• Title/Summary/Keyword: Child Health Management

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A Survey on the Health Examination of Child Care Centers (보육시설의 건강검진 현황에 관한 조사연구)

  • Kim Il-Ok;Kang Ran-Hye
    • Child Health Nursing Research
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    • v.11 no.3
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    • pp.308-315
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    • 2005
  • Purpose: This descriptive study was conducted to examine the status of the health examination in child care centers. Method: The participants in this study were 631 child care centers. A self report questionnaire on health examination which has been examined for content validity, was distributed by mail to 2,000 child care centers using randomized sampling. Result: Of the sample, $76.2\%$ child care centers had done health examination for children. Height & weight, urinalysis, dental check, anemia test and visual acuity were the most frequently performed items. The rate for maintaining a health record was highest in the national/public child care centers. Child care centers more closely related to community health centers, showed higher rates of health examination. Conclusion: Health care personnel and financial aids should be provided for child care centers to enhance the level of health management of children.

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Development of Parent Coaching Domains for the Health Management of Childhood Leukemia Survivors (백혈병 생존 아동 건강관리를 위한 부모코칭 영역 개발)

  • Lim, Sung Hyun;Oh, Won-Oak
    • Child Health Nursing Research
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    • v.24 no.1
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    • pp.68-77
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    • 2018
  • Purpose: The purpose of this study was to develop parent coaching domains for the health management of childhood leukemia survivors. Methods: In this study, we conducted a literature review and in-depth interviews with 6 parents of childhood leukemia survivors who were identified using convenience sampling. We identified areas of parent coaching through the 4 stages of the GROW model, which are: goal setting, realistic grasp, confirmation of realization, and search for alternatives. Results: Nine domains and 27 subcategories emerged from the study. The 9 parent coaching domains for the health management of childhood leukemia survivors were routine life management, education and information provision, emotional support for the surviving children, social support for the surviving children, follow-up management, family support, school life management, symptom management, and improvement of growth and development. Conclusion: This research developed 9 parent coaching domains for the health management of children surviving leukemia. The results of this study are expected to contribute to the efficient health management of childhood leukemia survivors by enabling practitioners to continuously identify new coaching domains as needed for their health management. Researchers should improve the health management of childhood leukemia survivors by developing nursing interventions for these new coaching areas.

The Perceptions of Marriage and Childbirth of Health Care Fields College Students (보건의료계 대학생들의 결혼과 출산에 대한 인식)

  • Kim, Hye-Sook;Park, Jae-Sung;Jo, Eun-Joo
    • The Korean Journal of Health Service Management
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    • v.5 no.2
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    • pp.131-146
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    • 2011
  • The purposes of this study were to identify and compared the selection conditions of spouses and the perceptions of marriage and childbirth by sex. Moreover, this study tried to find the number of child the study subjects want to have in their marriage and what factors were important for whether they have no or one child or more than two children. The study subjects were college students who were belong to 6 health care related departments selected randomly from all health care related departments in one metropolitan area. In the selection conditions as their spouses, they ranked 'love', 'personality' and 'wealthiness' as important factors in order. Male ranked females' employment as 10th but female ranked it 5th. In conclusion, there were concordances and dis-concordances on the perceptions of marriage and child birth by sex. Understanding these factors caused by gender roles in our society could contribute to making new policies for promoting marriage rate in younger age and overcoming the problems of low birth rates by giving more specific data to policy makers for increasing child birth rate.

Development and Evaluation of a Child Health Care Protocol for Child Day Care Center Teachers (보육교사를 위한 아동 건강관리 프로토콜 개발 및 평가)

  • Kim, Shin-Jeong;Yang, Soon-Ok;Lee, Seung-Hee;Lee, Jung-Eun;Kim, Sung-Hee;Kang, Kyung-Ah
    • Child Health Nursing Research
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    • v.17 no.2
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    • pp.74-83
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    • 2011
  • Purpose: The purpose of this study was to develop a child health care protocol for teachers in child day care centers. Methods: The ADDIE model with 10 Kid Keys was applied to develop this child health care protocol. All contents were developed through content validity test by 7 professionals and need assessment and evaluation by child day care center teachers. Results: This protocol consisted of 10 keys, as follows: "Health Examination/Growth & Development", "Practice of Health Life", "Management of Communicable Disease", "Negligent Accident", "Coping with Emergency and Transference", "Child Abuse", "Nutrition/Obesity", "Quality Assurance of Staff", "Parent Education", "Guidance & Supervision of Child Day Care Centers". The contents contained goals, objectives, teaching content, suggested activities for children, writing forms related to each subject, and self-evaluation sheet. Conclusion: This protocol can be practical and effective for child health care in child day care centers and it is hoped that it will be utilized in more child day care centers.

