| Il Young Yoo | 13 Articles |
PURPOSE
The purposes of this study were to assess the parenting stress in mothers of premature infants and stress related characteristics of mothers and infants. METHODS The methodology was a cross sectional survey study using self-report questionnaires. Participants in this study were 36 mothers of infants with corrected ages of 4 months to 12 months who were born prematurely. Data were analyzed using t-test, ANOVA, and Pearson correlation with the SPSS WIN 19.0 program. RESULTS The mean score for parenting stress in mothers of premature infants was 74.639+/-17.570, indicating that the mothers actually experienced stress. When mothers were able to have some private time, parenting stress was statistically significantly lower. When the residential status was having one's own house and the local community provided informational support regarding child nurturing, there was a statistically significant decrease in the sub-category of particular infant temperament. There was a statistically significant positive correlation between mothers' depression and parenting stress. CONCLUSION These results indicate that there is a need for nursing interventions to increase mothers' private time and to include informational support regarding health management of children including developmental status assessment from local communities. Citations Citations to this article as recorded by
PURPOSE
The main purposes of this study were to assess maternal-fetal attachment (MFA) of the expectant mothers of a fetus with a prenatal diagnosis of congenital heart disease (CHD) and to identify factors associated with MFA. METHODS The methodology was a cross sectional survey study using a self-administered questionnaire. Thirty pregnant women carrying a fetus with a prenatal diagnosis of CHD and 30 pregnant women with a normal fetus were enrolled in this study. The MFA Scale and PPS (The Prenatal Psychosocial Profile) were used to collect data. Data were analyzed using SPSS 20.0 Window version. Descriptive statistics, chi2-test and t-test were used to compare the two groups. The factors associated with MFA were identified by multiple regression analysis. RESULTS There was no significant difference between the two groups in MFA and social support from spouse was the only variable showing a significant difference. The model from the multiple regression analysis explained 33.8% of MFA for both groups. CONCLUSION MFA of expectant mothers with a prenatal diagnosis of CHD and of mothers with a normal fetus were not significantly different. It is important that health care providers encourage expectant fathers to support the expectant mothers to increase MFA. Citations Citations to this article as recorded by
PURPOSE
This study was conducted to describe the relationship of perception of parenting attitude, behavior problems and resilience of school age children. METHODS Participants were 131 children enrolled in the 4th to 6th grades. Data were collected from November 29 to December 6, 2010 using a self-report questionnaire. The questionnaire included the Parental Bonding Instrument, Korean version of Youth Self-Report, and Resilience. Data were analyzed using SPSS WIN 18.0 program. RESULTS There were significant differences in resilience according to gender, relationship with peers, academic achievement and school satisfaction. Resilience showed a positive correlation with parental bonding attitude and negative correlation with problem behavior in the children. CONCLUSION This result suggests that interventions focusing on parenting attitude to enhance resilience should be developed to help school age children. Citations Citations to this article as recorded by
PURPOSE
The main purpose of this study was to describe the relationship of mothers' parenting attitude as perceived by the child to self-esteem, and school adjustment of school age children with Tetrology of Fallot (TOF). METHODS In this study a self-administered questionnaire survey was used to collect the data. The participants included 38 children who were registered in a pediatric cardiology clinic in one tertiary medical center. Their ages were between 11 and 15 years. They were diagnosed with TOF, and had no other congenital problems. Data were collected from November 1 to November 30, 2009. After obtaining telephone consent from the mothers and children, questionnaires were mailed to 64 participants and 38 questionnaires were returned. Data were analyzed using Statistical Package for the Social Sciences (SPSS) WIN 15.0 version. RESULTS There was a significant correlation between perceived parenting attitude, self-esteem, and school adjustment of children with TOF. CONCLUSION Children who perceive their mothers' parenting attitude to be more positive also report higher self-esteem and better school adjustment. These findings are similar to other studies done with healthy school age children. However, parents of children with TOF may require different parenting approaches to foster positive self-esteem and school adjustment. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to describe quality of life in school age children and the relationship between quality of life and parenting attitude as perceived by children and parent-child communication pattern. METHODS Data were collected between May 26 and June 3, 2009 using self-report questionnaires from 148 pairs of children and their parents. The children were enrolled in 4th to 6th grades. The questionnaires included the Parental Bonding Instrument (PBI), Parent-Child Communication (PCC) Scale, and Pediatric Quality of Life Inventory (PedsQL). The data were analyzed using the SPSS WIN 17.0 program. RESULTS The Quality of Life (QOL) score for the children was significantly higher among children reporting higher parental bonding attitude (mother r=.38, father r=.34) and parent-child communication (mother r=.43, father r=.36). Results of multiple regression showed that factors significantly associated with QOL were academic achievement, caregiver available after school, parent-child communication, school satisfaction, relationship with peers, and birth order among siblings. CONCLUSION Positive relationships and good communication with parents and satisfaction with school life were important factors associated with quality of life in school age children. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to identify factors associated with the problem behaviors perceived by mothers of pre-school age children. METHODS The participants were 211 mothers living in 3 cities in Korea. The data were collected from May to June 2009 using a self-reported questionnaire including demographic data, child rearing-attitude, and K-CBCL 1.5-5. The data were analyzed using SPSS WIN 12.0 version. RESULTS Factors related to the mothers' perception on problem behaviors of their preschool child were; first born child, economic status, rearing attitude and occupational status of mother. CONCLUSION According to the result of this study, mothers reporting lower economic status perceived their children with more behavioral problems. Also, compared to the second or only child, the first born children were perceived to have more problems. Further study is needed to understand the mother and child interaction among these groups to implement appropriate parent education and counseling.
