• Child Health Nursing Research
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• 제30권1호
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• pp.7-16
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• 2024

Purpose: Children with cerebral palsy (CP) and their parents experience various problems that can affect their quality of life. This study examined factors affecting the quality of life of children with CP. Methods: A cross-sectional study was conducted in Yogyakarta, Indonesia, from January to August 2019. The participants were consecutively recruited children with CP aged 2 to 18 years and their parents. Ninety-eight children with CP and their parents, specifically their mothers, were recruited. Children's health-related quality of life (HRQoL) was measured using the Pediatrics Quality of Life Cerebral Palsy. Parental HRQoL and stress were measured using the WHOQOL-BREF and Parenting Stress Index (PSI). Results: Functional level V was the most common category for both Gross Motor Function Classification System (GMFCS) and Bimanual Fine Motor Function (BFMF) (35% and 28%, respectively). Children's mean HRQoL was medium (49.81±20.35). The mean total PSI score was high (94.93±17.02), and 64% of parents experienced severe stress. Bivariate analysis showed that GMFCS, BFMF, number of comorbidities, presence of pain, and parental stress were significantly correlated with the total score for children's HRQoL (p<.05). Multiple linear regression analysis (p<.05) demonstrated that more severe GMFCS and parental stress were associated with lower mean HRQoL scores in children. Conclusion: Factors including the level of GMFCS and parental stress affected the HRQoL of children with CP. Parental stress management should be included in the comprehensive management of these children.

• 한국산학기술학회논문지
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• 제13권12호
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• pp.5738-5744
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• 2012

본 연구는 문헌조사방법을 통해 보육정책의 현황을 정리하고, 문제점을 파악하여 향후 보육정책의 과제를 제시하는 것이다. 실태 분석을 통해 발견한 보육정책의 문제점은 0~2세 전 계층 무상 보육으로 인해 실수요계층인 맞벌이 가정의 이용이 어려운 점, 양육수당의 지원 대상에서 36개월 이상의 보육시설을 이용하지 않는 저소득층이 제외된 점, 보육시설 이용아동 대부분 국공립이 아닌 민간어린이집을 이용하므로 보육의 공공성 확보가 어려운 점 등이다. 이러한 문제점을 개선하기 위해 향후 보육정책에서 국공립어린이집 확충으로 보육의 공공성을 확보하고, 양육수당을 현실화하고, 질 높은 영아전담 어린이집의 수를 늘리고, 시간제 보육서비스를 확대하고, 부모교육 및 상담 프로그램을 지원하는 것이 필요하다.

• 대한간호학회지
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• 제34권5호
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• pp.722-728
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• 2004

Purpose: This study was designed to determine the predictors of postpartum depression. Method: One hundred-sixty one women within one year after delivery from one public health center located in the northern area of Seoul were used in this study. The instruments were a survey of general characteristics, the Edinburgh Postnatal Depression Scale, recent life events index, perceived social support from family, Quality of marriage index, parenting stress index, and Rosenberg's self-esteem inventory. Data was analysed using descriptive statistics, Pearson correlation coefficients, and logistic regression. Result: The average item score of the EPDS was 6.67. 12.4% of respondents, who scored above a threshold 12, were likely to be suffering from a depression of varying severity. The fitness of the model for explaining postpartum depression from six variables, plan for pregnancy, family support, quality of marital relation, perceived social support, life events, childcare stress, and self-esteem, was statistically significant and the predictive power of these variables was 90.9%. The significant predictors of postpartum depression were family support and child care stress. Conclusion: Further research is needed to identify the prevalence rate of postpartum depression using more reliable sampling methods from a large general population. Nursing interventions need to be developed for promoting family support and reducing childcare stress.

• 대한가정학회지
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• 제36권11호
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• pp.91-101
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• 1998

The purpose of this study was to identify which of the variables were associated with ineffective parental child-rearing practices and to examine the effects of cumulative risk factors on ineffective child-rearing practices. The subjects for this study consisted of 120 mothers and 120 fathers of two to six year old children attending a university child development laboratories. Self-report questionnaire were used to collect data on the following variables: 1) family backgrojnd characteristics; 2) child temperament; 3) quality of life; 4) social support; 5) intergenerational trasmission of parenting; and 6) parental disciplinary practices. Descriptive analysis, t-test, and chi-square analyses were used for data description and analysis. The major findings were as follows: 1) Mothers who perceived the child as being less emotional, more soothable, and who had higher levels of marital satisfaction and job satisfaction engaged in more effective child-rearing practices. 2) Fathers who perceived the child as being less emotional, and who have boys provided more effective child-rearing practices. 3) For both mothers and fathers, parents with higher levels of quality life, social support, and family income exhibited more effective child-rearing practices. 4) Parents exposed to several risk factors were much more likely to exhibit ineffective child-rearing practices than parents exposed to no risk factors. The results of this study indicate that the characteristics of the child, parent, and contextual factors all contribute to the parental child-rearing pracitices.

