PURPOSE
The purpose of this study was to investigate the physical conditions and social adaptation of children who have undergone hematopoietic stem cell transplantation.
METHODS
The participants in this descriptive survey were 37 children who had undergone hematopoietic stem cell transplantation at least one year ago. Data were collected through observation and questionnaires and processed with the SAS program.
RESULTS
Compared to the time of diagnosis, WBC, RBC and platelet counts had increased significantly. The children were taller than at the transplantation stage, but there was no change in weight and73% of the children had physical symptoms. Boys who were between 6 to 11 years of age had lower rates of socialization and academic progress than normal Korean boys. Boys between 12 to 17 years of age had higher rates of socialization, but lower rates of academic progress. Girls between 6 to 17 years of age scored lower than normal Korean girls in both categories.
CONCLUSION
The above findings indicate that children who have undergone hematopoietic stem cell transplantation try hard to participate in everyday activities. Therefore nursing interventions to improving normal growth and development and facilitate social adaptation should be provided for them.

PURPOSE
The purpose of this study was to identify the effects of a obesity management program on BMI, body composition, knowledge, perception and attitudes, mood and exercise habits in obese elementary school children with the goal of developing nursing interventions to promote a healthy lifestyle.
Method
The study used a pre-experimental design with a one-group pre-post test. The content of the 8-week obesity management program included obesity education, diet control education, behavioral modification education, counseling, hand-reflexo massage, and exercise. Participants were 36 obese children who were students in elementary schools in K city. Data collection was done from October 4th to November 28th, 2005. The data was analyzed using descriptive statistics and paired t-test.
RESULTS
After the students received the obesity management program, their BMI scores were significantly lowered, and scores for mood and excercise habits were significantly improved.
CONCLUSION
The results show this obesity management program is effective in changing the BMI, mood, and behavioral modifications in obese students. The results suggest that this program be utilized to manage obesity in obese children, and that this study be replicated to compare an experimental group with a control group in order to verify the effects of the obesity management program.

PURPOSE
This study was done to verify the effects of preeducation and health contract on anxiety and adaptability of children with leukemia when undergoing a spinal puncture.
METHODS
Children in experimental group 1 (10) were given preeducation prior to the procedure and children in experimental group 2 (13), a health contract. Children in the control group (16) received the regular hospital preparation. Observation tools were used to evaluate adaptability and anxiety. Heart rate and oxygen saturation was also used as a measure of anxiety. The data were analyzed using the SPSS program.
RESULTS
Compared with the control group, experiment groups 1 and 2 showed significant difference in adaptability regarding the number of assistants and test posture. Experiment groups 1 and 2 showed significant difference in voice tone and movement level when compared with the control group. Elevation level in heart rate showed significant differences between the three groups.
Conclusions
Preeducation and nursing mediation through health contracts were shown to be effective methods to reduce anxiety and increase adaptability in children with leukemia who were undergoing a spinal tap.

PURPOSE
The purpose of this study was to identify the relationship among stress, physical symptoms and coping styles of high school students.
METHODS
In this study, 356 second grade high school students (male 181, female 175) from two schools, which were located in Dae-gu city, participated in the study. Mean scores with standard deviation, T-test, ANOVA, Pearson's Correlation Coefficient were used to analyze the data. Analysis was done using the SPSS/PC program.
RESULTS
The stress level of high school students averaged 2.59 out of a possible score range between 1 and 5, and physical symptoms, 2.38. The average level for coping styles was 1.36 of a possible range between 0 and 3. The correlations between stress and physical symptoms (r=.506), between physical symptoms and coping styles (r=.304) and between stress and coping styles (r=.363) were all significant.
Conclusions
To guide the high school health program, we must try to understand the traits of the students and make efforts to identify personal and concrete difficulties in coping. Therefore it is necessary to use a stress care program to systematically improve their health.

PURPOSE
The purpose of this study was to examine the relationships between safety knowledge, health beliefs and self-efficacy in child care teachers.
METHOD
The participants were 394 teachers from child care centers in Seoul city. Data collection was done using a questionnaire that included a Safety Knowledge Test, Health Belief Scale and Self-efficacy Scale. Descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient were used to analyze the data. The SPSS 11.0 Win program was used for analysis.
RESULTS
The mean was 12.11 for safety knowledge, 38.31 for health belief, and 91.07 for self-efficacy. There were statistically significant differences in the degree of safety knowledge according to safety education, in the level of health beliefs according to length of service as a teacher and in the degree of self-efficacy according to age, and length of service as a teacher. There were statistically significant positive correlations between safety knowledge and health belief, and between safety knowledge and self-efficacy of child care teachers.
CONCLUSION
According to the results, programs to improve safety knowledge, health beliefs and self-efficacy of child care teachers should be developed and used to decrease the proportion of accidents involving children in Korea.

