Purpose The purpose of this study was to evaluate the effects of an education program for mothers of late-preterm infants on parenting confidence, breastfeeding rate, and infants’ growth and readmission rate.
Methods The participants were 53 mothers of late-preterm infants (26 in the experimental group and 27 in the control group). The experimental group was administered the late-preterm care education program while the control group received standard care. The program consisted of two sessions during hospitalization after birth, one session at the time of discharge, and telephone and social networking service consultations at weekly intervals for the month following discharge. The collected data were analyzed using the t-test, x2 test, and repeated-measures analysis of variance.
Results Parenting confidence and the breastfeeding rate were significantly higher in the experimental group than in the control group. However, there was no significant difference in the late-preterm infants’ growth and readmission rates between the experimental and control groups.
Conclusion A care education program for mothers of late-preterm infants can be a useful nursing intervention in clinical practice.
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Purpose The purpose of this study was to identify predictors of eating disorders in adolescents with type 1 diabetes, with the goal of providing data in support of nursing interventions to improve their health.
Methods A total of 136 adolescents aged 13-18 years with type 1 diabetes completed the Diabetes Eating Problem Survey-Revised, Rosenberg Self-Esteem Scale, and the Beck Depression Inventory-II, using structured self-reported questionnaires. The collected data were analyzed using the t-test, x2 test, and binominal logistic regression with SPSS version 23.0 for Windows.
Results The prevalence of eating disorders in adolescents with type 1 diabetes was 39%. Four significant predictors of eating disorders were identified; absence of body satisfaction (odds ratio [OR]=3.87, 95% confidence interval [CI]=1.55~9.65), depression (OR=2.87, 95% CI=1.13~7.28), female gender (OR=2.67, 95% CI=1.09~6.54), and glycosylated hemoglobin type A1c levels (OR=1.47, 95% CI=1.10~1.97).
Conclusion In order to prevent eating disorders among adolescents with type 1 diabetes, programs for managing adolescents’ depression and improving their body satisfaction should be developed. Futhermore, more attention should be directed towards programs aiming to prevent eating disorders in female adolescents.
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Purpose Epilepsy is the most common neurological disorder in childhood. Hospital nurses, who are the first to recognize seizures in epilepsy patients in the ward environment, possess expertise related to epilepsy and play a central role in epilepsy management. The purpose of this study was to develop an algorithm-based education program and to improve nurses’ knowledge and self-efficacy related to providing nursing care to children with epilepsy.
Methods The education program consisted of lectures on the definition, cause, classification, diagnosis, treatment, and nursing of epilepsy based on a booklet, as well as practice using an algorithm for nursing interventions when a child experiences a seizure. Twenty-seven nurses working at pediatric neurological wards and a pediatric emergency room participated in the education program. The data were analyzed using descriptive statistics and the paired t-test.
Results Nurses’ knowledge and self-efficacy showed a statistically significant improvement after participation in the education program on nursing care for children with epilepsy.
Conclusion The application of this education program for hospital setting is expected to improve nurses' capability to care for children with epilepsy, thereby contributing to a higher quality of nursing.
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Purpose This study aimed to identify stress levels due to end-of-life care, coping strategies, and psychological well-being among nurses in neonatal intensive care unit, and to investigate the effect of stress levels and coping strategies on their well-being.
Methods A total of 128 nurses in the neonatal intensive care units of general hospitals in B city participated. The data were collected using a self-report questionnaire. The collected data were analyzed using descriptive statistics, the t-test, ANOVA, the Pearson correlation coefficient, and hierarchical regression with SPSS version 22.0.
Results The coping strategy that nurses most often used was seeking social support. The factors affecting the well-being of the participants were wishful thinking, problem-focused coping and seeking social support, in order. Those 3 variables explained 21 % of the total variance in psychological well-being. Problem-focused coping and seeking social support were positively associated with psychological well-being, while wishful thinking showed a negative association.
Conclusion In order to improve the psychological well-being of nurses in neonatal intensive care units, it is necessary to provide nurses with a program to build a social support system and to improve their problem-based coping skills.
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Purpose The purpose of this study was to develop an experience-based sex education program to improve adjustment to puberty in elementary school students in the upper grades and to verify its effectiveness.
