| Young Hae Kim | 27 Articles |
Purpose
The purpose of this study was to identify effects of Massage therapy on feeding intolerance and physical growth in premature infants. Methods This study was conducted in the NICU of U university hospital, from June to December 2014. A quasi experimental design was used. A total of 60 premature infants were randomly assigned into two groups of 30 infants each. Infants of control group were given conventional treatment, while infants of experimental group given conventional treatment plus massage therapy. Massage therapy was performed for 15 minutes, 60 minutes before feeding, 3 times per day for 21 times over 7 days. The number of feedings withheld for feeding intolerance, number of gastric residuals, number of fecal excretions and physical growth variables (weight, height) were measured. Results After the intervention, number of fecal excretions and weight gain in the experimental group were significantly higher than that of the control group. Also, number of gastric residuals in the experimental group was lower than that of the control group. Conclusion Massage therapy laid the basis for nursing intervention to promote feeding tolerance and physical growth in premature infants. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to identify whether hearing a recording of mother's voice affected physiological reactions, behavioral state related to sleep and weight of very low birth weight (VLBW) infants. METHODS This was a nonequivalent control group pre-post test quasi-experimental design. The participants were 11 VLBW infants in the experimental group and 11 in the control group. In the experimental group, a recording of mother's voice was played to her infant by voice recorder four times each day for five minutes over 10 consecutive days in the incubator. RESULTS For physiological response (heart rate, respiration rate, oxygen saturation), there were statistically significant differences between the experimental and control groups. Behavioral state during sleep was more very quiet and quiet in the experimental group. In the daily weight change, there was no significant difference between the experimental and control groups. CONCLUSION The findings suggest that, for VLBW infants, the intervention of hearing a recording of mother's voice had some significance as a nursing intervention having a positive impact. Such interventions can help pediatric nurses to stabilize the physiological response and maintenance more very quiet sleep state and improve VLBW infants' growth. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to analyze teaching status and knowledge about children with Attention Deficit Hyperactivity Disorder (ADHD) in elementary school teachers. METHODS The participants of this study were 204 elementary school teachers in Busan. From July to September 2010, the researchers collected data by using self-report questionnaires consisted of questions about their teachers' characteristics and teaching status and KADDS (36 items) developed by Sciutto, Terjesen and Frank. Frequency, percentage, arithmetic mean, standard deviation, t-test and ANOVA were used to analyze the data using SPSS WIN 16.0 program. RESULTS Less than 50% of the participants had previous education on ADHD. According to this experience, there were significant differences in participants' knowledge about children with ADHD (t=4.703, p<.001). For the 36 items, participants had an average of 19.19+/-4.58 points out of a possible 36. Moreover, lack of knowledge about teaching children with ADHD and communication problems with the parents of these children were considered to be the most disturbing factors. CONCLUSION These results suggest that networks among teachers, parents and medical care professionals should be established. The results also indicate that educational programs for elementary school teachers should be developed in order to identify and teach children with ADHD appropriately. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to provide descriptive data about the characteristics of pediatric patients and nursing interventions in Regional Emergency Medical Centers (REMC). METHODS A retrospective design was used to examine the medical records of 4,310 children. The clinical data and nursing terminologies of REMC were analyzed using the Nursing Intervention Classification (NIC). RESULTS Male toddlers dominated the sample. The mean age of the children was 3.51 yr. In more than half of the visits, patients arrived between from 7 a.m. to 3 p.m., on a weekday. There were only 189 ambulance transports to REMC, (4.4% of visits). The most frequent injuries were due to falls (28.0%) and contusions (27.3%), but the most common reasons for visits were non-injury (73.4%): fever, cough/shortness of breath, seizures, and abdominal pain. Of the 4,310 visits, 27.8% spent 6-24 hr in the REMC, while 33% resulted in hospital admission and 2.1% in transfer to another hospital. Of the 17,929 nursing interventions, 17,909 elements (99.9%) were classified under NIC. All the listed NIC interventions, however, were not reflected in the level of practice demonstrated by REMC nurses. CONCLUSION These results can enhance the understanding of pediatric emergency nursing interventions and can make NIC more applicable. Citations Citations to this article as recorded by
PURPOSE