PURPOSE
The purpose of study was to describe knowledge and attitude to Attention Deficit Hyperactive Disorder (ADHD) in preschool teachers in Korea. METHODS: Survey methodology using a self administered questionnaire was employed as the research design. Knowledge and attitude were measured with a questionnaire modified from Jerome, Gordon, and Hustler (1994) and Ghanizadeh, Bahredar, and Moeini (2006). Of 223 questionnaires mailed out to 42 daycare centers in one district in Seoul, 164 questionnaires (73.5%) were used for data analysis. Data analysis was done using SPSS.WIN 15.0. RESULTS The mean score on knowledge for the teachers was 11.27 (59.3%) out of maximum score of 19. For question items, the percentage of correct answers related to etiology of ADHD was under 10% and the correct rate regarding treatment of ADHD was over 90%. Preschool teachers had a mean score on attitude of 20.77 out of 33. Less than 50% of the teachers reported positive attitudes toward the child with ADHD and over 90% agreed that the child with ADHD needs a special environment and specially trained teachers. Age (r=.236, p=.002) and marital status (t=-3.661, p=.000) were significantly related to attitude toward the child with ADHD. Knowledge and attitude had a significant positive correlation (r=.245, p=.001). CONCLUSION: These results suggest that educational programs and strategies should be developed to increase knowledge of preschool teachers on ADHD. Public health nurses also need to develop and implement education programs for teachers at daycare centers and others involved in child care in the community. Citations Citations to this article as recorded by
PURPOSE
This study was done to describe utilization status of emergency medical service for children at one university affiliated hospital located in Seoul. Data were obtained from the medical records of patients under 13 years of age who visited the ER from January 1 to December 31, 2006. METHOD Medical records missing the time of discharge were excluded in the analysis of waiting time, which resulted in 19,766 cases. Data were analyzed using SPSS WIN 14.0 version. RESULT There were slightly more boys (58.4%), average age of the children was 3.97 years of age. More children at the aged 1 to 3 years (51.3%) visited the ER. Fever was the most frequent complaint: 5,180 cases (24.38%). The other complaints were head or facial laceration (10.55%), vomiting (9.63%), abdominal pain (8.06%), cough (7.67%), and painful limb swelling (6.34%). Average waiting time before the first medical examination was 17 minutes, and average ER stay time was 3 hours and 23 minutes. CONCLUSION The results suggest the need to assign a nurse specialist for pediatric ER to provide more efficient care for the children. Also, extra staff assignment during the evening shift or extending office hours of local pediatricians should be considered.
PURPOSE
The main objectives of this study were to examine relationship between depression and resilience in children with IDDM and identify factors associated with depression. METHOD Data were collected from 63 children whose ages ranged from 10 to 15 years and who had been diagnosed with IDDM for over six months. Resilience was measured with an instrument developed by Kim (2002) and depression with the CDI by Beck (1967). Descriptive analysis, Pearson correlation coefficients and multiple regression analyses were used to analyze the data. RESULTS The mean score for depression was 11.71 (range: 0-54) and resilience was 99.03 (range: 32-128). There was a significant positive relationship between depression and academic performance (r=0.598, p<.01), and negative relationships between depression and perceived parenting attitude (r=-0.579, p<.01) and resilience (r=-0.577, p<.01). The result of multiple regression analysis showed that academic performance (beta=-0.419, p<.01), perceived parenting attitude (beta=-0.338, p<.01) and resilience (beta=-0.219, p<.05) were statistically significant for depression. CONCLUSIONS The children with IDDM who reported lower resilience, negative parenting attitude, and better academic performance were more depressed. It is important for nurses to identify the strengths of the children with chronic illnesses and to help them increase their resilience level to prevent depression. Parenting classes are necessary to help parents support resilience of their children and counseling programs for mothers of these children are also recommended.
