• Child Health Nursing Research
• /
• v.10 no.4
• /
• pp.460-467
• /
• 2004

Purpose: The purpose of this study was to develop a program promoting self-esteem and to determine the effectiveness of the program for hospitalized school-aged children. Method: The sample group consisted of 68 hospitalized children in a University Hospital located in Busan. The experimental group was given the program and feedback was obtained 3 times up until the day of discharge. Data were analyzed using t-test and 2-way ANOVA with the SPSS program package. Result: There was a significant difference between experimental and control groups in self-esteem. Conclusion: It was found that the program promoting self-esteem in school aged children was effective. The program, which was based on learning theory, was shown to be an effective and strong method to promote adjustment in hospitalized school-aged children.

• Child Health Nursing Research
• /
• v.24 no.4
• /
• pp.373-382
• /
• 2018

Purpose: This study aimed to compare the quality of nursing care as perceived by registered nurses and mothers of hospitalized children in South Korea. Methods: This was a descriptive study that recruited 70 mothers of hospitalized children and 70 nurses in pediatric units in university hospitals as participants. The quality of pediatric nursing care was measured using importance and performance scores for 19 items describing various elements of nursing care. The collected data were analyzed using descriptive statistics and the independent t-test. Results: The hospitalized children mothers'mean importance scores were significantly higher than those of the nurses (t=2.94, p=.004). However, there were no significant differences in the mean performance scores of nurses and mothers (t=0.91, p=.363) or between nurses'and mothers'perceptions of quality of nursing care, with the exception of a significant difference for the quality of explanations (t=2.78, p=.006). The quality of explanations was assessed more positively by nurses than by mothers. Conclusion: This study suggests that when developing strategies to improve the quality of nursing care in pediatric wards, ensuring that pediatric nurses provide detailed explanations should be considered as a way to improve the quality of nursing care in pediatric units.

• Child Health Nursing Research
• /
• v.23 no.3
• /
• pp.375-384
• /
• 2017

Purpose: This study was done to identify the level of adjustment to hospital life, hospitalization recognition and hospital-related fear by school-aged children, and investigate the influence of hospitalization recognition and hospital-related fear on the hospital life of these children. Methods: Participants were 112 three to six grade students who were hospitalized from 3 to 7 days at one of two children's hospital. Date were collected from September 2015 to March 2016. Data were analyzed using frequency, percentage, mean, standard deviation, multiple regression. Results: The mean score for adjustment to hospital life was $3.43{\pm}0.40$ of 5, for hospitalization recognition, $2.98{\pm}0.46$ of 4 and for hospital-related fear, $1.37{\pm}0.28$ of 3. Factors affecting adjustment to hospital life were hospital-related fear (${\beta}=-.28$, p=.002) and hospitalization recognition (${\beta}=.27$, p=.003). These factors explained 17% of the variance in adjustment to hospital life. Conclusion: Results indicate that adjustment to hospital life by school-aged children is not sufficient enough for them to cope with illnesses and hospitalization. Therefore, to improve adjustment to hospital life by school-aged children, nursing interventions that focus on increasing hospitalization recognition and decreasing hospital-related fear need to be developed.

• Proceedings of the KHMA Conference
• /
• 2011.11a
• /
• pp.73-87
• /
• 2011

• Child Health Nursing Research
• /
• v.21 no.1
• /
• pp.37-45
• /
• 2015

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 (${\pm}9.9$) and for the full term group, 85.0 (${\pm}8.3$), 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 (${\geq}7$ 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 1,000g at birth is urgently needed.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.20 no.2
• /
• pp.228-234
• /
• 2019

This study was conducted to evaluate the usability of serious-game apps for robots that are being developed for hospitals to add familiarity to hospital life for hospitalized patients. We conducted a usability test of 10 experts and 12 elementary school students with inpatient experience. The usability evaluation of the developed apps was based on the professional (MARS) evaluation tool and the user (uMARS) evaluation tool. The results of the usability test of the serious game robot app were $3.67{\pm}0.342$ for professionals and $3.68{\pm}0.592$ for children. The expert group obtained the highest score in the aesthetics category, and the user group obtained the highest score in the functionality category. In the subjective comments, the experts pointed out the game layout and the consistency of the style. According to the children, the methods were easy to learn, and the screen movement was mainly described. Both groups received low ratings in terms of engagement through participation. This study will provide useful reference material when the functional game app is actually installed in the robot and the usability test is conducted again after the results obtained in this study are considered.