Methods This study had a pretest-posttest nonequivalent control group design. The subjects of this study were a total of 95 sixth-graders in Y city (experimental group: 48, control group: 47). The measurement variables were sexual knowledge, body image, self-esteem, and satisfaction with life. Four sessions of the experience-based sex education program to improve adjustment to puberty, consisting of 40 minutes per session, were provided to the experimental group.
Results Children’s sexual knowledge, self-esteem, and satisfaction with life in the experimental group, which participated in the experience-based sexual education program to improve adjustment to puberty, showed a significant increase compared to the control group. However, there was no statistically significant difference in body image.
Conclusion This study presents the development of an experience-based sex education program for adjustment to puberty to overcome the shortcomings of existing sex education programs that are limited to sexual knowledge and attitudes, and also verified that the sexual knowledge, self-esteem, and life satisfaction of the elementary school students who were provided with the program improved meaningfully.
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초기 청소년 대상 부모참여 포괄적 성교육 프로그램이 참여자의 성지식, 성태도, 성관련 의사소통에 미치는 효과 연구* 유진 이, 은숙 조 Journal of Family Relations.2024; 29(1): 115. CrossRef
Purpose The purpose of this study was to describe feelings and actions of nurses following withdrawal of life-sustaining treatment from children being cared for by the nurses.
Methods Data were collected by in-depth interviews with 7 nurses from different hospitals where children receiving nursing care had life-sustaining treatment withdrawn. The interviews were conducted from August 2016 to February 2017 when all data were saturated. Interviews lasted 30~90 minutes and were conducted 2~3 times per participant. Data were analyzed using Giorgi’s phenomenological research methodology.
Results The following factors constituted experiences of nurses working in pediatric wards when life-sustaining treatment was withdrawn from children: “agony and conflict in the aspects of care”, “heavy mind and regret for exhausting care”, “intentionally avoiding parents’ sadness”, “comforting sadness in the heart” and “orientation in the role of caring for children undergoing withdrawal of life-sustaining treatment.”
Conclusion Findings indicate that support systems and intervention programs need to be developed so that nurses can understand and wisely deal with experiences of withdrawal of life-sustaining treatment from children who receive care from nurses.
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Mediating Effects of Role Perception of Life-sustaining Treatment in the Relationship between Knowledge of Lifesustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among Nursing College Students Youngmi Park, Keumhee Nam, Joohee Bae The Korean Journal of Hospice and Palliative Care.2021; 24(1): 36. CrossRef
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Pediatric Nurses’ Perceptions related to End-of-Life Care and Turnover Intention Sook Young Baek, Sook Jung Kang Child Health Nursing Research.2018; 24(4): 353. CrossRef
Purpose The purpose of this study was to evaluate levels and correlations of epilepsy specific knowledge, attitude and anxiety in mothers of children with epilepsy.
Methods Participants were 176 mothers of children with epilepsy living in B and Y cities. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients with the SPSS 21.0 program.
Results Participants scored 57.2 (±1.7) out of 100 points on epilepsy-related knowledge; 35.6 (±5.0) out of 48 points on attitude toward epilepsy; 58.1 (±15.3) out of 85 on anxiety related to a child’s epileptic condition. The participants had higher levels of epilepsy-related knowledge if their family monthly income was three million KRW or higher (t = -2.92, p = .004); if there was no side effect from the medication (t = -2.91, p = .004); and if the mothers’ perception of the child’s health was good (F = 6.181, p = .001). There was a positive correlation between knowledge and attitude related to epilepsy (r = .321, p < .001), and a negative correlation between knowledge and anxiety (r = -.257, p = .001).
Conclusion Findings indicate that interventions which reduce mothers’ anxiety by providing epilepsy specific knowledge and help to achieve more positive attitudes to better ways of coping with child’s disease.
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PURPOSE This study was done to examine the incidence of pressure ulcers and associated factors, by inspecting the skin of newborn babies in a newborn unit or newborn intensive care unit (NICU). METHODS The participants were 101 newborn babies in either a newborn unit or NICU in D general hospital. The incidence of pressure ulcer was measured using the skin inspection tool for pressure ulcer, suggested by Agency for Health Care Policy and Research. RESULTS Incidence rate of pressure ulcer was 19.8%, and 80% of the newborns with pressure ulcers were premature babies.
