PURPOSE
The purpose of this study was to identify factors influencing parenting confidence in first-time mothers and to provide basic data for development of maternal role education programs.
METHOD
The participants were 194 first-time mothers of babies aged 1-6 months who visited well-baby clinics in 4 hospitals. Instruments used in this study were self-reported questionnaires. The data were analyzed using descriptive statistics, Pearson correlation coefficient and stepwise multiple regression.
RESULTS
The parenting confidence level was moderate with a mean score of 3.26(range 1-6). Infant temperament was significantly correlated with maternal role confidence. Maternal role confidence was significantly correlated with child-rearing environment. Infant temperament and parenting stress were significant predictors explaining 50% maternal role confidence.
CONCLUSIONS
Nursing Interventions to promote parenting confidence among first-time mothers of infants in their first year are needed to improve maternal perception to infant temperament and reduce parenting stress.

PURPOSE
To investigate health problems in child day care centers, needs for Child Care Health Programs, and management of sick children by day-care staff.
METHODS
A cross-sectional descriptive study. Day-care staff (N=206) from 33 day care centers in Seoul, completed a structured questionnaire.
RESULTS
Almost half of the day-care staff (53.4%) experienced sick events in their child at least once a month. The most frequently reported difficulty in having a sick child was in not having a health professional to consult, and almost all day-care staff (99.5%) had asked parents not to bring a sick child to the day care center. The biggest reason of exclusion was due to infectious disease including measles, chicken pox, mumps, diarrhea.vomiting, and pink eye. The majority of day-care staff (97.6%) agreed that there is a need for Center-based Child Care Health Program (CCCHP), and expected general health & illness management, and special care for chronic disease from CCCHP.
CONCLUSION
These results showed a high incidence of sickness in children in day care centers, and there were great demands for a Center-based Child Care Health Program for day-care staff. Also the results of this study can be utilized as a basis for the establishment of child care policy in Korea.

PURPOSE
The purpose of this study was to develop a tool to assess the severity of illness in high risk newborns.
METHOD
The research design was a methodological study. The tool was developed in 4 stages: first, preliminary items were developed based on a questionnaire about the severity of illness index that was given to 8 health professionals in Neonatal Intensity Care Units (NICU) second, a panel of specialists reduced the preliminary items using 3 validity tests; third, final items were selected from the results of a pre-test. Finally, from July 2005 to May 2006, reliability and validity were tested with a sample of 160 high risk newborns admitted to the NICU.
RESULTS
The final tool to identify the severity of illness index in high risk newborns consisted 39 items and Cronbach's alpha coefficient for internal consistency was .922. Using factor analysis, 4 factors were extracted and these factors explained 54.451% of the total variance.
CONCLUSION
The instrument for assessing the severity of illness in high risk newborns developed in this study was identified as a tool with a high degree of reliability and validity. In this sense, this tool can be effectively utilized for assessing and implementing care for high risk newborns.

PURPOSE
The purpose of this study was to investigate the sleep/activity patterns of premature babies.
METHOD
The subjects were 55 premature babies who were hospitalized in the Neonatal Intensive Care Unit (NICU) of one University Hospital in Daejeon from September 1, 2004 to March 31, 2006. The sleep/activity patterns of the premature babies were observed for 24 hours a day for 7 days. The observations were made and recorded by the researcher and 5 trained research assistants using NCASA records developed by Barnard et al. (1979). For statistical analysis, frequency, average, t-test, and Pearson correlation coefficients were used.
RESULTS
The infants slept more and had less awake periods during daytime than full-term infants. As the hospital stay of the premature babies increased, the amount of daytime sleep and total daily sleep decreased, and the amount of daytime awake periods increased.
CONCLUSIONS
The findings suggest that the level of physical and physiological maturity of premature babies is one of the major variables that affect their sleep/activity patterns. Furthermore, the findings of this study will provide information about the sleep/activity patterns of premature babies, and present baseline data to develop the nursing intervention programs which support optimum development for the premature babies.

