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Volume 6(3); October 2000

Original Articles
This study was performed to investigate the effect of kangaroo care on anxiety and confidence and gratification of mothering role in mothers of low birth weight infants. The subjects were 30 mothers of low birth weight infants, sixteen for the kangaroo care group and fourteen for the control group, whose infants hospitalized in two neonatal intensive care unit at two university-affiliated hospital. The kangaroo care was applied 9 times during the twenty six days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a low birth weight infant wearing a diaper and a hat is placed on its mother's chest. The questionnaire, state anxiety was completed before beginning the first intervention. The questionnaire, state anxiety and confidence and gratification of mothering role were completed at 2 weeks after discharge. The data were analyzed by a SPSS program. The results were as follows : 1. There were no significant differences in the state anxiety between the kangaroo care and the control group before beginning the first intervention. The state anxiety was significantly lower in kangaroo care group than in control group. 2.The confidence of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 3.The gratification of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 4. In mothers of low birth weight infants, the state anxiety was negatively correlated to the confidence of mothering role and the gratification of mothering role at 2 weeks after discharge. And the confidence of mothering role in mothers of low birth weight infants was positively correlated to the gratification of mothering role at 2 weeks after discharge. These results suggest that kangaroo care is an effective nursing intervention for mothers of low birth weight infants in reducing the state anxiety, improving the confidence and gratification of mothering role.
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A study on Health/Illness concepts in Hospitalized Preschoolers.
Mi Hae Sung
Korean J Child Health Nurs 2000;6(3):291-304.
The purpose of this study was to explore the health and illness concepts of hospitalized preschoolers. The subjects were 52 hospitalized preschoolers from 3 to 6 grade in one general hospital. Data were collected through semistructured interviews by author. this study was conducted from Mar 2, 2000 to Jun. 3o, 2000. Data were coded and categorized by content analysis. The results were as follows : 1. Hospitalized preschoolers's answers about health concepts were coded and then classificated to 7 categories(physical well-being, food, powerfulness, exercise, obedience to authority, cleanliness, sleep.) 2. Hospitalized preschoolers's answers about health behavior to maintenance health were coded and then classificated to 8 categories (food, obedience to authority, treatment, exercise, cleanliness, powerfulness, sleep, psychological stability). 3. Hospitalized preschoolers's answers about prevention of illness were coded and then classificated to 9 categories(food, treatment, obedience to authority, powerfulness, emotional stability, psychological stability, exercise, physical well-being, ability of social adaption). 4. Hospitalized preschoolers's answers about cause of illness were coded and then classificated to 3 categories(illness, trauma, food). 5. Hospitalized preschoolers's answers about treatments of illness were coded and then classificated to 9 categories(treatment, rest, emotional stability, sleep, psychological stability, food, obedience, exercise, powerfulness). 6. The levels of health and illness concepts in this sample were higher than those of the physical causality.
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Direction in Health Education of smoking Prevention for Elementary School Children.
Jung Soon Moon, Soo Yang, Ho Rahn Park, Eun Suk Lee
Korean J Child Health Nurs 2000;6(3):305-315.
In order to provide a desirable direction for the health education on preventing smoking of elementary school students, by understanding the views held by elementary school teachers on smoking prevention education, 529 teachers at elementary schools located in Seoul were responded by constructed questionnaires during the period of Nov. 15 to Dec. 18 1999. The results of the survey analysis were as follows: 1. 91.9% of the respondents said that schools should offer education programs on preventing smoking, and this view was more strongly shared by teachers with religions than non-religious ones. 2.37.6% of teachers responded that the education should start with 4th-5th graders, while 36.0% opted for 6th grades. With regard to the appropriate class in providing such education, 41.1% selected physical education (PE), followed by extracurricular activity class with 28.8%, 45.1% of the respondents said discussion would be the most effective education method, while 39.9% recommended using experiments. fall in diseases and growth and developmental defect were pointed out as the most interesting topic for students by 33.2% and 28.1% of the surveyed, respectively. As for the most effective media for education, 57.2% recommended video, followed by computer games(19.2%) and cartoons (20.0%). 64.1% of the teachers picked school nurses as the most appropriate person in carrying out the education. The results of the finding show that it would be most desirable to provide health education on preventing smoking to senior elementary schoolers during the PE or extracurricular activity class by school nurses. The program would be structured to first show video clips on growth and developmental defect or fall in diseases resulting from smoking and to have discussions or experiments on related matters.