This study was done to identify the significance of smoking experiences in high school girls, and to define essential structures of the experience. METHODS A phenomenological approach was used for this study. Data were collected using in-depth interviews. Study participants were 8 high school girls who had experience with smoking. The method proposed by Giorgi (1985) was used to guide the process of data analysis. RESULTS Themes which emerged from the data were: 'Beginning to smoke affected by surroundings', 'Self intention to begin smoking', 'Stimulated smoking drive (appetite)', 'Giving emotional comfort', 'Mood of overlooking teenagers' smoking', 'Smoking dead zone', 'Knowing that smoking is not suitable', 'Habitual smoking', 'Prejudice against women smoking', and 'Admitting that women smoke'. CONCLUSION The findings provide an understanding of the smoking experience by high school girls and indicate that in order to develop the most effective nursing interventions to help female adolescents stop smoking, consideration needs to be given to the developmental stage of high school students. Citations Citations to this article as recorded by
PURPOSE
In this study, the internet game addiction level was assessed, and parent-child attachment level associated with the addiction was analyzed. METHOD From December 5 to 23, 2005, self-reported questionnaire data were collected from 990 Busan City elementary school students of the 5th and 6th grades. The questionnaire consisted of questions about their characteristic features in playing internet games based on the K-scale developed by KADO. The data were analyzed using the SPSS WIN 10.0 program. Frequency, percentage, arithmetic mean, and standard deviation, chi2-test, ANOVA analysis and Scheffe test were used to analyze the data. RESULTS 1. With regard to the level of internet game addiction, 71.2% of the students responded that they were general users, and 6.3%, at high risk for addiction. Mean scores were 103.3 for the high-risk group, 77.7 for the potential risk group, and 55.86 for the general user group. The total mean was 63.74. 2. Mean scores for parent-child attachment levels were 97.1 and 99.6 for father and mother, respectively. CONCLUSION These results suggest that a collaborative program to educate and counsel parents to increase the parent-child attachment level needs to be established in protection and recovery programs for internet game addiction.
PURPOSE
This study was done to describe the essential structure of the lived experience of working women raising children. METHOD Data were collected from 10 employed women with children who were under 2 years of age. The analysis of the data was done using the phenomenological analytic method suggested by Colaizzi (1978). RESULTS In this study, 6 essential themes were extracted: 'knowing by intuition child-rearing is difficult', 'having guilt-conscious of not being able to perform duties as a mother', 'hard work of maintaining two jobs', 'Lost self', 'realizing that one has become amother', 'thirsting for a social support system'. CONCLUSION With a rapidly increasing number of working women, the significance of this study in the field of nursing is in understanding the child-rearing experience of working women. The findings indicate the need for a systemic and emotional support system for working women raising children.
PURPOSE
This study was done to examine the experience of school health instructors in applying complimentary and alternative medicine (CAM). METHOD The participants were 215 health instructors working in elementary schools in Busan. Data were collected from Dec. 1, 2004 to Mar. 10, 2005 and were analyzed using SPSS WIN 10.0. RESULTS Most of the health instructors had knowledge about CAM. Among the various CAM methods, acupuncture was the most widely known at 78.6%. While 53.5% had no experience in CAM education, 46.5% had been trained. Slightly over half (52.1%) had used CAM at school and based their decision on personal experience. As to applicability of CAM at school, 72.1% thought CAM was applicable, and 78.7% of this group considered alleviation of symptoms and assistance in the treatment process as the reasons for their answer. There were significant differences in responses as to the applicability of CAM according to age (p=.002), work experience (p=.004) and educational background (p=.002). CONCLUSIONS The above results suggest that there is a need to develop a professional education program on complimentary and alternative medicine to assist school health instructorsto plan nursing interventions using CAM which are individualized and practical
Purpose
This study was performed to compare the difference of maternal attachment and the maternal role confidence between mother who feeds the child with mother's milk in sanitary pack by a nurse instead of her and mother who feeds the child with artificial milk. Methods: The subjects of this study consisted of mothers of premature baby who was in NICU and can not be fed with mother's milk directly. In the sample, 21 mothers were the breast feeding group and 20 were the bottle feeding group. Data were collected from April 3, 2004 to November 2, 2005, and were analyzed using SPSS WIN 10.0. Results: The degree of maternal attachment and maternal role confidence of the breast milk feeding group was higher than that of the bottle feeding group. In accordance with general characteristics, the difference was found in maternal attachment and maternal role confidence both breast feeding group and bottle feeding group. Conclusion More systematic nursing mediation is required for the lactation of mother's milk in sanitary pack is planned to do positive interaction between mother and the child, which has an influence on the formation of maternal attachment and the of maternal role confidence after hospitalization.
