• Title/Summary/Keyword: 아동의 건강증진

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A qualitative study on the experiences of community child center workers to deal with the mental health of children and adolescents (지역아동센터 종사자의 아동청소년정신건강 문제 대처경험에 관한 질적 연구)

  • Bae, Eun Kyung
    • Journal of the Korean Society of Child Welfare
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    • no.56
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    • pp.33-68
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    • 2016
  • This study aimed to explore the experiences of community child center workers about how they have dealt with the mental health of children and adolescents who use such centers. For this study, we used a sample of ten community child center workers, who were divided into two groups and who participated in four focus group interviews. The results revealed four themes and twelve sub-themes: "the reality of facing children's mental health issues," "dealing with children's mental health issues and limitations," "know-hows accumulated from experiences and visible changes," and "remaining tasks--the workers who cannot give all." Based on the results the implications of promoting the mental health of children at community child centers were discussed.

Development of a Tool to Measure Maternal Behavior for Health Promotion for Preschool Children with Disabilities (학령전기 장애아동의 건강증진을 위한 어머니의 행위 측정도구 개발)

  • Lee, Ae-Ran;Han, Kyung-Ja
    • Child Health Nursing Research
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    • v.13 no.4
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    • pp.444-453
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    • 2007
  • Purpose: The purpose of this study was to develope a tool to assess mothers' behavior related to healt promotion if their preschool children had disabillties. Method: The research design was a methodological study. This tool was developed in 4 stages: first, a content matrix as a conceptual framework was developed using Gordon's 11 functional health promotion patterns and 5 categories (Lee, Jung & An, 1996); second,40 preliminary items were selected through references and interviews with 9 mothers of children with disabilities; third, 2 items were discarded after content validity was done by 3 experts; fourth, reliability and validity were tested with a sample of 243 mothers of children with disabilities who were of preschool age. Results: The final tool consisted of 19 items and Cronbach's alpha coefficient for internal consistency was .82. Five factors were extracted by factor analysis and they explained 55.58% of the total variance. Conclusions: This tool was identified to have a high degree of reliability and validity. So it can be utilized to assess mothers' behavior in providing health promotion for their children who have disabilities.

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The Effects of Self-efficacy on Health Promotion Behavior in Obese Elementary School Children (초등학생 비만아동의 자기효능감이 건강증진행위에 미치는 영향)

  • Jeong, Nam-Ok;Jeon, Mi-Suk
    • Child Health Nursing Research
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    • v.15 no.2
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    • pp.228-235
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    • 2009
  • Purpose: The purpose of this study was to investigate the effects of self-efficacy and health promotion behavior in obese elementary school children. Methods: The participants for this study were 280 students from seven elementary schools, located in Chonbuk Province. For data analysis, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and simple linear regression were used with SPSS WIN ver 15.0 Program. Results: The mean scores for self-efficacy and health promotion behavior were $2.95{\pm}0.60$ and $2.99{\pm}0.39$ respectively. There were significant positive correlations between health promotion behavior and self-efficacy (r= .614, p<.001). The main predictor of health promoting behavior in obese elementary school children was self-efficacy, which explained 37.7%. Conclusion: The findings from this study indicate a need to develop nursing intervention programs to health promotion behavior in obese elementary school children including the promotion of self-efficacy.

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A Predictive Model of Health Promotion Behavior in Obese School-Age Children (학령기 비만아동의 건강증진행위 예측모형)

  • Jeon, Mi-Suk;Kim, Hyeon-Ok
    • Journal of Korean Academy of Nursing
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    • v.40 no.2
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    • pp.264-276
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    • 2010
  • Purpose: The purpose of this study was to propose and to test a predictive model that could explain and predict the health promotion behavior of obese school-age children in Korea. Methods: Participants for this study were 365 students from 13 elementary schools located in Jeonbuk Province, Korea. The data were analyzed using SPSS 15.0 program and Amos 7.0 program. Results: The results verified the factors that influence health promotion behavior of the participants. Important direct factors were prior health-related behavior, perceived self-efficacy, and commitment to a plan of action and indirect factors were perceived barrier and activity-related effect. These factors explained 75.3% of variance in the participants' health promotion behavior. The proposed model was concise and extensive in predicting health promotion behavior of the participants. Conclusion: Findings may provide useful assistance in developing effective nursing interventions for maintaining and promoting health promotion behavior in obese school-age children.