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Change of the Sexual Knowledge and Sexual Attitude of the Primary School Children through Sexual Education Program.
Shin Jeong Kim, Soon Ok Yang, Geum Hee Jeong
Korean J Child Health Nurs 2000;6(3):316-328.
This study aims at not only suggesting some ideas useful in planning and doing the sexual education in the primary schools in the near future putting into test the sexual education program which has been developed by researchers in accordance with the national education courses but also improve sexual health of the children through taking right sexual knowledge and sound sexual attitude. For this study 21 students are selected from all class of the fourth grade of the 'D' primary school at H district in KangWon-Do and have been taught the sexual education program during 6weeks, 12times. The findings of the study are as follows: 1. After the sexual education program, the sexual knowledge of the primary school children show to be significantly different from that they had before(t=-6.661, p=.000). So, this finding indicating that the sexual education program helps the children have and expand the correct sexual knowledge accordingly. 2. In order to look into any change of the sexaul attitudes of the primary school children after the sexual education program, there were significant difference(t=-3.808, p=.001). It is discovered that children come to have more affirmative and sound sexual attitude after sexual education program. As the findings of the study indicate, it may be concluded as follows: Since the sexual education program can affirmative influence on the sexual knowledge and sexual attitudes of the children, it is recommendable to start the sexual education program as early as possible in their childhood so that they can estabilish a sound sexual mortality for themselves. Additionally, to perform the sexual education program suitable for every stage of children should be developed, qualified teachers and the educational materials should be reinforced and added enough and institutional device should be made to execute the sexual education program systematically.
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A Study on Korean Gender Egalitarianism among High School Students.
Ji Yoon Kim, Chae Soon Ahn
Korean J Child Health Nurs 2000;6(3):329-343.
This study was conducted to measure the degree of Korean Gender Egalitarianism among the students from six different high schools(132 girls, 127 boys) in Sunchon si, Chunnam province from Dec. 7th to Dec. 15th in 1999. The survey on gender egalitarianism was done in relation to the public understanding of the subject matter, parents' hug times, and parent's communication skills. Korean gender egalitarianism scale was standardized by Korea Woman Developmental Institutes in 1999. The data was analyzed by SAS program.
Results
were as follows: 1) Generally, girls are more conscious of gender egalitariannism than boys(t=-13.79, p < .001). Above all, the younger the students are, the more they feel equal(F=8.01, p < .01). In sibling cases, two sisters have the highest level of gender egalitarianism while two brothers have the lowest level of gender egalitarianism(F=9.20, p < .001). Students who come from religious families are more inclined to demonstrate gender equality(t= 2.42, p < .05). However, there is no diffrence in relation to the parents' ages or academic background or harmony within the family. 2)There is no difference that girls and boys generally communicate with their parents. In ages, 17 years old students communicate more than 18, 19 with parents(father F=3.97 p < .05?mother F=5.31, p < .01). That is, the younger students can communicate with their mothers more often than the older ones. In sibling cases, two sisters have more openly communication to parents while two brothers have(F=2.84, p < .05). Students communicate with their parents regardless of parents' academic background. But those from the family in harmony have more open chance to communicate than those who are not in hamony(father F=21.66, p < .001?mother F=13.37, p < .001). They can comm -unicate with their parents better when their fathers hug them than when they didn't get hugs(father t=-4.76, p < .001? mother t=-2.34, p < .05). They can also communicate with their patents better when their mothers hug them once or more than when they didn't get hugs(father t=-3.78, p < .001?mother t=-5.64, p < .001). 3) There is no diffrence whether the father hugs or not, but the mother's hug is very important because students whose mothers hug them once or more have significantly more gender egalitarianism than those students whose mothers didn't do(t=-3.98, p < .001). Based upon these results, it is recommended that we reconsider the role of gender in the socialization of high school students and also include gender egalitarianism in sex education. In this context, further study should be done for the improvement of students' communication within the framework of egalitarianism based upon parents' hugs(semi-language). Continued study is especially important in regards to the mother's hug and its enhancement of the students' gender egalitarianism.
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The Educational Needs and Satisfactory about Infant Care of the Mothers in the Post-partum Care Center.