• Human Ecology Research
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• 제58권2호
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• pp.149-161
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• 2020

This study showed that the association between grandmother-mother relationship and grandmother-grandchildren ties is mediated by the coparenting. Participants consisted of 329 grandmothers who were rearing preschool aged grandchildren in the Seoul and Gyeonggido area. SPSS 23.0 performed descriptive statistical analysis and correlation analysis. The structural equation model was estimated with AMOS 23.0. Parameters were estimated using the maximum likelihood method. Model fit index used the chi-square statistic, the goodness of fit index (GFI), the Turker-Lewis index (TLI), the comparative fit index (CFI), the root mean square error of approximation (RMSEA). The mediation effect analysis followed a two-step verification process; direct and indirect effect. In addition, statistical significance of the indirect effect was examined using a bootstrapping procedure. The results are as follows. First, a positive correlation was found between the grandmother-mother relationship, grandmother-grandchildren ties, and coparenting. Second, the association between grandmother-mother relationship and grandmother-grandchildren ties is mediated by coparenting. The results of this study suggest that the quality of the grandmother's relationship with mothers and cooperative coparenting is important to building relationships with grandchildren. In addition, coparenting can be an important mechanism for grandmother-mother relationships and grandmother-grandchild ties. Based on the results of this study, we discussed ways to improve the grandmothers' relationship quality with the mother and strengthen parenting ability.

• 가정과삶의질연구
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• 제27권6호
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• pp.21-29
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• 2009

This study investigated the effects of three factors-mothers' parenting beliefs; child care-home involvement; and the home learning environment - on the school readiness of 3- to 5-year-olds. The subjects were 366 children who were enrolled in child care centers located in Seoul and the Kyoungki area, and their mothers. The Structural Equation Modeling (SEM) technique was employed to test the pathways to children's school readiness as indicated by the child's abilities in vocabulary, math and reading. The results showed that mothers' stronger beliefs in their responsibilities in their children's academic and behavioral development predicted greater involvement in child care and better quality in the home learning environment. Likewise, the quality of the learning environment predicted the extent of the child's readiness for school. No direct relation was found between child care involvement and the child's school readiness. The results imply that multiple factors - parental, child-care-related, and home environmental- explain the extent to which the child is prepared to adjust to scholastic life.

• International Journal of Human Ecology
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• 제11권1호
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• pp.75-84
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• 2010

This study examined the complex process of paternal disciplinary practices and identified the factors related to paternal disciplinary practices in an examination of the effects of cumulative risk factors on the ineffective disciplinary practices of fathers. The subjects for this study consisted of 200 fathers of six-year-old children attending childcare centers in Los Angeles. Self-report questionnaires were used to collect data for the following variables: 1) family background characteristics; 2) child temperament; 3) marital & job satisfaction; 4) quality of life; 5) social support; 6) intergenerational transmission of parenting; and 7) paternal disciplinary practices. Descriptive analysis, zeroorder correlations, multiple regression analyses, and chisquare analyses were used for data description and analysis. This study indicates that the characteristics of the child, father, and contextual factors contribute to paternal disciplinary practices.

• 대한가정학회지
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• 제33권1호
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• pp.155-168
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• 1995

The purpose of this study is to understand the parent's social cognition about disciplines in the context of korean culture by analyzing and interpretating theories of discipline and conceptions of parental role in disciplining children presented in the books for domestic life educatio of the chosen Dynasty period. The method used for this study is the historical method and the literatures of analysis are Naihun, Gyubeomseonyoung, Sasojol, Jongbo-Salimgyoungjai, Hahagjinam. Accoding to analysis, the disciplinary theory for children had the basis on the ideas that children learned through everyday expieriences and observation of surounding events, and that crytical periods of learning were at the early childhood. And parents assumed the responsibility for disciplining their children. Also the Chosen Dynasty period had the conceptions that parents had rigorous quality as well as warm-hearted toward their children and teached honor, modesty, plainess and industry.