The Influence of Perceived Family Strengths on Parenting Stress of Mothers with Disabled Children (장애아동 어머니가 지각한 가족건강성이 양육스트레스에 미치는 영향)

  • Ko, Chul-Soon
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.389-397
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    • 2016
  • The purpose of study was to identify the influence of perceived family strengths on parenting stress of mother with disabled children. Cross-sectional descriptive study design was employed. Participants were mothers with disabled children who recruited from D & C city. Collected data was analyzed using SPSS 21 version with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, & multiple regression. Family strength was negatively correlated with the parenting stress. In regression analysis, religion, treatment period, and family strength had a significant impact on parenting stress (F=5.158, p<.001) and these factors explained 28.5% of the parenting stress. These findings indicated that it is necessary to develop a program for increasing family strength in parent with disabled children.

The Effect of the Health Education Program for Mothers with Developmental Disabled Children on Health Care Behavior and Parenting Stress (발달장애 아동을 위한 어머니 건강교육프로그램이 자녀 건강관리행위와 양육스트레스에 미치는 효과)

  • Kim, Hye-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.338-346
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    • 2016
  • This study was conducted to develop a health education program to help mother's cope with developmentally disabled children's health, and to test the effects of the program. The contents of the health education program were based on the results of a discussion with experts and previous studies. The program consisted of two parts, physical health and psychosocial health, which were measured over 4 weeks. The results of the study showed that the program helped mothers improve the level of health care and reduce parenting stress level. These findings suggest that studies for handicapped children's health should be conducted in the future using an interdisciplinary approach.

PATERNAL INFANT BONDING : A CRITICAL REVIEW (부아(父兒)애착 : 문헌고찰 및 비평)

  • Kim, Hea-Sook
    • 모자간호학회지
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    • v.2 no.1
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    • pp.34-44
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    • 1992
  • 지난 10년 동안 구미에서는 부모-아동 관계 영역에 혁신을 가져왔다. 특히 부모-아동 애착이론의 획기적인 변화로 가족 중심 출산 경험을 강조하고 있다. 과거에는 남편이 아내의 출산에 참여하던 것이 타부시되어 왔지만 애착의 개념이 대두되면서 남편도 출산에 함께 참여하도록 고려하여 임신에서부터 부부가 함께 이 과업을 완수하도록 모든 환경을 변화시키고 있다. 애착이론은 다양하여 정신분석이론, 학습이론, 인지발달이론과 동물 행동학적 측면에서 이해되고 있다. 다양한 이론적 배경과 개념들을 가지고 아버지-아동의 애착 및 유대관계에 대한 연구가 지난 10여년 이상 되어오고 있다. 가장 관심의 촛점이 되어 연구 되어온 것으로는 애착형성을 위해 중요하다고 하는 민감한 시기(Critical period)를 중심으로 애착의 특성인 시각, 청각, 촉각, 상호호혜적 관계, 긍정적 애정을 바탕으로 연구되어졌다. 이 연구는 부아 애착(Paternal Infant Attachment)의 연구를 연구방법, 측정도구 및 방법상문제와 변수들을 중심으로 재정리하여, 이 분야에 있어서 앞으로의 연구 방향을 살펴보았다. 17편의 연구들을 각각 년도, 표본수, 방법 및 측정, 결과 및 비고난을 비교 분석하여 도표를 작성하였다. 이론적 기틀과 문헌고찰에 근거하여 다음과 같은 적용과 제언을 한다. 1. 출산전 아버지의 특성에 대한 사정이 필요하다. 2. 연구자가 집단간 비교를 용이하게 하기 위해 연구전에 표본의 특성을 정확히 기술해야 한다. 3. 부모와 아버지의 과거력에 대한 상세한 정보수집이 강조되어야 한다. 4. 앞으로의 연구는 이론적 모델에 근거하여 이루어져, 대중교육 뿐 아니라 정책 결정에 기여해야 한다. 5. 연구결과 평가와 해석을 위해 정확한 이론적 근거가 필요로 된다. 6. 간호연구는 부적절한 부아 애착 형성에 있어서 아버지의 특성을 확인하고 부아유대와 애착 증진의 요소를 파악해야한다. 7. 부아 유대에 대한 위협요소 확인을 위한 도구개발과 그들에 대한 효과적인 간호전략이 필요 된다. 8. 가족에 있어서 모든 부모행위가 하나의 독립변수로서 연구되어야 하고 부아유대 증진에 관한 연구가 시도되어야겠다. 오늘날 부모들은 임신기간동안 많은 정보에 접하기를 원한다. 산전, 산후의 교육과 지식은 긍정적인 부아 관계를 증진시키고, 이것은 아동의 발달에 크게 기여할 수 있다. 긍정적으로 이러한 관계는 가족단위를 강하게 통합시키게 되므로 건강관리자(Health care workers)들은 애착에 대해 높은 관심을 갖어야 하겠다.

