• 한국산학기술학회논문지
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• 제16권1호
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• pp.223-234
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• 2015

본 연구의 목적은 국내 영아의 어린이집 적응 관련 연구의 동향을 살펴봄으로써 지금까지 이루어진 영아의 어린이집 적응 관련 연구를 재인식하고 앞으로 이와 관련한 연구의 발전적인 방향을 모색해 보는데 있다. 이를 위해 1996년부터 2013년까지 발표된 영아(0~2세)의 어린이집 적응 관련 국내 학위논문과 학술지 126편을 연구대상으로 하였으며, 연구결과는 다음과 같다. 첫째, 연구시기별 분석결과 2009년부터 2013년까지의 시기에 가장 많은 연구가 이루어졌음을 알 수 있었다. 둘째, 연구대상에 따른 분석결과 영아, 부모, 교사를 대상으로 한 연구가 가장 많이 이루어졌다. 셋째, 연구주제에 따른 분석결과 영아의 어린이집 적응에 영향을 주는 변인에 관한 연구가 가장 활발하게 이루어졌다. 넷째, 연구방법에 따른 분석결과 양적연구들이 주를 이루었음을 알 수 있었다.

• Journal of Microbiology and Biotechnology
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• 제30권7호
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• pp.1067-1071
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• 2020

To understand the formation of initial gut microbiota, three initial fecal samples were collected from two groups of two breast milk-fed (BM1) and seven formula milk-fed (FM1) infants, and the compositional changes in gut microbiota were determined using metagenomics. Compositional change analysis during week one showed that Bifidobacterium increased from the first to the third fecal samples in the BM1 group (1.3% to 35.1%), while Klebsiella and Serratia were detected in the third fecal sample of the FM1 group (4.4% and 34.2%, respectively), suggesting the beneficial effect of breast milk intake. To further understand the compositional changes during progression from infancy to childhood (i.e., from three weeks to five years of age), additional fecal samples were collected from four groups of two breast milk-fed infants (BM2), one formula milk-fed toddler (FM2), three weaning food-fed toddlers (WF), and three solid food-fed children (SF). Subsequent compositional change analysis and principal coordinates analysis (PCoA) revealed that the composition of the gut microbiota changed from an infant-like composition to an adult-like one in conjunction with dietary changes. Interestingly, overall gut microbiota composition analyses during the period of progression from infancy to childhood suggested increasing complexity of gut microbiota as well as emergence of a new species of bacteria capable of digesting complex carbohydrates in WF and SF groups, substantiating that diet type is a key factor in determining the composition of gut microbiota. Consequently, this study may be useful as a guide to understanding the development of initial gut microbiota based on diet.

• Journal of Preventive Medicine and Public Health
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• 제37권3호
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• pp.274-281
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• 2004

Objectives : This study was performed to investigate the injury rates and risk factors for preschool children in Daegu city and Kyungpook province. Method : A questionnaire survey about medically attended injuries during the preschool period was performed in nine primary schools located in Daegu city, Pohang city and Goryung County. The overall injury rate was estimated using person-year. The causes and patterns of the injuries, and their risk factors were examined. Result : A total of 469 medically attended injuries were reported in 330 of the 959 study subjects during the preschool period. The overall annual injury rate was 7.5 per 100 children. The injury rate increased sharply during the period from infant (2.4) to 1 year of age (7.5), and the peak injury rate (9.2) was reported for 5 year olds. The most common causes of injuries were falling (36.0%), followed by being struck by an object (23.7%), and traffic accidents (14.1%). Among the traffic accidents, 72.8% occurred while playing on the road, riding a bicycle or roller-skating. A proportional hazard model showed that males (hazard ratio=1.49, p<0.001 compared with female) and the mother's higher education level (hazard ratio of college or higher= 1.51, p=0.013; high school=1.32, p=0.085 compared with those of middle school or lower) were significant risk factors of childhood injury. Conclusion : The results of this study suggested that efforts for children's safety should be made, especially from the toddler stage, and in male children. To develop a more specific childhood injury prevention program, a surveillance system for injuries should be established. Further study of the relationship between mother's occupation and injury rates is also needed.

• 아동학회지
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• 제22권2호
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• pp.255-275
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• 2001

본 연구의 목적은 영아프로그램을 수행하면서 실시할 수 있는 1, 2세 학급 영아를 위한 교사 평정용 발달평가도구를 개발하는 것이다. 이 평가도구는 영아프로그램의 일과를 중심으로 대소근육운동, 자조기술, 사회의사소통, 사회정서, 인지영역의 발달을 평가할 수 있도록 총 201문항으로 구성하였다. 전국적으로 어린이집에서 표집된 1245명의 1, 2세 학급 영아를 대상으로 평가문항의 양호도, 신뢰도 타당도를 검증하였다. 내용 타당도는 전문가 집단의 검토결과 타당하게 나타났으며, 신뢰도는 내적 일치도, 평정시간 일치도, 검사-재검사간 일치도가 높게 나타났다. Bayley와의 공인 타당도도 양호하였다. 구인 타당도 분석결과 영아의 발달은 영역별로 뚜렷이 구분되기보다는 통합적 특성이 있는 것으로 나타났다. 이 평가도구의 표준화를 위하여 전국 규준이 원점수와 표준점수로 제시되었다.