• 아동학회지
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• 제17권1호
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• pp.213-226
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• 1996

The aim of this study was to investigate the relationships of mothers' authoritative and authoritarian childrearing attitudes to their 5-year-old children's attachment representations and to teacher-rated social competence. The sample consisted of 69 mothers and their 5-year-old children from intact families. Children were interviewed to assess the quality of their attachment representations using Slough & Greenberg's(1990) version of the Separation Anxiety Test(SAT). Mothers were administered the Childrearing Practices Report Q-sort(Block, 1965) and filled out questionnaires regarding their childhood experiences, their marital relationship and their psychological well-being. In addition, teachers rated children's social competency in school settings using Kohn's(1972) Social Competence Scale. Hierarchical multiple regression showed that mothers' high scores on affective components of authoritative parenting and low scores on authoritarian attitudes are closely associated with children's secure attachment as well as teacher-rated social competence.

• 가정∙방문간호학회지
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• 제8권1호
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• pp.5-24
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• 2001

The purpose of this study was to develop a parenting intervention program and determine the efficacy of the program with low-birth weight infants and their mothers. Nine dyads for the experimental group and twelve dyads for the control group discharged from the Neonatal Intensive Care Unit of a University Hospital in Seoul were recruited for the study. For the intervention group, programmed education and support which focused on the maternal sensitivity of the infant's behavior. rearing environment. motherinfant interaction and infant care were given to each subject. Individual counseling and home visits were provided at discharge, one week after discharge. and one and three months of corrected age in every infant. Structured questionaires were administered and feeding interactions were videotaped and coded by a blinded certified observer. A Quasi-experimental design was conducted for this study. Postpartum depression, maternal self esteem. infant care burden, HOME. mother-infant interaction, and infant development were measured. Results were in favor of the intervention versus the control group. On the Beck depression inventory, intervention mothers showed decreasing trends in depressive symptom vs control mothers although, there were statistically no significant differences between the two groups at each time. The mean score of experimental group was 11.55(mild depression state) at discharge and became 8,6(normal state) at 1 month of corrected age. On the other hand, the mean score of the control group was 13.92(mild depression state) at discharge and became 14.0. Maternal self esteem in both groups improved over time. Infant care burden in both groups was also shown to increase over time. There was a significant difference between the two groups in HOME(p=.0340) at 3 months of corrected age. HOME scores of the experimental group and the control's were 31.10 and 25.58, respectively. Mothers' emotional and language responses were significantly high in the intervention group compared with the control group(p=.0155). Intervention group (53.33) showed a significantly high quality of motherinfant interaction compared with the in control group (42.80)(p =.0340). Intervention group mothers appeared have a better quality of mother-infant interaction behaviors. On the other hand, there was no statistical difference in the infant part between groups. Intervention group infants had higher trends in a general developmental quotient: although, there was no statistical difference between groups. The general developmental quotient of intervention infants was 102.56 and control's was 91.28. However, the developmental quotient of the domain of 'individuality-sociality' was higher in the intervention group infants compared with the control's(p=.0155). The concerns identified by parents revealed two domains of an infants' health management -knowledge and skills in caregiving of lowbirthweight-infants, characteristics of lowbirthweight infants, identifying a developmental milestone, coping with emergency situations and relaxation strategies of mothers from the infant care burden. Interview data with the mothers of low-birth weight infants can be used to develop intervention program contents. Limited intervention time and frequency due to time and cost limitations of this study should be modified. The intervention should be continuously implemented when low-birth weight infants become three years old. An NNNS demonstration appeared to be a very effective intervention for the mothers to improve the quality of mother-infant interactions. Therefore intervening in the mothers of low-birth weight infants as early after delivery as possible is desirable. This study has shown that home visit interventions are worthwhile for mothers only beyond the approach as an essential factor in ability of facilitating a growth fostering environment. In conclusion. the intervention program of this study was very effective in enhancing the parenting for the mothers of low-birth weight infants, resulting in health promotion of low-birth weight infants. The home-visit outreach intervention program of this study will contribute to the health delivery system in this country where there is a lack of continuous follow-up programs for low-birth weight infants after discharge from NICU, if it is activated as part of the home visit programs in community health systems.