Purpose
This study was attempted to find out the differences of characteristics between potential substance-abuse group and healthy group of middle school students in Busan. Method: The participants were 458 middle school students in Busan. The data were collected from 1st September 2004 to 31th October 2004 using structured questionnaire, and then were analyzed by SPSS-WIN 10.0 program with frequency, percentage, mean, standard deviation and x2-test. Results: 23.6% of the subjects have been smoking, and 16.2% of them have been drinking. 18.6% of the subjects was classified to potential substance-abuse group based on the cut-point suggested by Lee et al.. The characteristics of potential substance-abuse adolescents are that they have religion and siblings, that their parents have divorced, that they don't live with their parents, and that their perceived health state is bad. Conclusion: Based on the findings of this study, It is necessary to develop a substance abuse prevention education program for potential substance-abuse group.
PURPOSE
This study was done to provide basic data for the development of a systematic discharge educational programs for pediatric cancer patients. METHOD The participants in this study were 132 mothers whose children were diagnosed with cancer and being treated at 3 university hospitals in Pusan. Data were collected from December 1, 20004 to February 28, 2005, and were analyzed using SPSS WIN 10.0. RESULTS The degree of education demand at the time of discharge from hospital was statistically significantly lower than the educational demand after the discharge. Such demand significantly varied in accordance with the length of time from discharge. Mother's educational demands were significantly different according to general characteristics of the child with cancer, especially during the first period of hospitalization and when there were changes in weight. CONCLUSION As mothers of children with cancer had higher educational demands after the child's discharge from hospital than at the time when education was provided at discharge and. the demands differented according to the length time since the child's discharge from hospital, there is a need to develop educational programs specific to these needs of the mothers.
PURPOSE
The purpose of this study was to identify the characteristics and the related factors of attachment-oriented caretaking behavior in mothers who are breast-feeding their infants. METHOD The subjects were 155 mothers who participated in a healthy breast-feeding contest in the Busan area. The data were collected from September 24, 2003, and were analyzed using SPSS WIN 10.0. RESULTS The mothers were highly affirmative in their attachment-oriented caretaking behaviors (total mean 2.59+/-.502 of a possible score of 3). Among the attachment-oriented caretaking behaviors (10 items), the scores for 6 items were higher than the average score and 4 items were lower than the average score. There were significant differences in the attachment-oriented caretaking behaviors according to level of education (p<0.05), and planned duration of breast-feeding (p<0.001). Mothers with university education who planned to breast-feed as long as the baby wanted had higher scores. CONCLUSIONS The above results suggest that nursing interventions which are individualized and practical are needed to encourage the attachment-oriented caretaking behaviors essential to breast-feeding mothers.
PURPOSE
This study is a descriptive study to contribute to children health improvement by finding out the actual state of breakfast and related features of skipping breakfast. METHOD The subjects of this study were 724 children. The collected data were analyzed through real numbers, percentage, mean and standard deviation, cross tabulation, chi2-test and t-test using the SPSS WIN 10.0. RESULT The rate of the children's skipping breakfast recorded 48.6%. Related Factors to skipping breakfast were sex, income, mother's education level and father's education level. 53.1% of girls skipped breakfast. In case of the group their family's income was over 3 million won/month and their father graduated college, the rate of skipping breakfast was low significantly. In groups having breast with rice, soup and side dishes, getting up before 7 A.M. and having good eating habit, the rate of skipping breakfast was low significantly. CONCLUSION It is necessary to induce a desirable breakfast habit by health education about the importance and necessity of breakfast. Therefore, it is supposed that parents should pay attention to their children to form the right eating habits and encourage them not to skip breakfast.