• The Journal of the Korea Contents Association
• /
• v.17 no.7
• /
• pp.696-706
• /
• 2017

This study is to examine health care utilization and morbidity of disabled and non-disabled children in Korea to evaluate the health disparities. We used medical claim data of 2010 from the National Health Insurance Service-National Sample Cohort data. As a result of the analysis, the disabled children are not in good health condition because they have more frequency of medical service use, hospitalization rate, and more number of diseases and spent more on medical expenses than non-disabled children. Patterns of the most frequent disease differ from significantly between disable and non-disabled. Disabled children had a higher prevalence of selected birth defects and selected health conditions associated with physical disability and a lower prevalence of selected infection disease than children without disability. In conclusion, Health policy changes that would extend the access to health service for children with disabilities characterized by frequent medical care, hospitalization, excessive medical expenditure and complex diseases.

• Journal of Korean Academy of Nursing
• /
• v.34 no.3
• /
• pp.525-533
• /
• 2004

Purpose: The purpose of this study was to develop a program promoting adjustment to hospital life and determining its effectiveness for school aged children. Method: The sample group consisted of 76 hospitalized children in 2 University Hospitals located in Busan. The experimental group was given the program on admission and feedback was obtained on the 3rd day and again 24 hours later. Data was analyzed using t-test and ANOVA in the SPSS program package. Result: There were significant differences, in information(t=4.235, p=0.000) and coping effort criteria (t=2.922, p=0.005) between the experimental and control groups. There was a non-significant difference in attitude criteria between the two groups(t=1.009, p=0.316). Conclusion: It was found that the adjustment promoting program for hospital life for school aged children was effective, but not enough to promote self-esteem. The program, based on a learning theory, was improved and shown to be an effective and strong method to promote adjustment of school-aged children.

• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.14 no.2
• /
• pp.213-220
• /
• 2007

Purpose: This study was conducted to investigate uncertainty, anxiety and nursing needs in mothers of hospitalized children. Method: Self report questionnaires were used to measure the variables. Variables were uncertainty, anxiety and nursing needs. In data analysis, SPSSWIN 12.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and regression analysis. Results: Cronbach's alphas of .84 to .97 indicate reliability of the instruments. Uncertainty positively correlated with anxiety (r=.624, p<.001) and nursing needs (r=.147, p<.05), and anxiety positively correlated with nursing needs (r=.262, p<.01). In regression analysis of anxiety, uncertainty, nursing assessment of nursing needs and duration of hospitalization were significant predictors, explaining 45.1% of variance. Conclusion: Uncertainty was a significant predictor of anxiety in mothers whose children were hospitalized. Therefore, nursing interventions which decrease uncertainty must be developed for these mothers.

• Child Health Nursing Research
• /
• v.20 no.3
• /
• pp.215-224
• /
• 2014

Purpose: This study was conducted to identify risk factors in hospitalized children, and to develop and validate a fall-risk assessment tool for hospitalized children. Methods: A retrospective chart review was performed at one university children's hospital, and an analysis was done of the characteristics of all patients who fell during a 44-month period (n=48). These patients were compared with another 149 hospitalized children who did not fall. Results: Significant predictors of falls as identified in a multivariate logistic regression analyses were age of less than 3 years old, neurological diagnosis including epilepsy, children's dependency of ADL, physical developmental delay, multiple usage of fall-risk-increasing drugs. The respective odds ratios ranged from 2.4 to 7.1 with 95% confidence interval (p<0.05). Accordingly, defining patients with either 5 risk factors as fall-prone hospitalized children provided a sensitivity of 93.6% and specificity of 16.2%. Conclusion: The results show that this tool has an acceptable level of sensitivity to assess the risk factors of fall in hospitalized children even though the specificity was low, suggesting that this tool may enable nurses to predict the risk level of childhood falls, and develop preventive strategies against pediatric falls in children's units.