Kyoul Ja Cho, Jung Yun, Seung Nam Paik
Korean J Child Health Nurs 2000;6(3):344-353.
This study was designed to compare the educational needs and satisfactory about infant care of the mothers in the Post-partum Care Center for development of the educational program. The subjects for this study were 100 mothers in the Post-partum Care Center in Seoul and Buchon. The data were collected during the period from Feb. to March, 2000. The Educational Need and satisfactory for Infant Care was measured by questionnaire that has developed by researchers. The data were analysed by descriptive statistics, paired t-test using SPSS PC+ WIN.The results were as fellow; 1) The educational needs of the mothers in the Post-partum Care Center were high (mean=4.32). 2)The satisfactory of the mothers in the Post-partum Care Center of educational program of infant care were middle range (mean=3.60). 3) The educational needs of infant cares in the Post-partum Care Center were higher than satisfactory of the mothers in the Post- partum Care Center of educational program of infant care(t=7.71 p=.000). 4) The educational need by content was signs, symptoms and management of disorders(i.g. cyanosis, seizure, fever, etc.) were higher than general care of baby(i.g. feeding, diaper change etc.). In conclusion, when the infant caregiver in the Post-partum Care Center teaching the method of infant care to mother, there should be in consideration of educational need of mother. And its educational contents must be included of mental and emotional development and signs, symptoms and management of disorders.
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Comparisons of Stressor and Coping Style between Headache-Suffering Children and Headache-Free Children.
Bok Yae Chung, Youn Lan Hong
Korean J Child Health Nurs 2000;6(3):354-361.
The purpose of this study was to examine the stressors and coping styles between headache- suffering children and headache-free children. The subjects of this study consisted of 112 headache-suffering children and 203 headache- free children. They were 5th and 6th grade of elementary school around Taegu city. The periods of study was from June 1, to July 20, 2000. Data were analyzed by SAS computer programme The results of this study were as follows: 1. The score of stressor of headache-suffering children was higher than that of headache- free children significantly. The scores of school stressor and mess media stressor of headache-suffering children were higher than those of headache-free children significantly. 2. There was no significant difference even though the mean score of the coping style in headache-suffering children was higher than that of headache-free children. There were also no significant differences in both problem-oriented coping style and emotion- oriented coping style. 3.Logistic regression analysis(stepwise) revealed that the most powerful predictor was the variable stressor in school(standardized estimate=0.316, P < .001), followed by stressor in mass media(standardized estimate=0.224, P < .05).
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The purpose of this study was to examine the stressors, coping styles , communication with mother, school adaptation and predictors for school adaptation. The subjects of this study consisted of 354 children. They were 6th grade of elementary school in Taegu city. The periods of study was from march 10, to march 18, 2000. Data were analyzed by SAS computer programme. The results of this study were as follows: 1. The mean score for stressor was 39.91 in children(range 24-72). The higher stressor among three subgroups of stressor was mass media stressor. The degree of stressor revealed to be influenced significantly economic status. 2. The most frequently used coping style was problem-oriented coping style(M=18.94) in children. The degree of emotion-oriented coping style revealed to be influenced significantly family's atmosphere 3.The mean score for communication with mother was 72,44 in children(range 20- 100). The degree of communication with mother revealed to be influenced significantly sex, economic status, family' atmosphere. 4. The mean score for school adaptation was 62.48 in children(range 25-100). The higher school adaptation among five subgroup was rule dimension. The degree of school adaptation revealed to be influenced significantly sex, birth, mother's job, economic status, family's atmosphere. 5. School adaptation were positively correlated with communication with mother, problem- oriented coping style(r=0.40 p < 0.001) (r=0.30 p < 0.001). 6. School adaptation were negatively correlated with emotion-oriented coping style, stressor (r=-0.16 p < 0.01)(r=-0.13 p < 0.01). 7. Forward multiple regression analysis revealed that the most powerful predictor was the variable communication with mother accounted for 15.25% in school adaptation. All variables accounted for 25.55% in school adaptation. From the above results, it can be concluded that teaching mother about importance of communication, encouraging to use problem- oriented coping style is necessary to improve school adaptation in 6th grade elementary school children.
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The Effect of Safety Education on Accident Proneness Prospect in Preschooler.
Shin Jeong Kim, Jung Eun Lee
Korean J Child Health Nurs 2000;6(3):372-386.
