This research was to examine the mother's responsiveness to infant cue in order to improve interaction between mother and infant. The subjects were 144 mothers who gave birth to at general hospital for a public health center in Kangnung.
The gestational age of infants was more than 38weeks and birth weight was more than 2500g.
A questionnaire was developed by applying the content about infant cue in Barnard's NCAST program. This questionnaire was revised through the examination of expert is in this field. The questions were classified into 3 categories : 10 questions about engagement cue, 11 questions about disengagement cue, and 9 questions about general cue and reflex behavior. Each item measured the mother's responsiveness to infant cue using 5 scales : 2 positive responsiveness. 1 negative responsiveness, and 1 meaningless, 1 for in case which mother can't recognize the meaning of reaction.
The result presented that mothers showed positive reaction to engagement cue. However, most mothers still didn't recognize that their infants can lead a mother-infant interaction and show active response in interaction. Mothers tended to treat them as just passive objects. In disengagement cue, mothers tended not to give proper responsiveness to their infants when the infants desired feeding or not and they did not desire mother-infant interaction. In general cue and reflex behavior, the mother's reaction was positive and they took it granted as a infant's behavior. When each item was analyzed by the general characteristics of the subject, there was significant differences according to the mother's age, birth weight, average house income, birth order, feeding type, nature of infant, and infant's age.
The propose of this study was to propose for protection of childhood injury or accident and to provide safety measures.
Data was collected from 2,052 who visited emergency room of E University Hospital during 1 year period form January to December, 1996.
The results were as follows : 1. The most common type of accident was fall down (53.4%).
2. Male patients outnumbered female by the ratio of 1.68 : 1.
3. The highest incidence rate of accidents were observed in children between 1-3 years age group(34.9%).
4. Accidents were seasonally more frequent in spring(28.2%).
5. Accidents mainly took place at home(63%).
6. The time of accidental occurrence appeared to be predominantly high during a day 8:00 PM to 0:00 AM(35.1%).
7. The most frequent involved part of body was head and face(74%).
8. Most patients discharged from the hospital in good condition(85.4%).
Though clinical analysis, in the relation to accident, there were statistically significant difference in sex, age, season, injury place(all=0.000).
Empathy is an essential factor for establishing therapeutic relationship. Especially for pediatric nursing, the nurses need to know how to perceive children's feeling and thought and to express her understanding about them affectively.
So, empathy is considered as an important concept in pediatric nursing.
This study was attempted to measure the empathic ability of pediatric nurses by pediatric nurse and mothers of hospitalized children.
The subject of this study consisted of 83 pediatric nurses and 106 mothers of hospitalized children in 4 hospitals in Seoul and 1 hospital in Kyung-Gi.
Data were collected from Jan. 14 to Feb. 6, 1997, by the questionnaire method. The instrument for this study was the Empathic Construct Rating Scale : ECRS(60-item, 5 point scale). Data Were analyzed by descriptive statistics, t-test and ANOVA. Result of this study are summarized as follows : 1. Pediatric nurses perceived their empathic ability to be moderately high(Mn=3.71) The level of perceived empathic ability of the pediatric nurses showed no significance by general characteristics.
2. The mothers of hospitalized children perceived nurses' empathic ability to be moderate(Mn=3.27).
The level of perceived nurses' empathic ability of the mothers of hospitalized children showed significant differences by the experience of hospitalization of the children and the age of the mothers.
3. The perceived nurses' empathic ability of the mothers was significantly low than of the pediatric nurses(t=6.50, P<.001).
From the above results, it can be concluded. that the empathic ability of the pediatric nurses is not sufficient for caring children and mothers efficiently.
So, the pediatric nurses' empathic ability is needed to improve through facilitative relationship training as refreshment in-service education program.
The purpose of this study were to define the degree of performance in health promoting lifestyle and to identify the variable related to performance inn health promoting lifestyle of adolescents.
The subjects of this study were 469 adolescents in the 4 high schools. The sample data were collected using a purposive sampling method from July 1 to July 27.
The collected data were analysed by using descriptive statistics, Pearson's correlation Coefficients, and stepwise multiple regression with SPSS PC+ program.
The results of this research were as follows.
First, The means of performance in the health promoting lifestyle of adolescents revealed total 2.478 ; harmonious relationships 3.045, regular diet 2.236, professional health management 1.322, sanitary life 2.910, self regulation 2.558, emotional support 2.696, healthy diet 2.048, rest and sleep 2.651, exercise and activity 2.491, self actualization 2.466, diet control 2.408. The factor with the highest degree of performance was the harmonious relationships, whereas the one with the lowest degrees was the professional health management.