PURPOSE
To explore the level of and relationship between parental knowledge and confidence in newborn care. METHOD The sample of this study was consisted of 113 newborn's parents. Data was collected by researcher from Oct. 28th to Dec. 18th, 2002. Data were analyzed SPSS WIN(10.0) Program. RESULTS Total score of parents knowledge: Father's mean was 13.59(SD=5.32) and Mother's mean was 17.55(SD=3.72). There was meaningful difference in knowledge about newborn care between father and mother. The mother's knowledge was significant higher than the father's(t=6.45, p=.000). Total score of parents of newborn confidence: Father's mean was 40.66(SD=7.34) and Mother's mean was 41.88(SD=7.23). There was no difference in confidence in newborn care between father and mother(t=1.26, p=.209). There was significant correlation between knowledge and confidence about newborn care of fathers(r=.331, p<.001) and mothers(r=.317, p<.01). CONCLUSION There is a need to educate fathers to enhance their knowledge about newborn care. More research is needed to study the relationship between parental knowledge and accuracy of behavior regarding newborn care.
PURPOSE
This study was attempted to find out the actual conditions of drug education among the elementary school teachers. METHOD 468 teachers consists of nurse-teachers 175, class-room teachers 240 and athletics teachers 53 of the elementary schools in Pusan city were subjected for this study. The period was December 23th through December 28th, 2002 and collected data was analyzed by SPSSWIN program using frequency, percentage, mean, standard deviation and ANOVA. RESULT The results of this study were as follows: 1. The average point of nurse-teachers performance(2.11) was higher than that of class-room teachers(1.37) and athletic teachers(1.56). 2. Practical difficulties of drug education was no system in the curriculum for nurse-teachers(22.9%), insufficient expert knowledge for class-room teachers(26.3%) and a lack of education materials for athletics teachers(37.7%). For more effective drug education, 25.7% of nurse-teachers hope to have more organized curriculum presentations, class-room teachers(24%) and athletics teachers(22.7%) hope that more various education materials will be developed. CONCLUSION Based on this results, drug education contents is needed to supplement a drug use prevention program.
PURPOSE
The purpose of this study was to identify the effects of the obese program on BMI, body composition, physical fitness, knowledge, eating behaviors among the elementary school obese children. METHOD They ranged from the third to sixth grades with over 30% body fat ratio. The subjects consisted of 31 obese children who participated in the obese program and 34 obese who did not participate in the program. The contents of the programs for nine weeks from contained obese education, counseling and exercises once a week. The program lasted from Oct. 8 to Dec. 22, 2001. The Data were analyzed using SPSS program. RESULT Flexibility was significantly higher for the program participants than the nonparticipants at the post-test. Agility was significantly higher for the program participants than the nonparticipants at the post-test. Knowledge were significantly higher for the program participants than the nonparticipants at the post-test. CONCLUSION This study provides evidence that obese program is effective in changing the flexibility, agility, knowledge in obese elementary children over 9 weeks.
PURPOSE
This study was intended to present basic data of a more effective drug free education program by examining and analyzing the needs of drug and health education in the adolescent. METHOD The study subjects were 480 students from six high schools in Pusan. The data were collected by a self-administered questionnaire between June 1 and June 10, 1999. Descriptive statistics, t-test, one-way ANOVA, Scheffe test in SPSS program were used for data analysis. RESULT The scoring rate of knowledge for drug abuse of the subjects was 26.8%. For the scores of knowledge according to the type of drug, cigarettes were the highest at 38.4%, and for the scores of knowledge according to items, the abuse part was 59%, also the highest. The needs of drugs and drug education for the subjects had an average of 19.59. For the score of needs according to the items, plans to maintain and improve health was 1.72, the highest, methods to control anger and stress was 1.66, toxicity of drugs was 1.51, and medicinal use of drugs was 1.44.For the characteristics of the subject and characteristics relating to drugs, and the comparison of needs of drug education, consisted of students who said they liked or disliked their school life, those who have had drug education at school, who having received drug education by various kinds of materials, all had high needs for the education. CONCLUSION It is necessary that drug free education plans including plans to maintain and improve health on the basis of the needs of drug education for the adolescent and other contents such as the methods to control anger and stress are established. Development of various kinds of audio-visual materials, publicity booklets and educational programs for parents etc. are needed in order to make the adolescent have an interest in drug free education, and recognize its importance.
This study was conducted with 512 students in 4 primary schools located at the inner and the outskirt of K city, Northern Kyungsang Province from November 6, 2001 to November 27, 2001(during 3 weeks). This study was a research about the difference of a bullying degree and tendency of both teasing and teased students. The purpose of the study was to help nursing teachers in charge of student consultation and treatment. The findings are as follows.