The purpose of this study was to provide basic data on preschool children for accident prevention and improve their health through sound, safe living enviornment with safety education estabilished through more systematic method. Data were collected from 300 preschoolers(150 preschooler are assigned to experimental group and 150 preschoolers are assinged to control group) from 4 to 6 years old using APP paper test which consists of questions and drawings. To experimental group, safety education were done 4 times within the time of 30 minutes per 1 time using education books, video, OHP, slide. The findings of this study are as follows: 1.There were significant difference in behavioral character between experimental group and control group( chi 2=11.690, p= 0.003). So, safety education have effect on the behavioral character of preschooler. 2. In the accident proneness on preschooler between experimental group and control group according to general characteristics, it proved significant difference in the case of accident prevention education were done, movement stability( chi 2=8.844, p=0.012) and behavioral character( chi 2=6.699, p=0.035), in the case of housing pattern is mixed-type, behavioral character( chi 2=10.37, p=0.006), in the case of subjects' age is 4 years old, watchfulness( chi 2=9.525, p=0.009), in the case of subjects' age is 5 years old, behavioral character( chi 2=7.324, p=0.026), in the case of children's order is second, behavioral character( chi 2=14.31, p=0.001), in the case of children's sex is boy, living safety( chi 2=7.981, p=0.018), movement speed ( chi 2=6.661, p=0.036), bihavioral character( chi 2=8.837, p=0.012), in the case of children's sex is girl, reasoning power( chi 2 =9.78, p=0.008), in the case of childrens have no past accidental experience, behavioral character( chi 2=9.862, p=0.007), in the case of nuclear family, movement speed( chi 2=6.341, p=0.042) and behavioral character( chi 2=9.326, p=0.009), in the case of mothers' age is under thirty behavioral character( chi 2=16.40, p=0.000), in the case of mothers' school career is under high school graduate, behavioral character( chi 2 =8.375, p=0.015), in the case of mothers' school career is beyond college graduate, reasoning power( chi 2=9.803, p=0.007) and behavioral character( chi 2=6.205, p=0.045), in the case of mothers' job is part time, movement speed( chi 2=10.99, p=0.004), in the case of mothers have no job, movement stability( chi 2=8.490, p=0.014) and behavioral character( chi 2=10.11, p=0.006). The difference of accident proneness between experimental group and control group according to general characterists, it also showed that there were significant difference in behaviorl character compared to other area.. From this findings, we can guess that safety education change and guide preschoolers' behavioral character to desirable direction.
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Structural Validation of the SHEQ Measure for Adolescents' Perceived Self-efficacy in Physical and Mental Health.
Young Ran Tak, Eun Young Lee
Korean J Child Health Nurs 2000;6(3):387-396.
The purpose of this study were to examine the construct validation and internal reliability of the SHEQ(School Health Efficacy Questionnaire)and to establish concurrent validity for the instrument among Korean adolescents by relationship found among SHEQ and the self-reported health status. The sample was consisted 393 high school students, aged with average of 17.40( +/- 0.59) years. According to the criteria used in this validating study, a four-factor structure, which consisted of 31-items, resulting from a principal components analysis with an varimax rotation, best represented the multidimensionality of the SHEQ of adolescents in Korea. Internal consistency estimated for the four factor on the SHEQ subscales range from .68 to .83. Evidence in support of concurrent validity for both 31-item and 38-item of SHEQ was provided by statistically significant correlations found between the two scales and self-reported health. With the findings of this study, the 31-item Korean version of the SHEQ can be used in practice as a reliable and valid instrument measuring perceived self-efficacy in physical and mental health for adolescents in Korea.
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The Influence of Thermal Head and Feet Support on Early Stage Weight Gain in Premature Neonates.
Seung Nam Paik, Hye sung Hong, Mi Hae Sung, Kyoul Ja Cho, Hyun Joo Yhee
Korean J Child Health Nurs 2000;6(3):397-410.
