• Korean Parent-Child Health Journal
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• v.15 no.1
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• pp.33-38
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• 2012

Purpose: The family is a primary environment and has pivotal role for child health and development. This study was conducted to identify the relations of family strengths to body image and self-esteem in late school aged children. Methods: Data were collected from 455 children at 5th and 6th grades in four provinces of South Korea using self-report questionnaires for measuring body image, self-esteem, and family strengths. Pearson's correlation analysis and t-test, ANOVA were used to identify the relationships among variables, and compare body image, self-esteem, and family strengths according to general characteristics. Results: Body image, self-esteem and family strengths were significantly different according to economic status and academic performance. Family strengths were also affected by the presence of both parents. Body image, self-esteem and family strengths showed significant positive correlations. Conclusion: The family relations of school aged children are important for child's body image and self-esteem. We recommend that psycho-emotional interventions should be developed for both the children and their parents with low family strengths to improve body image and self-esteem.

• Journal of Korean Academy of Nursing
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• v.48 no.1
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• pp.96-108
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• 2018

Purpose: This study aimed to construct and test a hypothetical model of the quality of life of school-age children with asthma based on the health-related quality of life model by Wilson and Cleary. Methods: Data were collected from 205 pairs of pediatric outpatients diagnosed with asthma and their parents in Seoul and Gyeonggi-do from July 2016 to April 2017. The exogenous variables were asthma knowledge, number of accompanying allergic diseases, and social support. The endogenous variables were asthma self-efficacy, asthma symptom control, perceived health status, parental quality of life, and children's quality of life. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. Results: Eighteen of the twenty-four hypotheses selected for the hypothetical model were attentive and supported statistically. Quality of life was explained by asthma self-efficacy, asthma symptom control, perceived health, parental quality of life, and asthma knowledge with 83.5%. Conclusion: Strategies for promoting self-efficacy and enforcing asthma knowledge will be helpful for the improvement of health-related quality of life with school-aged asthmatic children.

• Research in Community and Public Health Nursing
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• v.22 no.3
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• pp.272-280
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• 2011

Purpose: The purpose of this study was to investigate the effects of self-efficacy, social support, and depression in elementary school children. Methods: The participants of this study were 619 students from seven elementary schools located in Jollabuk-do Province, Korea. The methods included data analysis, descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficients and stepwise multiple regression using SPSS/WIN version 15.0. Results: The mean scores of self-efficacy, social support, and depression were $2.9{\pm}0.58$, $3.2{\pm}0.44$ and $14.0{\pm}7.32$, respectively. There was a significant positive correlation between self-efficacy and social support (r=.517, p<.001). Significant negative correlations were observed between self-efficacy and depression (r=-.557, p<.001) and between social support and depression (r=-.571, p<.001). The variables of depression in elementary school children were self-efficacy and social support, which explained 42.7% of the cases. Conclusion: The findings from this study suggest that current intervention programs are not sufficient to curb depression in elementary school children and therefore it is needed to develop nursing intervention programs to promote self-efficacy and social support.

• Child Health Nursing Research
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• v.16 no.2
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• pp.156-163
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• 2010

Purpose: This descriptive correlational study was designed to examine the relationship of attachment security to social anxiety and depression. In addition, the mediating effect of self competency in relation to attachment security and the other variables was investigated. Methods: Data were collected from 194 students in grade 5 or 6, and descriptive statistics, Pearson correlation coefficient, and hierachical multiple regression were used with SPSS/PC 12.0 program to analyze the data. The instruments used were Kerns, Klepac and Cole's Security Scale, La Greca & Stones' Revised Social Anxiety Scales for children (SASC-R), Cho and Lee's Korean form of Kovacs' children's Depression Inventory (CDI) and Harter' Self-perception Profile for Children. Results: There were significantly negative effects between attachment security and the variables, social anxiety and depression. Also, self competency was negatively correlated with social anxiety and depression. Self competency had a significant mediating effect on the relation of social anxiety and depression to attachment security. Conclusion: For the effective management and prevention of social anxiety and depression in school-aged children, programs including strategies to increase self competency should be developed. These programs can increase self competency which has a mediator role between attachment security and the other variables (social anxiety and depression).

• Korean Parent-Child Health Journal
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• v.12 no.2
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• pp.147-159
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• 2009

Purpose: This study was conducted to figure out the physical development and health status of elementary children in poverty. Method: 306 children in poverty registered in 3 regional children centers located in Incheon were selected. The results were compared with those of the physical status of students all over the country in 2008. Result: The children in poverty were relatively poor in the growth state such as height and weight, compared with those in non-disadvantage family children. In eyesight to be corrected, the children in poverty reached 26%. As a result of a blood laboratory test, the children with high T-cholesterol reached 5.84%; high SGOT/GPT 6.3%. In anemia, 41.4% of boys in poverty were suffering from it, compared to 7.5% of girls. In Internet addiction, children in poverty showed lower value than those in non-disadvantage children, but there are correlated between CDI and internet addiction test. Conclusions: These results implies the children in poverty have more physical and emotional problems, so they are in danger of related to health. These matters mean that the management by professional health care should be provided, and the plan and policy for promoting health for the children in vulnerable group should be established and provided.