First, for to whom students confess their worries, students in lower grade talked to their parents while students in higher grade talked to their close friends. The higher grader, the higher rate in solving their problems by themselves. For how many students are teased by their peers in groups, 52.0% students answered 1 or 2 students in a class. For the reasons of bully, 37.0% higher graders answered, very selfish and putting on airs after 29.6% lower graders answered, ugly and bad at speaking. Second, for perception of peer relation, 81.3% students participating in the study answered, very important. For a question whether students satisfy present relation with their friends by gender, 53.7% boys were satisfied while 34.6% girls were satisfied. Third, for difference in bullying by gender, boys mainly teased others by using words and physical power(p < 0.000) while girls estranged others. When it goes to teased students, it was the case: boys were bullied physically(p < 0.000) and linguistically while girls were hurt by estrangement. Having nothing direct to do with school achievement, nursing teacher should make good use of such an advantage that students tend to easily confess their worries to them and take care of psychological aspects of students in treatment. Furthermore, it needs to include contents of bully in the regular heath care education.
The purpose of this study was to evaluate the effect of informational intervention on postoperative pain following tonsillectomy in children. This study was performed on 30 children, aged 5-15 years, undergoing tonsillectomy and their parents by providing informational intervention with colored figure; operation procedure and information. Pain assessment was done by Pain Questionnaire. The results from this study were as follows : 1. Children in experimental group with mean 16.07 had lower pain scores than control group with mean 14.87 at 4th hours after operation(p < 0.05). It showed "significant difference" and first hypothesis was adopted. 2. Children in experimental group with mean 20.60 had lower pain scores than control group with mean 17.27 at 8th hours after operation(p < 0.05). It showed "significant difference" and second hypothesis was adopted. 3. Children in experimental group with mean 28.80 had lower pain scores than control group with mean 25.70 at 24th hours after operation(p < 0.05). It showed "significant difference" and third hypothesis was adopted. 4. When we analyzed the time difference and difference between two groups simultaneously by repeated measure ANOVA, the significant difference was not found. And so "the experiential group with operation-related information will show the lower pain sense than the control group just as the time flows after operation", fourth hypothesis was rejected.
Generally, it was found that providing information about operation to children and their parents reduced effectively postoperative pain in children, but in clinical settings there are minimum preoperative information-providing because of insufficient time and inconvenience although nursing staffs and patients know its needs. Conclusionally providing preoperative information should help children and their parents cope with Pre, Peri and Post operative events effectively.
This study was conducted to obtain a basic information related to a more systematic safety education and measures against children's accidents by a descriptive survey with regard to accidents actually experienced by elementary schoolers, their perceived safety education activities and school facilities to their safety lives. The data was collected among 1,654 pupils, belonging to the 5th and 6th grades in Pusan from Nov. 20 to Dec. 1, 2000. The data was analyzed using SPSSWIN(7.5). The results were as follows ; 1. According to the perception by elementary schoolers, they received safety life instruction at school in most cases from teachers in charge of their own class (41.0%). Such safety education was provided often during formal classes(24.4%). Traffic guidance was given by parents, highest in frequency(67.3%). 2. Matters as most often treated during safety life instruction were safety knowledge or dangerous things(37.5%). A majority of notices of school safety instruction were presented sometimes(48.4%). Source of knowledge about safety lives included teacher (35.3%), parents(32.9%), TV and newspaper (29.9%). As a source of knowledge of emergency treatment, school nurses were accounted for 41.3% that was highest. 3.Among the 1,654 students, 91.8% experienced at least more than one case of safety accident. The most frequent type and cause of safety accident were wound(33.7%). and self-carelessness(38.4%) respectively. In most cases, the subject experienced such accident during a break time(32.2%) and at a playgrounds.
Part of body as most often damaged by accidents were arms and legs, 25.4% higher than any other sides problem solving measures against the accident were taken by school nurse in most cases, 44.8% in percentage point. 4. Those students' perceived safety management of school facilities showed that they considered classroom facilities as most safe (61.6%), while playground facilities as least safe(42.8%). They also responded that the treatment of glass fragments or stones at playground is the most important item of safety management.