PURPOSE
This study was done to investigate internet addiction, sexual attitudes and gender egalitarianism in middle school students, and to identify the differences of sexual attitude and gender egalitarianism according to the level of internet addiction.
METHOD
The participants were 344 students from two middle schools in Seoul. Data were collected through self-report questionnaires which included an internet addiction test, a sexual attitude scale, and a Korean gender egalitarianism scale for adolescents. The data were analyzed using the SPSS program.
RESULTS
Of the students, 63.1% reported being average on-line users, 33.4%, heavy on-line users, and 3.5%, internet addicted. Sexual attitudes and gender egalitarianism of average on-line users were different from those addicted to the internet. Internet addiction, sexual attitudes and gender egalitarianism of students were different according to general characteristics, time spent on-line, and exposure and contact to cyber obscenities.
CONCLUSION
Sexual attitudes and gender egalitarianism in middle school students were influenced by internet addiction. Therefore nursing interventions to prevent and manage internet addiction need to be developed and provided to middle school students. Also a variety of programs for teaching sexuality to adolescents should be developed.

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
This study examined the awareness and attitudes of parents of 5th and 6th graders toward own children smoking.
METHOD
The participants were 766 parents of 5th and 6th graders in 11 elementary schools located in J city. Data were collected through questionnaires, which were constructed to include parents' recognition of harms to their own children cause by smoking, factors which influence their children to smoke, and parental supportive strategies to prevent smoking.
RESULT
The percentage of parents who answered that they did not know if their children were smoking was 94.8%, while the percentage of parents who answered that they knew that their children were smoking was 3.5%. Only 30% of parents had actually spoken with their children about the dangers of smoking. The mean parental recognition of the dangers of smoking was 3.16 points. Parental strategy for preventing and prohibiting smoking with the higher mean scores included forbidding children from entering bars and nightclubs which had the highest scores at 3.55 points; forbidding the sale of cigarettes to children was next at 3.54 points.
CONCLUSION
To prevent children from smoking, the role and attitude of parents is crucial. But the study results show that the role of parental guidance in preventing underage smoking was insufficient and under appreciated. Therefore, more systematic educational programs on preventing underage smoking are essential for parents.

PURPOSE
S: The purposes of this study were to identify the level of knowledge of good posture and postural habits among elementary school children and to identify the relationship between knowledge of good posture and postural habits.
METHOD
A descriptive correlational study was conducted. The participants were 507 elementary school children in Jangheung County. Data were collected using self-administered questionnaires. Descriptive statistics, t-test, ANOVA, and correlation were used for data analysis.
RESULTS
The percentage of correct answer for the knowledge test was 65.83%. Postural habits were not good. Although the strength of correlation was low, there is a statistically significant positive correlation between knowledge and postural habits. Not only school health nurses but also class teachers and parents played important roles in spinal health education. Educational needs for spinal health are high.
CONCLUSION
Although more research in this area is warranted, there is a pressing need for interventions aimed at developing healthy habits that promote postural hygiene among elementary school children. Development and evaluation of back education programs in elementary school is necessary.

PURPOSE
This study was conducted to develop a mother-fetus interaction promotion program aimed at enhancing the sensitivity of primiparas, and to evaluate the effects of a mother-infant play interaction.
METHOD
Participants were recruited from OB-GY clinic with postpartum take-care center (17 mother-infant dyads for intervention group and 17 dyads for control group). Data were collected from January 18 to August 5, 2005. For the intervention group, programmed education which focused on mother-fetus interaction in the 3rd trimester was given. For the two groups, home visiting or a postpartum care center was used for data collection of the mother-infant interaction which was conducted at postpartum 1 week and 1 month. Also mother-infant interactions during feeding were videotaped and two trained observers analyzed the tapes.
RESULTS
A significant difference was found in mother-infant interaction between the two groups (postpartum 1 week, t=6.10, P=0.000, 1 month t=6.69, p=.000). For variations in mother-infant interaction in the control group, a significant difference was found in between postpartum 1 week and 1 month (t=-2.564, p=.021). In subscale analysis, interactional behavior of the infant significantly increased in both groups.
CONCLUSION
This study showed that the mother-fetus interaction promotion program aimed at promoting mother-infant interaction increase maternal sensitivity. Therefore, this study suggests that this nursing intervention to increase maternal sensitivity to the fetus should be broadly applied with primiparas, as it can be beneficial for formation of the mother-infant relationship, and for promotion of the social, emotional, and cognitive developments of the children.