The commonest region of onset was the ear (36.8%), followed by the foot (31.6%), occipital region (15.8%) and knee (15.8%). Those are the regions related to external medical devices like nasal Continuous Positive Airway Pressure and Pulse Oximetry. Factors related to pressure ulcers were gestational period of 37 weeks or less, hospitalization for 7 days or more, birth weight under 2,500 g and a low level of serum albumin. CONCLUSION The results of the study show that the skin and underlying tissues of premature infants is at risk for pressure-related skin breakdown. As most pressure ulcers are caused by medical devices, nursing interventions are required to prevent further aggravation of the lesions.
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PURPOSE In this study, a Checklist for Infant and Child Developmental Screening (CICDS) was designed for use by primary pediatric health care providers to identify infants and children with developmental delays. METHOD Each Item of the CICDS was constructed referring to existing tools. In 5 public health centers of B city, 500 infants and children were selected at the age of 2, 4, 6, 12, & 18 months and assessed between October and December 2006. CICDS and the Korea Denver II were compared to assesses the validity of the CICDS. RESULTS The CICDS consisted of 30 items in 4 areas; Personal-social, Fine motor-adaptive, Language, Gross motor.
The results of the CICDS correlated significantly with the result of Korea Denver II at each month of age. (r=0.19; p<.01). Of the 500 infants and children, 148 were "suspect" for development delays (sensitivity of 96%, specificity 73%). On the CICDS, 74.6% of children received same result as Denver II. In discriminant analysis, 89.9% of children were identified correctly by CICDS (p<.01). CONCLUSION CICDS could be a screening procedures to quickly and reliably identify infants with developmental delays. It also provides a mean of recording measurements of development characteristics.
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Validity of Instrument Development Research in Korean Nursing Research Kyunghee Lee, Sujin Shin Journal of Korean Academy of Nursing.2013; 43(6): 697. CrossRef
PURPOSE In this study, a comparison was done of the extent of health-related quality of life (HRQoL) for preterm and fullterm children during early childhood, and factors affecting HRQoL in the early childhood of premature children were analyzed. METHODS Eighty mothers of children born prematurely and 83 mothers of children born at fullterm listed on two Internet cafes were sampled for this study. The major instrument used for the study was the TNO-AZL Preschool Quality Of Life (TAPQOL) questionnaire. RESULTS Total score for HRQoL in the premature group was 80.5 (+/-9.9) and for the full term group, 85.0 (+/-8.3), on a 100-point scale. A comparison of the premature group and full term group showed that the domains which scored relatively lower with respect to HRQoL included the stomach, motor function, anxiety, liveliness and communication. Among the factors that have an impact on HRQoL were 'length of stay in neonatal intensive care unit (> or =7 days)' and 'birth weight (<1,000 gm)'. The explanation power of the model was 17%, which was statistically significant. CONCLUSION These findings indicate that a differentiated premature infant follow-up program for children who are hospitalized over 7 days in NICU or weighed under 1,000 g at birth is urgently needed.
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PURPOSE This study was done to investigate the point prevalence of postpartum depression and its predictors during early postpartum in mother of preterm infants. METHODS Participants were 101 women, 2-3 weeks after delivery whose preterm babies were hospitalized in a neonatal intensive care unit. Data were collected from June 2010 to January 2011. The instruments included 'Edinburgh Postnatal Depression Scale', 'Prenatal depression', 'Subjective health status of infant', 'Medical staff support', and 'Husband support'. Collected data were analyzed using t-test, chi2-test, and multiple logistic regression with SPSS/WIN version 18.0. RESULTS The point prevalence was 86.1% that postpartum depression occurred during the early postpartum period in mothers of preterm infants. Three significant predictors of postpartum depression in mothers of preterm infants were identified; 'Type of delivery (OR, 5.57; 95% CI, 1.25-24.77)', 'Subjective health status of infant (OR, 0.34; 95% CI, 0.16-0.70)', and 'Medical staff support (OR, 0.52; 95% CI, 0.28-0.97)'. CONCLUSION The results indicate that postpartum mothers should be screened for postpartum depression early in the postpartum period and that, medical personnel should pay particular attention to mothers with a caesarean section and should help mothers of preterm babies to develop positive perceptions of their babies.