Second, the relationship between the degree of performance in health promoting lifestyle and its related variable were as follows.
(1) Performance in the health promoting lifestyle was significantly correlated with self esteem, self efficacy, health conception, perceived health status, mother's health promoting lifestyle, mother's health conception.
(2) The most important factor that affects performance in the health promoting lifestyle of adolescents was self esteem.
The combination of self esteem, health conception, mother's health promoting lifestyle, self efficacy, perceived health status accounted for 45.2% of the variance in health promoting lifestyle of adolescents.
This is descripitive study conducted to identify educational needs of mothers of nephrotic syndrome patients and the degree of the importance of educational activity perceived by nurses who look after nephrotic syndrome patients.
The study subject were composed of 60 mothers & 63 nurses of nephrotic syndrome patients whose children were hospitalized in 2 Pediatric wards of University Hospital in Seoul and 1 in Pusan from Mar. in 1997 to July 1997. A questionnaire for this study was item Kikert type 5 point scale, developed on the basis of previous literature and researcher's clinical experience and the reliability of the used instruments was alpha=.97.
The data analysis was done by SAS. t-test, and ANOVA were done to determine the effect of general characteristics of subjects on their educational needs. T-test was done to measure relations between the degree of educational needs and importance of educational activity.
The results were as follows.
1. The Educational needs of mothers ranked as the highest in home care.
2. In character of mothers, the degree of education, economic state, the number of child and occupation was significant in statistically.
3. The importance of educational activity of nurses ranked the highest in diagnosis and treatment of the disease.
4. The educational needs of nephrotic syn, children' mother and importance of nurses were different in diagnosis and treatment of the disease and home care.
On the basis of these results, we suggest as follows.
1. It is proposed that nurses use these results of the study actively for the educational program for Nephrotic Syndrome patients and their mothers.
2. It is suggested to make a comparative study of the degree of nurses' understanding of the importance on educational items with the instruments of this study.
This study was done to compare the breast-feeding primiparas' perceptions of their babies with bottle-feeding primiparas' at 2-3 days after delivery. The subjects of this study included 42 breast-feeding mothers and 56 bottle-feeding mothers. Data were collected by using the Neonatal Perception Inventory(NPI) devised by Broussard(1963) and added by Lee, Ja Hyung(1986) form December, 1996 to June, 1997.
The results of this study are as follows : 1. Primiparas perceptions of their babies according to their general characteristics.
1) There was no significant difference in mothers' perceptions according to mothers' age and whether they have a job or not.
2) There was a difference in mothers' perceptions according to their educational level(P<0.1).
2. The comparisons of breast-feeding mothers' perceptions of their babies with bottle-feeding mothers'.
1) There was no significant difference in the two group's perceptions of other babies 2) There was no significant difference in the two group's perceptions of their own babies.
(1) Breast-feeding mothers' general perceptions of their own babies were better than bottle-feeding mothers', but there was (2) Breast-feeding mothers' perceptions about the basic needs of their own babies were better than bottle-feeding mothers', and there was a significant difference between the two groups(P<0.05).
(3) Breast-feeding mothers' perceptions about the sense and motor abilities of their own babies were better than bottle-feeding mothers', but there was no significant difference between the two groups.
(4) Breast-feeding mother's perceptions about the necessary care of their own babies were lower than bottle-feeding mothers', but there was no significant difference between the two group.
3) There was no significant difference between the two groups' positive-negative perceptions of their babies (1) 69% of breast-feeding mothers and 69.9% of bottle-feeding mothers had positive perceptions about general conditions, but there was no significant difference between the two groups (2) 57.1% of breast-feeding mothers and 46.4% of bottle-feeding mothers had positive perceptions about the needs of babies, but there was no significant difference between the two groups.
(3) 50% of breast-feeding mothers and 48.2% of bottle-feeding mothers had positive perceptions about the sense and motor abilities of babies, but there was no significant difference between the two groups.
(4) 57.1% of breast-feeding mothers and 60.7% of bottle-feeding mothers had positive perceptions about the necessary care for babies, but there was no significant difference between the two groups.
3. 54.8% of breast-feeding mothers tried to feed their own babies on the 1st day after delivery. 83.3% of breast-feeding mothers chose the feeding method for themselves. Only 9.5% of breast-feeding mothers took recommendations for breast-feeding from nurses. 78.6% of breast-feeding mothers had no chance to learn about breast-feeding. 69% of breast-feeding mothers complained about the difficulties of breast-feeding. The most serious problems were : 'insufficient milk supply', 'lack of knowledge about feeding technique' and 'problems with nipples'.