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Health Locus of Control and Health-promoting Behaviors among Korean Elementary School Children (학령기 아동의 비만도, 체중조절 건강통제위와 건강증진행위)

  • Jang, Ji-Yeon;Bang, Kyung-Sook
    • Korean Parent-Child Health Journal
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    • v.14 no.1
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    • pp.18-27
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    • 2011
  • Purpose: The purpose of this study was to compare health locus of control with health-promoting behaviors according to elementary school children's degree of obesity, and to analyze correlations between two variables. Methods: Three hundreds and sixty three elementary school children were participated from three elementary schools in Seoul. Multidimensional Health Locus of Control (HLOC) scale and Health Promoting Lifestyle Profile (HPLP) were used. Results: Obese children was 16.8% of all research subjects. Internal HLOC in over weight group was higher than normal weight group (F=3.611, p=.014). Chance HLOC in under weight group was higher than other groups (F=3.553, p=.015). External HLOC in over weight and obesity group was higher than normal weight group (F=3.553, p=.015). Correlations between HLOC in internal and external and health-promoting behaviors were significant (r=.347, p<001; r=.207, p<001). Also, children who did not have siblings and have obese parents showed higher rate of obesity, and lack of sleeping time tend to be related to obesity. Conclusion: External HLOC of obesity children is higher than that of normal weight children. Meanwhile, obese children with higher internal HLOC were good at doing health-promoting behaviors. Therefore, if obese children are trained for internal health control, it can lead to their health-promoting behaviors.

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Factors Affecting Health Promotion Behaviors of Upper Grade Elementary Students (학령후기 아동의 건강증진행위에 영향을 미치는 요인)

  • Jeon, Ga Eul;Kwon, In Soo
    • Child Health Nursing Research
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    • v.23 no.3
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    • pp.319-328
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    • 2017
  • Purpose: This study was conducted to identify factors affecting health promotion behaviors of upper grade elementary students. Methods: A descriptive study was carried out with 282 fifth or sixth elementary school students from two cities, Korea. Data were collected using self-administrative questionnaires containing items on health knowledge, attitudes, subjective norms, perceived behavior control and health promotion behavior, and analyzed using descriptive statistics, t-test, ANOVA, Cronbach's ${\alpha}$, Pearson Correlation Coefficients, and multiple regression analysis with the SPSS/WIN 21.0 program. Results: There were significant positive correlations between health promotion behavior and health knowledge (r=.36, p<.001), attitudes (r=.41, p<.001), subjective norms (r=.36, p<.001), perceived behavior control (r=.49, p<.001). Perceived behavior control (${\beta}=.38$, p<.001), health knowledge (${\beta}=.26$, p<.001), perceived health status - good (${\beta}=.15$, p=.005) were significant factors affecting health promotion behavior and explained 31%(F=43.29, p<.001) of variance. Conclusion: Results indicate that level of health promotion behavior is appropriate and perceived behavior control is the most important factor for health promotion behavior among the predictors. These findings also suggest that it is necessary to promote perceived behavior control and health knowledge in developing health promotion intervention programs for these students, as well as a need to strengthen education on sex behavior and health, accident prevention and first aid.

The Factors Influencing on Health Promotion Behavior in Low-Income Vulnerable Elementary Students (취약계층 초등학교 고학년 방과후 교실 아동의 건강증진행위 실천의 영향요인 분석)

  • Yoon, Hee-Sang;Han, Young-Ran
    • Research in Community and Public Health Nursing
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    • v.19 no.2
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    • pp.167-176
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    • 2008
  • Purpose: The goal of this study was to find out factors influencing the health promotion behavior of low-income vulnerable 4th, 5th and 6th-grade elementary school students. The specific goals were: first, to find out difference in health knowledge, self-esteem and health promotion behavior according to general characteristics; second, to investigate the correlations among health knowledge, self-esteem and health promotion: and, third, to analyze factors influencing health promotion behavior. Methods: The subjects of this study were 137 low-income vulnerable 4th, 5th and 6th-grade elementary school children who were participating after-school programs in Seoul. Results: Statistically significant differences were observed in health knowledge, self-esteem and health promotion behavior between girls and boys. In the sub categories, differences were observed in personal hygiene and health responsibility, stress management and personal relationship. The correlation of health promotion behavior with self-esteem and health knowledge was statistically significant. Regression analysis revealed that the influencing factor is self-esteem with the other variables under control. Conclusion: Health promotion education requires low-income vulnerable elementary children to increase their self-esteem. We recommend that it should be one of the most effective ways to split boys and girls to educate them in disparate classrooms.

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