Recently in Korea, the adolescents' sexual problems including sexual violence have increased, and those phenomena have escalated to be one of the major social issues. This study was conducted to identify the variables related to the sexual harassments of the Korean adolescents.
The variables to which the subjects belong were gender, school grade, religion, extracurricular activity, amount of pocket money, school performance traffic mean to school, ownership of PC, internet contact frequency and place, contact to pornography, heterosexual friend, drinking, and smoking. The period of survey was from July 2000 to Dec.
2000. The subjects were 475 middle and high-schoolers in Busan and Kyung-Nam. The instrument to measure sexual harassments of the subjects was questionnaire. That was gained by modifying the three patterns(physical, verbal and visual) in the manual provide by the Ministry of Labor(1999). The degree of sexual harassments was measured by 4-point Likert scale. The collected data was analyzed with t-test and ANOVA by SPSS win(10.0). The findings were as follows ; 1. The variables related to the physical harassment were gender, age, pocket money, perceived school performance, traffic means, contact to pornography, having heterosexual friend, experience of drinking and smoking.
2. The variables related to the visual harassments were gender, age, perceived school performance, traffic mean, internet contact, contact to pornography, having heterosexual friend, experience of drinking & smoking. 3.
The variables related to the verbal harassments were gender, age, pocket money, perceived school performance, traffic mean, internet contact, contact to pornography, having heterosexual friend, and experience of drinking & smoking.
This study is to identify the characteristics of the growth and deveolpment, and to assess Obesity Index, BMI and Kaup Index of infants paticipated in a healthy breast-feeding contest. The subjects of this study were 94 breast- feeding infants, ages from 6 to 8 months. Their weight and height were measured and compared with Korean Standards. Their developmental state was tested by DDST(Denver Developmental Screening Test) standardized in Korea. The data were analyzed by using the SPSS-WIN 10.0. The result is as follows : 1. The weight of infants was more than Korean Standards, but the height was less. 2. There were statistically significant differences in Obesity Index, BMI and Kaup Index. Obese infants estimated by Obesity Index were about 10%, but by BMI and Kaup Index were 35.1% and 27.7%.
3. Spearman's rhos of Obesity Index and Kaup Index, Obesity Index and BMI, and Kaup Index and BMI were individually 0.526, 0.528 and 0.753. In conclusion, BMI should be added to the criteria for assessing healthy breast-feeding infants.
This research objected to the diagnosed patients as acute lymphoblastic leukemia, acute myelogenous leukemia, neuroblastoma, non- Hodgkins lymphoma, Hodgkin's disease, kidney tumor, myelodysplastic syndrom and juvenile chronic leukemia after admission in the "P" hospital in Pusan from Aug. 1. 1999 to Jan. 31. 2000.
The results of this study are summarized as follows. 1. On the specific character between the experimental(exp.) group and the control (con.) group : there were 7 of 4-7 years old patients(the most) in the experimental group(53.8%), 5 of 12 years old or older patients in the control group (38.5%).
Patients who experienced operation were 7 in the exp.
group(53.8%) and 6 in con. group(46.2%). The largest number of the patients' diagnosis was acute lymphoblastic leukemia by 5 in the exp. group(38.5%) and 4 in the con. group (30.8%). The hardest nausea came on the second day by 5 in the exp. group(38.5%), 9 in the con. group(69.2%). 2.
P-score of the nausea vomiting on the number of daily anticancer drug administration : first day, the exp. group got 9.6 and the con. group 17.6(P = 0.03). 2nd day, 10.9 and 19.4(P = 0.00), 3rd day, 10.6 and 18.3(P = 0.00), 4th day 10.0 and 18.0, 5th day 10.9 and 16.8(P = 0.05). The score showed statistically significant difference(P < .05).
3.Oral intake didn't show statistically significant difference between two groups. However the average of Oral intake of the exp. group was continually higher than the con. group except to the first day after administration. In conclusion, nursing intervention and nutrition care are much more needed on the 2-3th day after administration to reduce nausea vomiting, and for remission of nausea and enlarging oral intake it is utilizable to apply the easy, economic Oral Cryotherapy to the young patients who undergo chemotherapy.
The purpose of this study was to investigate the actual state of and the factors in relation to drinking and smoking of elementary school. The subject for this study consisted of 604 students of six elementary schools located in Pusan.