Mothers with cerebral palsy children have much stress that is related to the care of children with cerebral palsy and to other household duties, and this state of the mother has an effect on the cerebral palsy child and on other household member.
Mothers in such stressful situations use various coping patterns.
The purpose of this study was as follows : to develop instruments that can be used for measuring the stress and coping patterns of mothers with cerebral palsy children, and to test a hypothetical model on the relationship between the mother's stress, her coping patterns and the variable affecting the stress and coping patterns.
The result of this study can be summarized as follows : 1. The stress scale was composed of 44 items and Cronbach's alpha was .94, and the coping pattern scale was composed of 19 items and Cronbach's alpha was .80. The mean score of stress scale was 136.12 out of a total of 220, and the mean score of the coping scale was 72.87 in a total of 95.
2. In test of the hypothetical model, it was found that extra-care demand, the support of the husband, the degree of handicap, health status and self-esteem had statistically significant influence on the mother's stress(r=.285,-.262,-.133,-.126). And the support of the husband, formal support, informal support, and economic status were found to have statistically significant influence on the mother's coping patterns(r=.412, .178, .178, .138).
Caring is the essence and it is the central and unifying domain for the body of knowledge and practice in nursing.
However a clear conceptualization of what caring in nursing does not yet exist.
The purpose of this study is to research the phenomenon of caring by obtaining verbal description of the experience of caring in handicapped children, to provide basic information for developing theory of caring, and to teach the humanism centered education.
The study design was a descriptive study using phenomenological method.
The subjects for this study were 26 nursing students who cared for handicapped children in S rehabilitation center form August, 24 to October. 29 1994.
Van kamm's phenomenological method was used for the analysis of the datas.
The results are as follows : The experience of caring was classified with 15 common elements and 61 descriptive expressions form 120 raw data.
The common elements were
The purpose of this study was to investigate gender differences in behavioral characteristics and their awareness of obese school children. The results were as follows : 1. In comparison with eating habits and food preference, the girls had more irregular breakfast and were likely to have vegetables/fruits than the boys.
2. In characteristics related to exercise and activities, boys did more exercise than girls. Particularly, in lunch free time, boys participated in playing various active excercise with friends, but girls participated in more non-active behaviors(such as, chattering, reading, or playing jack-stones).
3. In comparison with their awareness related to obese persons, about a half of boys had positive opinions(e, grong, healthy.), but about only 20% of girls had positive opinions.
It is important to asess the risk factors of parenting and provide early intervention for promotion of the maternal caretaking ability. The purpose of the study was to identify the maternal burden of caretaking, the supporting and the educational need for the caretaking activities of the mother of infant. Sixty three mothers of infants who visited the wellbaby clinic of S university hospital and one health center during the period of November 1st, to 30th in 1996 comprised the subjects of this study.
Data were gathered through the instruments that were developed by researcher.
Statistical analysis of this study was used ANOVA and Pearson correlation.
The results were as follows : 1) The mean score of the maternal burden of caretaking was 22.06. The maternal burden of caretaking was significantly high in the mothers who had vaginal delivery compare with the mothers who had caeserean section and in the mothers who gave artificial feeding compare with the group of breast or mixed feeding.
2) The mean score of the support need for the caretaking activities was 30.69. The support need for the caretaking activities was significantly high in the mothers who had the second child, compare with the mothers who had first or third child. And the support need for the caretaking activities was significantly high in the mothers who had caretaking help compare with the mothers who had no caretaking help. The specific subjects of 'mother-infant interaction', 'immunization' and 'prevention of accident' on the support need for the caretaking activities were relatively high.
3) The mean score of the educational need of caretaking activities was 29.3. The educational need of caretaking activities was significantly high in the mother who had the second child compare with the mothers who had first or third child. And the educational need of caretaking activities was significantly high in the mothers who had caretaking help compare with the mothers who had no caretaking help. The specific subjects of 'mother-infant interaction', 'emergency care' and 'prevention of accident' on educational need of caretaking were relatively high.
4) The maternal burden of caretaking was not correlated with the support need or the educational need of caretaking activities. But the support need of caretaking activities was significantly correlated with the educational need of caretaking activities.
5) The support and educational need of caretaking activities were significantly high in the mothers who wanted home care for caretaking their infants.
Through the study, it was found that there is considerable maternal burden of caretaking as well as the support and educational need on the caretaking activities in the mothers whose child is young. Therefore developing the systematic and effective program is needed to meet the mother's need.
The results of this study will be useful resources to develop the program. On the other hand, it can be recommended that home health care will be one of the approach to support the mothers caretaking activities.