 to 2;4 acquiring Mandarin Chinese. The current research addresses the following two questions: 1. Whether decreases in interval would be greater when children were younger and smaller when they were older or vice versa? 2. Whether the child speech concerning the acoustic features of interval drifts in the direction of the language they are exposed to? The female infant whose L1 was Southern Mandarin living in Changsha was audio- and video-taped at her home for about one hour almost on a weekly basis during her age range from 0;9 to 2;4 under natural observation by us investigators. The recordings were digitized. Parts of the digitized material were labeled. All the repetitions were excluded. The utterances were extracted from 44 sessions ranging from 30 minutes to one hour. The utterances were divided into segments as well as syllable-sized units. Age stages are 0;9-1;0,1;1-1;5, 1;6-2;0, 2;1-2;4. The subject was a monolingual normal child from parents with a good education. The infant was audio-and video-taped in her home almost every week. The data were digitized, segments and syllables from 44 sessions spanning the transition from babble to speech were transcribed in narrow IPA and coded for analysis. Babble was coded from age 0;9-1;0, and words were coded from 1;0 to 2;4, the data has been checked by two professionally trained persons who majored in phonetics. The present investigation is a longitudinal analysis of some temporal characteristics of the child speech during the age periods of 0;9-1;0, 1;1-1;5, 1;6-2;0, 2;1-2;4. The answer to Research Question 1 is that our results are in agreement with neither of the hypotheses. One hypothesis assumed that decreases in intervals would be greater when children were younger and smaller decreases in intervals when older (Thelen,1991); but the other hypothesis predicted that decreases in intervals would be smaller when children were younger and greater decreases in intervals when older (Smith, Kenney & Hussain, 1996). On the whole, there is a tendency of decrease in segmental and syllabic duration with the growing age, but the changes are not drastic and abrupt. For example, /a/ after /k/ in Table 1 has greater decrease during 1;1-1;5, while /a/ after /p/, /t/ and /w/ has greater decrease during 2;1-2;4. /ka/ has greater decrease during 1;1-1;5, while /ta/ and /na/ has greater decrease during 2;1-2;4.Across the age periods, interval change experiences lots of fluctuation all the time. The answer to Research Question 2 is yes. Babbling stage is a period in which the children's acoustic features of intervals of segments, syllables, words and phrases is shifted in the direction of the language to be learned, babbling and children's speech emergence is greatly influenced by ambient language. The phonetic changes in terms of duration would go on until as late as 10-12 years of age before reaching adult-like levels. Definitely, with the increase of exposure to ambient language, the variation would be less and less until they attain the adult-like competence. Via the analysis of the SPSS 15.0, the decrease of segmental and syllabic intervals across the four age periods proves to be of no significant difference (p>0.05). It means that the change of segmental and syllabic intervals is continuous. It reveals that the process of child speech development is gradual and cumulative.

Complementary feeding practices and nutritional status of children 6-23 months old: formative study in Aceh, Indonesia

  • Ahmad, Aripin;Madanijah, Siti;Dwiriani, Cesilia Meti;Kolopaking, Risatianti
    • Nutrition Research and Practice
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    • 제12권6호
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    • pp.512-520
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    • 2018
  • BACKGROUND/OBJECTIVES: The 6-23 months for infants is the longest period in the "first 1,000 days" of life. This period is very important for child development, so complementary feeding (CF) practices should be optimized to maximize children's potential for growth and development. The aim of this study was to analyze the CF practices and nutritional status of children aged 6-23 months. SUBJECTS/METHODS: For this cross-sectional study, 392 children aged 6-23 months were selected using stratified random sampling. Socio-demographic data were collected through interviews. CF practices, collected by interviews and repeated 24-hour food recall method, were the timely introduction of CF, minimum meal frequency, dietary diversity and minimum acceptable diet, consumption food rich in proteins and vitamin A. Nutritional status was assessed using the indicators of underweight, wasting and stunting. To analyze the association between socio-demographic indicators and CF with nutritional status, the chi-square test with a confidence interval of 95% was used. RESULTS: Results showed that 39% were exclusively breastfed, only 61% received prolonged breastfeeding and 50% received timely introduction of CF. Minimum meal frequency was met by 74% of subjects, but dietary diversity and minimum acceptable diet were only realized in 50% and 40% of the children, respectively. The prevalence of underweight, wasting, and stunting were 26%, 23%, and 28%, respectively. Age of the child, birth order, birth weight, parents' education level, family size and incidence of fever and diarrhea during the previous two weeks were associated with underweight, while child's birth order, fathers' education level, mother's age, family size, completion of the age-appropriate vaccination and fish consumption frequency were associated with wasting. Age of the child, incidence of fever and acute respiratory infection, and fortified food consumption were associated with stunting. CONCLUSIONS: Suboptimal CF practices and high prevalence of underweight, wasting and stunting were found among children aged 6-23 months old in Aceh. These results highlight the need to improve CF and nutritional status.