The data were collected by using a anonymous questionnaire during the period from Nov. 1, 1998 to Nov. 15, 1998. The results of this study are summarized as follows. 1. The rate of drinking of the whole respondents was 20.7% (male 25.4%, female 15.6%), the rate of smoking was 8.1%(male 11.7%, female 4.2%). The user of drink and cigarets together showed 5.6%. 2. The school year of the first drinking and smoking was most at the 5th grade in elementary school(drinking 24.8%, smoking 20.4%). The motivation of beginning drinking and smoking was curiosity for the most part(32.0%, 61.2%).
As to a way to get drink and cigarets, using a thing in the house' was most(82.2%). As to a used place, their own home or their friends' home showed 32.2% for the most part.
Companion was mostly alone(84.0%). 3. Those who had experience of drinking and smoking took more positive attitude toward drinker and smoker, were more hospitable to exhortation to drinking and smoking, and were more positive about the late intention of drinking and smoking, but his desire for health education was lower than not. And he showed overlooking or keeping step with his friend's drinking and smoking. 4. In the results so far investigated difference of drinking and smoking according to a general tendency of respondents. The experience of drinking was related to sex distinction (P=0.003) and the marital status of parents (P=0.001). And the experience of smoking had relation to sex distinction(P=0.001), the marital status of parents(P=0.001), the parent's attitude of bring up(P=0.020) and making use of leisure (P=0.029)(P < .05).
The subjects, under 18 old, 2,694 children who visited ER during 199H, were surveyed by the Triage and other statical data. The results were as follows : 1. The male to female ratio was 1.7 : 1, and the toddler(1-4 old) was the majority. 2. Triage : critical 1.3%, acute 14.6%, urgent 29.5%, nonemergent 54.6%. 3. The reasons of visiting ER : 1) The children had diseases(46.5%), injury (36.9%), TA(5.6%) and toxication(1.0%). 2) In diseases, male to female ratio was 1.5 : 1 and in injury, male to female was 2 : 1. 3) Among the children having in TA, 12-18 old groups was the majority(34.9%). 4. The time of visiting ; the 20 : 00-22 : 00 was the majority(16.9%). 5. By monthly and seasonal distribution ; Jan. (9.7%?), Mar. and May(9%) respectively, Dec. and July(6.7%) respectively. The children who visited ER in spring and autumn showed higher portion than those of summer and winter. 6. Results : admission(27.4%), discharge(68.4%), operations(2.8%), and DOA and DAA(0.4%).
The mortality of the infancy and toddler groups was 83.3%.
The infancy group showed the highest rate of admission. 7.
The time of staying in ER : 1-2 hrs was the major group(23.3%) and the average was 4.6 hours. 8. By clinical departments ; Ped, was 34.4%, PS was 20.8.%, Dental Surgery was 10.3% and Dermatology was 0.9%. 9. The types of visiting : the group who visited by themselves was 80%, transfer from the primary and secondary clinic was 17% and OPD was 3.0%.
10. The traffic means ; by the own cars and taxi were 87.6%, by hospital ambulance was 6.1% and by 119 ambulance was 4.3%.
The subjects of the study were the 120 mothers who had children hospitalized in 6 hospitals in P city during the period from Feb. 1. to May 30. 1996. The purpose of the study are (1) the problem encountered when they carried out Home Care after discharge and (2) the degrees of demand that they had against Home Care Services. In order to investigate the purpose above-mentioned the researchers used the 55 items of Home Care services belonging to 10 areas selected by Korea Home-Care Association in 1994. The items were modified and supplemented to 4-point scale. The selected data were analyzed by SPSS:PC+ and the following results were derived.
1. The subjects payed great attention to 5 items such as "pain control, OPD visits, diet-control problems" among the 15 sources of anxiety that they had against Home Care services after discharge. Especially, "OPD visits and knowledge deficit" would to be overcome by the nursing activities of the Home Care Nurses.
2. The acknowledge level of the subjects to the Home Care Project that governmental plans to carry out was surveyed and found as under : 50.0% responded they heard about Home Care Nursing System. 60.8% said that they thought the system was "very necessary" and "somewhat necessary". 65.0% said they would like to use the system. However, the acknowledge level of 50.0% is still low and is thought to need further national promotion and propagation.
3. The demand of the subjects against 55 Home Care Services was investigated and found as
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