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The physical and emotional health of South Korean mothers of preterm infants in the early postpartum period: a descriptive correlational study Jiyun Park, Kyung-Sook Bang Child Health Nursing Research.2022; 28(2): 103. CrossRef
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A Mother’s Experience of Hospitalization of Her Newborn in the Neonatal Intensive Care Unit Euna Choi, Youngeun Lee Child Health Nursing Research.2018; 24(4): 407. CrossRef
Predictors of Quality of Life in Mothers of Premature Infant Hyosin Choi, Yeonghee Shin Korean Journal of Women Health Nursing.2017; 23(3): 191. CrossRef
Relations of Postpartum Depression with Socio-Demographic and Clinical Characteristics of Preterm Infants and Mothers. Kyung Sook Bang, Hyun Ju Kang, Mi Kyung Kwon Child Health Nursing Research.2015; 21(1): 1. CrossRef
PURPOSE The purpose of this study was to investigate factors associated with suspicious developmental delay in infants and early childhood. METHODS Participants were 133 infants, aged from birth to 6 years old and their mothers, who were being seen at 16 Public health centers in B city. Korean Denver II was used to test infant development. chi2-test, Fisher's exact test and multiple logistic regression were used with SPSS 19.0 to analyze data. RESULTS Of participant infants, 7.5% were below the 3rd percentile for the weight percentile, 8.4% is a weight curve that crosses more than 2 percentile lines on the growth charts after previous achievement, and 9.8% had suspicious developmental delay according to Korean Denver II. Further the predictive factors related to suspicious development delay in the children were decrease of weight percentile (Odds Ratio [OR]=6.69, Confidence Interval [CI])=1.22-36.45), low economic state (OR=6.26, CI=1.50-26.00), and developmental delay perceived by their mothers (OR=4.99, CI=1.24-20.06). CONCLUSION It is necessary to build a government level system to follow management of development of infants and children from the time of birth. Especially, it is necessary to develop a program for children in low income families.
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Health-Related Quality of Life in the Early Childhood of Premature Children. Eun Hee Lim, Hyeon Ok Ju Child Health Nursing Research.2015; 21(1): 37. CrossRef
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.
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.
Recently, the number of obese people have been increasing due to westernized diets and increased sedentary activity.
In particular, obese adolescent have been newly recognized as having significant health problems. This study focuses on determining the gender difference of obese adolescents through implementation of a structured questionnaire on general characteristics, attitudes toward dieting, eating habits and emotional depression due to obesity. Data collection was carried out by 291 students in attendance at 3 high schools in Pusan from 11. 2. 1998 to 11. 30. 1998.
The targes were 148 boys and 143 girls who were judged as obese in the school's physical check-up. The test of reliability of this research was calculated by chronbach's alpha . Data analysis was managed by computer and statistics by SPSS/WIN.
The results of the survey are as follows: 1.For the questionnaire regarding attitudes toward dieting which include 28 items, 10 out of 28 items (about 36%)showed gender difference. 2. For the questionnaire regarding eating habits which include 17 items, 5 out of 17 items (about 30%)showed gender difference. 3.For the questionnaire regarding emotional depression about obesity, 30.6% of boys and 27.3% girls answered but no statistical significance.
The results of this survey indicated that this study will be important as a good guideline for treating obese adolescents. It is hoped that much more research on gender difference in obese adolescents will be implemented in the future. In addition, the development of effective treatments for obesity should be based on the gender of the adolescent.
PURPOSE The purpose of this study was to evaluate and compared the growth and development of premature and full-term infants during the 2 years after birth. METHOD The participants were 102 infants, 51 each for premature infants, and for healthy full-term infants.
Participants in the premature group accounted for 17.5% of all premature infants who were registered at the public health center in G city. Developmental status was evaluated using the Korean Denver II. RESULTS The catch-up growth of the premature was 100% in weight and in height. Suspicious developmental delay according to the Korean Denver II was 3.9% in normal infants and 31.2% in premature infants. Factors related to the suspicious developmental delay in premature infants were their age and health state at birth. The rate of suspicious developmental delay was higher in infants over 6 months and infants unhealthy at birth. CONCLUSION A premature follow-up program, which includes nutrition education to achieve catch-up growth and to prevention obesity, along with continuous developmental screening test for infants and children born prematurely is recommended. Provision for home visits and telephone counseling for premature infants and their families who do not to use the public health center should also be included.
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.
, Hyeon Ok Ju
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