This is a nonequivalent control group pretest- posttest design in quasi experimental basis to assess how the thermal head and feet support influences on early stage weight gain in premature neonates. The clients were selected among the premature infants with the weight under 2000gms and with the gestational period under 37 weeks, admitted over 15 days in K university hospital, Seoul. The control group of 29 were selected from January 1998 to August 1998, who were without head and feet thermal support, and the experimental group of 30 were selected from September 1998 to May 1999, who were with the two thermal interventions. The results of the study follow, 1.The experimental group with thermal interventions showed more weight gain than the control group without thermal interventions, which was statistically significant between the two groups. 2.The physiological weight loss after birth showed less in the experimental group than in the control group. 3.The recovery of the birth weight after the physiologic weight loss showed no statistical difference between the experimental group and the control group. Consequently, the thermal head and feet supportive nursing intervention could be applied as a nursing intervention program to help the premature neonates' development. With the results above we should like to suggest the following: 1) A continuous application in the practice of our thermal supportive intervention for the premature neonates, a development of the content through evaluation, and a comparision of the results through a long time study. 2) A neccessity of deveopment of various study and cross comparision. 3) A neccessity of multi-angular study on the premature infants' characteristics influencing the thermal therapy and the study of the individual differences of the clients.
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A Survey of the Educational Demand for the Pediatric Nursing Curriculum in RN-BSN Students.
Kyoul Ja Cho, Kyoung Ah Kang, Shin Jeong Kim, Young Sook Moon, Kyung Hee Yoo, Ji Won Lee
Korean J Child Health Nurs 2000;6(3):411-422.
Considering the rapid change of modern nursing knowledge, it is necessary to make changes in the curriculum of nursing education periodically according to the patient-nursing needs and the students' needs. This means that nursing education has to provide opportunities for the development of knowledge, skills, and attitudes. Also, as the students of the RN-BSN program being all registered nurses, the education program for them is planned differently from the general undergraduate program. This study was conducted to establish the scope of educational contents of pediatric nursing in RN-BSN program. The contents of the pediatric nursing curriculum and its necessity was identified and reviewed. From June 5 to June 30 2000, data were collected from 309 RN-BSN students in 5 nursing schools. The questionnaire used for this study was developed by their researchers and the Korean Nursing Association and consisted of items according to the curriculum contents of pediatric nursing. The data were analyzed through frequency and percentages and was analyzed using SPSSWIN 10.0 programs. The results were as follows: 1.In the section surveying on the credits of pediatric theory and clinical practice, 3 out of 5 schools had 2 credits in theory (60.0%), and 2 credits for clinical practice in 2 schools, and 2 credits were given to the elective practice in 2 other schools. 2. In analyzing the degree of demand for lecture and clinical practice, 52.1% of students preferred lectures to be given by professors and 53.7% preferred their level of undergraduate knowledge updated and finally most of the students (81.9%) didn't want to do the clinical practice. 3.The students weighted the importance of current curriculum contents as follows : sex education of adolescence(60.8%), high-risk infant(59.5%), sex education of school age children(59.2%), the handicapped children (55.7%), health assessment(52.4%), children with pneumonia(51.5%), children with asthma (47.1%), children with burns(41.1%). In conclusion, there is a need for research to measure the degree of education satisfaction and needs in RN-BSN students and to improve the curriculum contents in pediatric nursing.
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This study was designed to find the characteristics and patterns in subjectivity of the perspectives on the coping strategies about practical stress in nursing student. Q-methodology was used as a research design and the research procedures were as follows. Q-sampling has been derived from the literature review and a questionnaire. Its credibility and validity were also tested by nursing professors. Total of 34 statements were selected. P-sampling has been drawn and 51 samples were selected. Based on 9 point scale, the selected respondents rated their operant definition on the perspectives on the coping strategies about practical stress in nursing student. The results of above procedures were analyzed by PCQ program. The perspectives on the coping strategies about practical stress in nursing student were analyzed based on the typical array, extreme comments, and the demographic information of study subjects. The results revealed that there were three types of the perspectives on the coping strategies about practical stress in nursing student. The three types were named as follows; 1) The first type, agree of positive change by oneself perspectives, was consisted of 18 subjects. They thought that they did their best positive change for the most effective coping strategies about practical stress. 2) The second type, agree of social support perspectives, was consisted of 13 subjects. They thought that they asked for an other person's help for the most effective coping strategies about practical stress. 3) The third type, agree of looking on avoidance perspectives, was consisted of 5 subjects. They thought that they looked on or avoided problems for the most effective coping strategies about practical stress. As a result, this study discovered three types of the degree of the perspectives on the coping strategies about practical stress in nursing student. By identifying the nature of each of three types, this study can be useful to develop efficient coping strategies about practical stress in nursing student.
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