PURPOSE
This study was done to analyze children's play during hospitalization.
METHOD
Data were collected from 36 play situations of hospitalized children, ages 2 to 6, hospitalized at 4 general hospitals, one in each city, Seoul, Suwon, Daejeon and Daegu. All observations were made in pediatric units during free-play periods. Each child was observed for 5 minutes at each observation and observed three times at each play session. RESULTS: Of the children, 83.3% played on the bed. Play partners were mainly mothers. While 75.0% of children actively took part in play activity and 70.0% played with joy, 63.9% of play partners were more passive in the play. The most frequent play material was a small toy. The level of play was early stage of social and cognitive play, and dramatic play was observed in a few children over the age of 3 years. The play activities were conversional play, reflections of therapeutic procedures, imagination, and exploratory play. In the conversional play, children converted hospital equipments into play materials.
CONCLUSION
It is recommended that health care team members should pay attention and actively participate in play of hospitalized children in order to help them have some control over the stress of the situation.

PURPOSE
The purpose of the study was to describe growth and development of breast-fed infants and to depict experiences of breastfeeding mothers.
METHOD
The data were collected from 145 infants and mothers participating in A Healthy Breastfeeding Infant Contest. The instrument used for this study was a self-report questionnaire completed by the participants and an evaluation record completed by the examiners.
RESULTS
The more specific results of the study are as follows: the weight of the infants was much higher than the Korean Standards. The height of infants was not significantly different from the Korean Standards except for 5 month old male infants. The results of Denver II showed all 145 infants were classified as normal. The breastfeeding experiences in mothers was as follows; 31.7% of the mothers breastfed for 5 months, 48.3% wanted to breastfed as long as the baby wanted. The mothers pointed out that the difficult problem in breastfeeding was insufficient breastfeeding room in public areas. What mothers want to know related to breastfeeding was, breastfeeding duration, time to begin solid food and recommended amounts, time to discontinue breastfeeding at sleep time and appropriate methods.
CONCLUSION
Mothers' experience in breastfeeding was positive. We should provide mothers a comfortable place in public areas for breastfeeding. Based on the result of the study it's propose that health professionals must intervene in breast care during both antepartum and early postpartum periods.

PURPOSE
The purpose of this study was to evaluate the effects of school safety education for children to increase their safety behavior.
METHOD
The participants were 262 fourth graders enrolled in S elementary school located in Anyang city. The participants were randomly assigned to three groups. For the first experimental group, school safety education was provided for both children and parents. For the second experimental group, safety education was provided only for the children. For the control group, no treatment was given.
Result
The first experimental group showed the highest increment on the classroom safety activities score. The first experimental group also had the highest increment on the outside-the-classroom safety activities score. Further, the first experimental group showed the highest increment on the traffic safety activities score.
CONCLUSION
Safety education in the elementary school is very effective to ensure children are protected from school and traffic accidents. Also safety education can be more effective if safety related parent education programs are provided to parents. Therefore safety education should be provided systematically for both children and their parents to prevent childhood accidents.

PURPOSE
The purpose of this study was to identify the factors of child behavioral problems and construct a descriptive model that explains child behavioral problems for school age children.
METHOD
The participants in the study were 586 4th, 5th, 6th graders and their mothers. The children attended 8 elementary schools located in Taejon city and their mothers. The tools used in this study was the Mother's Child Raising Behavior Scale by Park, Seong-Yeon and Yi, Sook(1990). To measure child's self esteem, the Self Esteem Scale by Kim(1987) was used; child perceived social support was measured with the Social Support Evaluation Scale by Dubow and Ullman(1989), and childhood behavioral problems were measured with the Korean standardized of version of the Korean-Child Behavior Checklist(K-CBCL)(1997). Descriptive statistics and linear structural relationship(LISREL) modeling were used to analyze the data. SAS and LISREL 8.12a programs were used.
RESULTS
The overall fit of the hypothetical model to the data was good < chi-square=103.07(p=0.00), GFI=0.96, AGFI=0.94, RMSR=0.04, RMSEA= 0.07, NFI=0.94, NNFI=0.95 > Maternal child raising behaviors(T=2.21) and child perceived social support(T=10.29) had a significant, direct effect on a child's self esteem. Maternal child raising behaviors(T=-3.87), and child self esteem(T=-2.04) and had a significant total effect on child behavioral problems. These variables accounted for 63 % of the variance of the child behavioral problems in the school age children.
CONCLUSION
These finding have provided support for maternal child raising behaviors, child perceived social support, and child self esteem as predictive variables of behavioral problems in school age children.

PURPOSE
This study was to develop a nursing intervention for infants nursing. Meridian massage and to investigate its effects on the behavioral state of the infants, mothering role satisfaction and mother-infant attachment.
METHOD
This study was conducted using a nonequivalent control group non-synchronized design in quasi experimental basis. Infants and mothers from Y health center were selected for the experimental group(17) and control group(14). Data were collected from August 11, 2005 to February 24, 2006. Infants in the experimental group were given Meridian massage education and practice for 50min three times a week for 3 weeks.
RESULTS
For behavioral state, when inactive infants in the experimental group showed a statistical significant difference by being in a greater state of alert as compared to the control group. The attachment of mother and infant was significantly higher in the experimental group than the control group. Satisfaction with mothering role was significantly higher in the experimental group than the control group.
CONCLUSION
Meridian massage is an effective nursing intervention to improve positive behavioral state in infants and also in maternal-infant interaction.