• Child Health Nursing Research
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• v.16 no.4
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• pp.287-296
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• 2010

Purpose: The purpose of this study was to explore and understand life and meaning in life of elementary school students. Methods: Data from 1,790 higher grade elementary school students were analyzed for content of meaning in life. Results: The students described the following: 1) Meanings of living existence included, 'living things', 'importance', 'human life', 'family', 'event', 'eternity', 'origin of life', 'disease', and, 'protection'. 2) Four categories were found for reasons why human life is important, 'solitary', 'limitation', 'valuables', and 'living'. 3) Things that one can do to protect the value of human life were, 'doing safely', 'keep things well', 'altruistic behavior', 'doing sound activity', 'preservation & development', and 'devotion of oneself'. 4) Meaning of life included 'to accomplish plans', and 'to do things' 5) Cases when students felt life had meaning were 'perform meaningful behavior', 'comfortable emotionally', and 'receiving help from others'. 6) The methods by which to live a meaningful life were 'working diligently', 'serving', and 'doing rightly'. Conclusion: These results suggest that students recognize the meaning of life in a most positive way and with a relatively wide scope, but as a few students had a negative orientation, age-appropriate and more systematic education programs are needed.

• Child Health Nursing Research
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• v.15 no.2
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• pp.127-135
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• 2009

Purpose: This cross-sectional study was designed to identify anger-expression types in late school-age children and to investigate the relation of anger and the anger-expression type to their eating disorders. Method: Two hundred fifty four children in elementary school were recruited from 14 to 25, April, 2008. The data were analyzed by using descriptive statistics, cluster analysis, t-test, ANOVA, and Tukey's multiple comparison test. Result: Three anger-expression types in late school-age children were found; Anger-in/out, Anger-control, and Low anger-expression types. Children frequently using the anger-out/in type among the three types and with a higher trait anger reported higher eating disorders. Particularly trait anger and unhealthy anger expression type were linked to eating disorders. Conclusion: This study suggests that a specific anger management program needs to be developed for late school-age children with high trait anger and frequently using the anger out/in expression type and Anger-control type than low anger-expression types. Further research needs to be done with large samples and discussed in terms of the role of gender in eating disorders.

• Journal of Korean Biological Nursing Science
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• v.13 no.3
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• pp.253-261
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• 2011

Purpose: The purpose of this descriptive study was to identify gender differences in predictors on dietary self-efficacy in fifth and sixth grade elementary school children. Methods: The data were collected by a questionnaire given to the 408 children between June 7 to June 17, 2011. Descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression were used to analyze the data. Results: There were gender differences in dietary self-efficacy, exercise self-efficacy, dietary practice and depression. Dietary self-efficacy had a significant positive correlation with exercise self-efficacy and dietary practice and negative correlation with depression for both girls and boys. The predictors of dietary self-efficacy for boy were exercise self-efficacy and dietary practice, these factors explained 37.1% of the total variance. In girls, exercise self-efficacy and dietary practice were significant predictors and explained 38.7% of dietary self-efficacy. Conclusion: Based on the finding of this study, it is needed to develop a nursing intervention for dietary self-efficacy in elementary school children including to promote exercise self-efficacy and dietary practice.

• Journal of Korean Academy of Nursing
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• v.37 no.1
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• pp.105-113
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• 2007

Purpose: The purpose of this study was to identify the effects of a multi agent obesity control program in obese school children. This program was composed of strategies to modify diet and exercise habits and to change cognitive behavior variables(stress, coping, and self-efficacy). Method: The subjects were 40 obese school children who participated in our project voluntarily via homepage, TV, newspaper, public paper and school official documents. The program was implemented daily for 4 sessions per day for ten days from August 16 to 26, 2004. The daily program consisted of exercise therapy, dance therapy, cognitive behavior therapy and aroma therapy. The data was analyzed by paired t-test using the SPSSWIN program. Result: There was a significant decrease in children's waist-hip ratio(p=.04) and in children's stress(p=.00) after the program. There was a significant increase in children's self-confidence after the program(p=.02) and a significant decrease in children's diet habit after the program(p=.02). Conclusion: This study provides evidence that a multiagent obese control program is effective in changing waist-hip ratio, stress, self-confidence, and diet habits in obese school children.

• Journal of Korean Academy of Nursing
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• v.44 no.5
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• pp.495-503
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• 2014

Purpose: The purpose of this study was to identify factors affecting the social competence of school-aged children according alcohol consumption by their parents. Methods: The participants were 558 5th grade elementary school students. Data were collected using structured questionnaires from September 17 to October 2 2013, and analyzed using descriptive statistics, ${\chi}^2$-test, t-test, ANOVA, Pearson correlation coefficients, and Stepwise multiple regression analysis with the SPSS PC+ 21.0 program. Results: Participants were classified into three groups according to alcohol use; Non-use parent group (52.7%), social use parent group (31.0%), and problem use parent group (16.3%). Participants whose parents were problem users had significantly lower scores on emotional awareness and expression (F=14.45, p<.001), social support (F=5.82, p=.003), and social competence (F=16.33, p<.001) compared to students in the other two groups. In school-aged children with parents who were alcohol abusers, the variables that predicted social competence was friend support (66.0%). Conclusion: These results emphasize the importance of focusing on the crucial role of peer support in the development of social competence in school-aged children of parents who abuse alcohol. Further, for these children, interventions aimed at improving social support and children's emotional awareness and expression may be most beneficial.