모친의 구강보건교육경험이 유아의 구강건강관리에 미치는 영향 (The influence on infant oral health care from mother's experience of oral health education)

  • 박정순;강은주;송지연;송귀숙
    • 한국치위생학회지
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    • 제12권6호
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    • pp.1183-1192
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    • 2012
  • Objectives : This study is for suggesting the data base for help mother and child improve the oral health enhancement action from understanding child's oral health enhancement action from mother's oral health education experience and researching the effects of mother's oral health enhancement action on child's oral health enhancement action. Methods : The subject was 220 children and mothers of some kindergarten in Jeollabuk-do, Korea out of convenience'sampling. The results were collected by carrying out a survey out of self record method from visiting the kindergarten from June 24th to July 12th. and were analyzed. Results : 1. The mother's and child's oral health enhancement action was satisfactory in the factor of 'toothbrushing', 'oral hygiene care item' and 'periodic visits' in case the subjects have experienced oral health education, and that data was meaningful statistically. 2. In the oral health enhancement action practiced by mother to child from existence or absence of the mother's oral health education experience, the data was meaningful statistically in the factor of 'directly brushing its teeth more than once a day', 'washing its tongue' and 'coaching that child could keep the toothbrush not to overlap with other toothbrushes'. 3. In the factor that affect to oral health enhancement action practiced by mother to child, 'toothbrushing' and 'oral hygiene care item' were high level of the mother's oral health enhancement action, and that data was meaningful'statistically. Conclusions : The children's oral health condition could be influenced by mother's oral health knowledges and attention. Accordingly, oral health education for the mother and child has to be enforced'systematically'suited for the characteristic change of oral condition with children age groups. Also, utilizing human resources who have expertise and development of the oral health education program are needed.

어머니의 심리적 통제와 유아-교사 상호작용이 유아의 자기조절능력에 미치는 영향 (A Study on the Effect of Mother's Psychological Control and Teacher-Child Interaction on Youth Children's Self-Regulation)

  • 문혁준;최윤희
    • 한국산학기술학회논문지
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    • 제20권4호
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    • pp.169-176
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    • 2019
  • 본 연구는 어머니의 심리적 통제와 유아-교사 상호작용이 유아의 자기조절능력에 미치는 영향을 알아보는데 목적이 있다. 연구대상은 3~5세 유아와 그들의 어머니 358명, 그들의 담임교사 28명이며, 자료 분석을 위해 SPSS 18.0 프로그램을 이용하여 기술통계, Pearson의 상관분석, 중다회귀분석을 실시하였다. 연구결과는 다음과 같다. 어머니의 심리적 통제와 유아-교사 상호작용은 유아의 자기조절능력에 유의한 영향을 미쳤다. 그 중 유아-교사 상호작용이 어머니의 심리적 통제에 비해 더 큰 영향을 미치고 있었으며, 행동조절보다는 정서조절에 더 많은 영향을 주는 것으로 나타났다. 본 연구의 결과는 유아의 자기조절능력에 영향을 미치는 변인으로서의 어머니의 심리적 통제와 유아-교사의 상호작용을 확인하였으며 어머니의 훈육방식에 대한 교육, 그리고 교사의 상호작용에 관한 지속적인 교육과 예비 교사 대상의 교육프로그램 개발의 필요성을 부각시켰다는 점에서 그 의의를 찾을 수 있다.