• 가정과삶의질연구
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• 제34권1호
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• pp.33-47
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• 2016

The purpose of this study was to examine factors which influence maternal parenting stress. The subjects were 182 mothers with toddlers 12 to 36 months old living in Seoul and Gyeonggi-do Province. The instruments used for this study were a self-report questionnaire, PDH(Parenting Daily Hassles), EAS(Emotionality, Activity, Sociability), Value of children by Lee et al., PAI(Parenting Alliance Inventory), and burden of the costs of children. The data were analyzed by descriptive statistics, Pearson's correlation and Hierarchical multiple regression using the SPSS 18.0 program. The main results of this study were as follows: First, the mean score of activity temperament, emotional value of children and husband's support were higher than average. The mean score of Emotionality temperament, instrumental value of children, burden of the costs of children and maternal stress were average. Second, maternal parenting stress was positively correlated with emotionality temperament, mother's age, burden of the costs of children, and negatively correlated with emotional value of children, and instrumental value of children, husband's support. Third, emotionality temperament, husband's support, burden of the costs of children, maternal employment status, and instrumental value of children had an impact on maternal parenting stress. It is expected that the results of this study will contribute to providing basic data for establishing a policy to decrease maternal parenting stress.

• 한국간호교육학회지
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• 제19권1호
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• pp.24-32
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• 2013

Purpose: The purpose of this study was to analysis the research trends of pediatric nursing intervention studies in Korea form 2000 to 2011. Methods: A literature search was conducted from the databases. RISS and 'Infant', 'Toddler', 'Preschooler', 'Schooler', 'Adolescent', 'Child', 'Effect', 'Program', 'Intervention' and 'Nursing' were used for keyword searches to find relevant studies. A total of 37 published articles and dissertations in Korea from 2000 to 2011 were reviewed using a structured analytical frame. Results: A quasi-experimental design was more common at 91.9% with a true experimental design at 2.7%. The portion of studies in which theoretical framework was suggested was 27.0%. Only 8.1% mentioned International Review Board (IRB) approval and 78.4% received only the participant's agreement. The participants' developmental stage was mostly preschool stage, and 37.0% of the child's health problem was a chronic disease. Sensory interventions made up 45.9% of the types of intervention and most of the sensory interventions were distraction interventions. The contents of intervention outcomes were physiological (54.0%) and psychological (28.0%) categories mostly. Conclusion: This study will help in identifying current research trends of pediatric nursing intervention studies in Korea and provide basic data for the direction of developing pediatric nursing interventions.

• 가정과삶의질연구
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• 제31권3호
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• pp.63-79
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• 2013

The aim of this study was to investigate the influence of family-friendly community policy and child care policy on parents with young children. Particularly, two specific questions were addressed: 1) Were there differences in the perception of community family-friendliness among parents with young children in Seoul provinces? 2) Were there differences in the perception of community family-friendliness among parents with young children, depending on child-care infrastructures in Seoul provinces? Data for this study were drawn from multiple sources. Individual-level indicators were drawn from the survey of 1,246 parents with children under age 6 in Seoul. Community-level indicators were drawn from the 2011 Seoul census data. Frequency, descriptive statistics, GIS mapping, and hierarchical linear model analysis were conducted to examine the perception of community family-friendliness by individual, child-care infrastructures, and the community at large. The major results of the present study are as follows: The perception of parents on community family-friendliness varied across the 25 provinces in Seoul. The perception of community family-friendliness was positively related with the total number of child day-care centers, and the number of infant-toddler child daycare centers. The number of accredited child daycare centers was negatively associated with the perception of community family-friendliness.

• 대한가정학회지
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• 제46권7호
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• pp.47-58
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• 2008

Using the Toddler Temperament Scale(Saslow, 1993), the temperament stability of 239 toddlers from the ages of 18 and 30-months was analyzed longitudinally. TTS was composed of five sub-scales; Activity, Approach-Withdrawal, Adaptability, Intensity, and Mood. Significant correlations were established when stabilities of the temperamental sub-scales from 18- to 24-months, 24- to 30-months and 18- to 30-months were examined. For example, in relation to 'Approach-Withdrawal' factor, which was the most stable across infancy, infants who showed higher scores in 18 months of age also showed higher scores in 24- and 30-months of age. In addition, the stability of temperament in the categorical status of each infant was analyzed. Infants were divided into three groups at each age: 'Easy', 'slow-to-warm up', or 'difficult' according to their relative status within each age group. It was found that 54% of infants stayed in the same temperament group from 18 to 24 months, and so did 78% of infants from 24 to 30 months. In particular, 'easy' group illustrated the highest stability among the groups; 71.2% of infants stayed in the same temperament group between 18 and 24 months of age, while 85.9% of infants did so between 24 and 30 months of age. In conclusion, the results of this study indicate high temperament stability during the studied age bracket, while also confirming the fact that stability, in general, increases with age.