PURPOSE
This study was designed to construct a structural model to explain the quality of life of grandmothers caring for their grandchildren.
METHOD
Data were collected by self-report questionnaires from 232 grandmothers caring for their grandchildren living in Busan. The data collection period was from June to Oct. 2006. Data analysis was done with SAS 9.13 for descriptive statistics and PC-LISREL 8.52 program for Covariance Structural analysis.
RESULTS
The findings found that the fit of the hypothetical model to the data was good, but considering theoretical implications and statistical significances of parameter estimates, paths and variables of the model were modified by excluding 2 paths. The Modified Model with 17 paths showed a good fitness to the empirical data (chi-square =15.492 (df=11, p=.161), GFI=.985 AGFI=.940 NFI=.982 RMSR=.037 RMSEA=.042). Health status, health problems, economical status, life events, caring stress, caring efficacy and life satisfaction had significant effects on quality of life in the grandmother caring their grandchildren, but of these variables, self-esteem was the most essential factor. All predictive variables of quality of life together explained 63.9% of the variance.
CONCLUSION
The derived model in this study was confirmed to be proper in explaining and predicting the quality of life of the grandmothers caring their grandchildren.

BACKGROUND
Adolescent risk behaviors are of concern because they are dangerous in themselves and have negative influences on adult health. Objectives: This study explored six health risk behaviors of a sample representing the adolescent population in Jeju.
METHODS
Frequency and percentage of risk behaviors were calculated. Additionally, the chi-square test was used to explore whether differences in experimentation with risk behaviors exist relative to gender and schooling levels.
RESULTS
There were six major findings in this study: (a) a lower rate of lifetime and current cigarette use among female students compared to male students, (b) a substantial portion of heavy drinkers, (c) a higher rate of lifetime drug use among female students than among male students, (d) a higher prevalence of suicide ideation among female students than among male students, (e) substantial percentages of students who did not usually wear seatbelts, motorcycle helmets, or bicycle helmets, and (f) a substantial portion of students who were not involved in vigorous physical activities.
CONCLUSIONS
Since a substantial portion of adolescents have been involved with diverse risk behaviors, it is urgent to implement effective intervention strategies to reduce the rates of these behaviors.

PURPOSE
This study was done to evaluate the validity of the Korean - Child Development Review in screening children with developmental risks.
METHOD
The participants in the study were 172 children aged 6-75 months old and their parents. Data were collected by questionnaire or interview. Korean Denver II and Bayley test were administered with K-CDR for validation of children who were referred for developmental assessment at D University Hospital or public health center. The data were analyzed using correlation, chi-square test, and cross tab analysis.
RESULTS
There was a significant relationship between the K-CDR and Korean Denver II. The correlation coefficients were .42 to .61 by developmental sector. The sensitivity and specificity of K-CDR were .84 and .66 respectively when "abnormal" with MDI of Bayley test defined as lower than 85 the score which was used as a diagnosis of developmental delay. The responses to 6 questions for parents showed significant differences according to 3 groups by developmental state. Parents of children in the developmental disability group more frequently checked problems from the 26 problem checklist about their children's development and behavior.
CONCLUSION
The results show that K-CDR is valid and has good sensitivity and moderate specificity in screening developmental delay.