Knowledge and Practice Level of Infection Management for Child Guardians with Respiratory Infections after H1N1 Diffusion (2009) (신종플루 확산(2009년) 이후 호흡기감염 아동 보호자의 감염관리 지식정도 및 수행정도)

  • Park, Mi-Kyung;Ko, Young-Sook;Park, Kyung-Im
    • Child Health Nursing Research
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    • v.17 no.1
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    • pp.1-9
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    • 2011
  • Purpose: The purpose of this study was to investigate the knowledge and practice level of infection managements in child guardians with respiratory infections after H1N1 diffusion of 2009. Methods: The data were collected during February and March 2010 using a self-report questionnaire. The participants were 228 child guardians. Data were analyzed using frequency, percentage, means, SD, t-test, F-test, Pearson correlation coefficients, and Cronbach's alpha with the SPSS 17.0 program. Results: Mean age of the guardians and children were 37.8 years, 4.1 years respectively. For knowledge level of respiratory infections, hand washing method had the highest score and snuffles prevention method, the lowest. For practice level for respiratory infections, environmental hygiene management had the highest score and symptom management, the lowest. Infection management knowledge and practice level had a positively significant correlation in every area. Conclusion: The results indicate the necessity of continual education on infection management, and that the most efficient timing for the education appears be for participants during their first pregnancy or after the woman has delivered her child.

Development and Evaluation of Comprehensive Health Care Program for Infectious Disease Management in Child Care Centers by Doctor of Korean Medicine (보육시설 아동의 감염성 질환 예방 관리를 위한 한의사 주치의 프로그램 개발 및 평가)

  • Park, Jimin;Park, Minjung;Cho, Byonghee
    • Korean Journal of Health Education and Promotion
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    • v.30 no.1
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    • pp.65-81
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    • 2013
  • Objectives: The present study was carried out to develop and evaluate comprehensive health care program to prevent infectious disease and promote health in child-care centers by Doctor of Korean medicine. Methods: A nonequivalent control group pretest-posttest design study was conducted on 568 children and 85 child care teacher at 12 child care facilities for 12 weeks from July to October 2012. The program was consist of management, education, screening under concepts of traditional preventive medicine, Yangsaeng and Chimibyeong. Children's medical utilization due to infectious disease and attendance means functional status were measured by reports from parents. The Difference in difference(DID) estimator was applied data analysis, and added Zero-inflated negative binomial regression model. Also, attitudes on the infection of teacher was measured and analyzed through t-test. Results: After the intervention, the total medical utilization due to infectious disease decreased, but not significantly. Total absence, early leave and lateness decreased significantly. But, Attitude on the infection of child care teacher was not changed. The parent's satisfaction showed positive overall. Conclusions: The intervention program may be effective in preventing infectious disease and managing health in child-care center partially. To measure long-term effect, long-term study improved is requested.

Educational Needs of Toddler′s Mother in Child-caring Experience (유아 어머니의 자녀돌보기에 대한 교육요구)

  • Sim Young Suk;Seo Young Mi;Kwon In Soo
    • Child Health Nursing Research
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    • v.4 no.2
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    • pp.231-244
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    • 1998
  • The purpose of this study was to find educational needs of toddler's mother in child-caring experience. The subject of the study was toddler's mother who visited one health care center in J city for immunization and had a child or children between twelve and thirty six months old. The subjects were 37 mothers. The instrument used for this study was a semi -structured questionnaire developed by researcher and based on Objective Content Test of Garretson(1967). The collected data were analized by two researchers using the method of Content Analysis. The results of this study are summarized as follows : 1) Of the large categories, the need of the highest frequency was 'prevention and management of disease and injury', that of the lowest 'growth and development'. 2) In 'physical care' category, 'care of sleeping' was the highest. In 'nutrition and eating-habitual management' category, 'weaning management' was the highest. In 'prevention and management of disease and injury' category, 'disease management' was the highest. In 'discipline and teaching' category, 'discipline' was the highest. 3) In comparison with preceding references, the educational needs of child-caring which had not been shown in preceding references but had been shown in this study were hair-caring, kind of weaning diet, method of cure and nursing, man agement of deformity, and so on. In conclusion, educational needs of toddler's mother in child-caring experience were matter-of-fact and inclusive. Needs in management of special situation such as disease were higher than usual parenting procedure or method. In addition, there were higher needs in questions happened through child-caring experience or confirmation of procedures practicing now. Then, it is suggested that parent education program should be developed on the basis of educational needs found in this study to be more effective in preparing mother's child-caring.