• Journal of Nutrition and Health
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• 제31권1호
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• pp.96-101
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• 1998

The prevalence of iron deficiency in later infancy and the toddler years(25% to 40% at 1 year of age) has not decreased remarkably , except in Western countries. The purpose of this study was to 1) determine the relationship between current feeding practices and iron status, and 2) assess compliance to infant feeding instructions. Two groupsof infants were examined. The first group of 302 infants aged 6 to 24months was seen at a well baby clinic while the second group of 135 infants of the same age group was assessed by venipuncture. Cutoff values for laboratory tests were as follows ; hemoglobin<11g/dL, mean corpuscular volume (MCV) <72fl ; red cell distribution width(RDW)>15% ; serum ferritin level<10ng/ml ; and transferrin saturation (serum iron(TIBC)<10%. The diagnosis of iron deficiency anemia (IDA) was made when a low hemoglobin level was associated with either low ferritin orlow transferrin saturation . Of the 302 children brought to the well baby clinic , 12.3%(n=37) were found to have anemia (hemoglobin<11.0/dL). In terms of children grouped according to feeding practices, it was found that children with anemial comprised 32.0% (24/75) of the prolonged breast-fed group (Group A), significantly more than the 4.0%(7/176) of the artificial milk feeding group(Group B). and 3.9%(2/51) of the switched from breast milk to iron -fortified weaning foods group(Group C).Among the 107 children with IDA , iron deficiency in 105 children(98.1%) was suggested by their dietary histories ; exclusive or prolonged breast-feeding for more than 6 months without iron fortification in 98 infants ; cow's milk consumption> 500ml/day without iron fortification during infancy(n=12), or >800ml without iron-fortified foods after infancy(n=15) ; and the use of unfortified forumula or unbalanced diets, mainly limited to rice gruel. Despite the relatively high (79.6%) motivation on the part of the infants mothers and supervison by professional personnel, the poor results in the infants receiving iron fortified foods were due to poor compliance(85.75). Among the mothers of 98 IDA patients who were contacted by telephone , it was revealed that 29% did not give the oral iron preparation for more than 2 months. Furthermore, negligence or disregard by the parents occurred in 14% of the case , discontinuance of the oral iron preparation by the parents due to side effects occurred in 6%, and the children's refusal or poor oral intake and no further trial occurred in 6%. The dietary history of a large group of infants was highly predictive of their risk for anemia . Continued consumption of breast milk until the age of 1 year is not warranted unless iron-fortified foods are given concomitantly. Because there is a problem with compliance, more successful and safe strategies for preventing iron deficiency woold included dual coverage in the from of therapeutic iron supplementation as well use of iron-fortified foods for teddlers who are at risk of iron deficiency.

• Pediatric Infection and Vaccine
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• 제31권1호
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• pp.94-101
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• 2024

목적: 전세계적으로 코로나19에 대한 사회적 거리두기의 일환으로 보육시설에 대한 폐쇄, 휴원 및 재개원 등 영유아 대상 보육관련 정책에 변화가 있었다. 본 논문에서는 서울시에서 코로나19로 확진 영유아를 대상으로 인구학적, 역학적 특성을 파악하고, 연관이 있는 요인에 대한 분석을 하고자 하였다. 방법: 2020년 3월부터 2021년 12월까지 서울시에서 코로나19로 확진된 만 5세 미만의 영유아를 대상으로 역학조사서 및 집단발생 관련 자료를 분석하였다. 결과: 서울시 코로나19 확진 영유아는 총 5,025명이었다. 유증상자는 2,720명(54.1%)이며, 주된 증상은 발열(1,941명, 71.4%)이었다. 전체 코로나19 확진 영유아 중 96.4%는 기저질환이 없었다. 시간연장(야간, 24시, 휴일 등) 보육운영시설 비율이 높을수록 보육시설 관련 영유아 확진 비율이 높았음을 확인하였다. 결론: 영유아들의 낮은 중증화율과 치명률을 고려한 '일상 진료 시스템'과 같은 효율적인 모니터링 시스템이 필요할 것이다. 또한 무조건적인 폐쇄적 접근이 아닌, 과학적 근거에 기반하고 사회성 발달 과제를 놓치지 않을 수 있는 '감염병으로부터 안전한 보육 정책 마련'이라는 적절한 중재가 필요할 것이다.