PURPOSE
As a result of dramatic advances in the medical and surgical management of congenital heart disease (CHD), many babies born with cardiac anomalies today can expect to reach adulthood. The main purpose of this study was to examine the relationship between parenting stress and personal resources of mothers of children with CHD. METHOD Fifty-one mothers of children with CHD were recruited at the pediatric cardiac outpatient clinic from July 14th to September 25th 2006. Abidin's parenting stress index/short form (PSI/SF) and Brandt and Weinert's personal resource questionnaire (PRQ) were used. PSI has 3 sub-concepts; parental role distress, dysfunctional parent-child interaction, and difficult child. PRQ has 4 sub-concepts; intimacy, social integration, worth, and assistance. Data were analyzed using SPSS 13.0 version. RESULTS Correlation analysis showed that parenting stress was significantly related to 'intimacy', 'social integration', and 'worth' of mothers. Multiple regression analysis showed that parenting stress was significantly related to personal resource of mother and information by internet. CONCLUSION Mothers who felt they had supportive friends and family, high self esteem, and social integration reported lower parenting stress. Also, internet may be an effective method to provide information and share experience for mothers of children with CHD.
PURPOSE
The purpose of this study was to examine the effect on maternal confidence and mother-infant interaction of a maternal self-efficacy promotion program for Korean primiparas. METHOD This study was non-equivalent quasi-experimental research with a control group selected by purposive sampling. Based on Bandura's (1986) self-efficacy theory, the research team developed the maternal self-efficacy promotion program. The program included achievement experiences, verbal persuasion, and vicarious experiences. The program was provided through face-to-face teaching at the time of discharge, counseling sessions over the telephone, and a home visit. The mothers also learned about parenting skills using a videotape developed by the research team. Sixteen primiparas were recruited to the experimental group at one hospital in Kyongi province, and fifteen primiparas who were matched according to socioeconomic status were recruited to the control group at a postpartum care center in the same province. RESULTS Mothers in the experimental group demonstrated significantly higher maternal confidence and mother-infant interaction than those in the control group. CONCLUSION A maternal self-efficacy promotion program appears to be an effective nursing intervention for parenting of first-time mothers in Korea.
PURPOSE
The main purposes of this descriptive survey study were to describe parenting stress and needs of mothers of children with atopic dermatitis. METHOD Data were collected from 111 mothers of children under 6 year-old with atopic dermatitis registered at one university affiliated medical center in Seoul. The instruments used for this study were a self-report questionnaire, Parenting Stress Index (PSI) Short Form by Abidin, and an open question to identify nursing needs. Descriptive analysis, Pearson correlation and contents analyses were done. RESULT The mean score for parenting stress was 77.25 (range: 12-60), for parent domain 31.50 (range: 12-60), Parent-Child domain 21.02 (range: 11-55) and child domain was 24.72 (range: 11-51). There was a significant positive relationship between parenting stress and severity of symptom (r=0.192, p<.005). The maternal stressors included extra housework related to symptom management, treatment related to atopic dermatitis, personality and behavior of child, and financial problems. CONCLUSION the mothers of children with atopic dermatitis have high parenting stress from various stressors and needs. It is recommended that nursing interventions should include stress management and take into consideration the educational needs of mothers.
The main purpose of this methodological study was to develop an assessment tool and intervention protocol for child and family with childhood cancer at early diagnosis stage. The assessment tool and intervention protocol was developed by extensive literature review and consultation with experts.
Review of nine domestic and sixty-six international journal articles were done to identify stress, interventions, coping strategies and adjustment of children with cancer and their family.
Results were as follows; First, assessment at the early diagnosis stage need to include information on patient, family, and patient/family attitude toward diagnosis and treatment. Second, intervention protocol for children with cancer includes control physical symptoms, manage the side effects of chemotherapy and diagnostic or therapeutic procedures, control emotional responses, provide support and information, assist decision-making and adjust to environment. Third, intervention protocol for family includes controlling emotional responses, provision of informations, inducing family support to patient, improving family cohesion, supporting siblings and supporting spiritual growth. In conclusion, the early diagnosis stage in cancer treatment is important for child and family since this stage greatly affects the overall adjustment of child and family to live with cancer. Therefore, pediatric nurses need to be sensitive to the need of patient/family and systematically manage their needs at this stage.
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