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Effect of Community Based Child Safety Education Program for Child Care Teachers (보육교사에 대한 보건소 중심의 영유아 안전관리 교육 프로그램의 효과)

  • Bang, Kyung-Sook
    • Korean Parent-Child Health Journal
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    • v.8 no.1
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    • pp.23-36
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    • 2005
  • Purpose: The purpose of this study was to determine the effect of an education program promoting attitude, knowledge, and practice of safety for teachers in child care centers. Method: This education was provided at one public health center in Kyunggi Province. One group pretest-post test design was used, and knowledge on safety and emergency care, practice of safety, health belief and self confidence on safety practice were assessed from 74 teachers. Theoretical framework for this program was Pender's health promotion model. Result: After two hours group education session on safety management, knowledge on safety and emergency care was significantly increased and perception on the main cause of injuries was significantly changed. Practice on safety was significantly related to the knowledge, health belief and confidence on safety, and social support. Conclusion: The education program for teachers in child care centers regarding the child safety and emergency care was effective in promoting knowledge and perception on the main cause of injuries of infants.

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Factors Affecting Daycare Center Teachers' Management of Childhood Fever (보육교사의 아동발열 관리에 영향을 미치는 요인)

  • Park, Song I;Kim, Jin Sun
    • Child Health Nursing Research
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    • v.22 no.4
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    • pp.289-298
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    • 2016
  • Purpose: The purposes of this study were to investigate daycare teachers' knowledge, anxiety and management of childhood fever and to identify factors affecting their management of childhood fever. Methods: A descriptive correlation study was conducted. Participants were 109 daycare center teachers from G metropolitan city. A self-administered questionnaire was used for data collection. Results: The mean percent of correct answers for knowledge about childhood fever was 42.9%. Levels of anxiety related to children's fever were high among day care teachers in this study. Many daycare center teachers used management practices which were not recommended for childhood fever management. There was a statistically significant difference in participants' knowledge about childhood fever by marital status and having a child. Moreover, there were statistically significant positive correlation between daycare center teachers' knowledge and management and negative correlation between daycare center teachers' anxiety and management of childhood fever. Knowledge and anxiety related to childhood fever accounted for 15.2% of variance for fever management. Conclusion: Results show that day care teachers' knowledge and anxiety related to fever are important factors in predicting their fever management. Development and evaluation of educational interventions to improve daycare teachers' childhood fever management are recommended.

Childhood Fever Management: Current Practice vs Evidence (아동의 발열관리: 현황 및 과학적 근거)

  • Kim, Jin Sun
    • Child Health Nursing Research
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    • v.22 no.2
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    • pp.126-136
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    • 2016
  • Purpose: The purposes of this review were to address misconceptions of childhood fever and fever management practice among parents and health care providers, and to identify the scientific evidences against such misconceptions and practices. Methods: Journal databases and clinical guidelines from 2000 to 2015 were searched. The search terms were fever, fever management, misconception, myth, fiction, fact, fever phobia, child, antipyretics, tepid bath, alternating use/combined use of antipyretics, and physical cooling method. Results: There are significant gaps between current concepts and practices, and the scientific evidence. Misconceptions and unrealistic concerns about childhood fever still exist among parents and even health care providers, worldwide. The evidences suggest that antipyretics should be given carefully with the aim of relieving discomfort or pain rather than decreasing the temperature itself. Alternating use of antipyretics should be discouraged due to the risk of confusion and error. Antipyretics do not prevent febrile convulsions. Moreover, the scientific evidence does not support tepid sponge massage. Conclusion: Evidence-based childhood fever management interventions should be targeted toward parents and health care providers. By adopting an evidence-based approach to nursing interventions, pediatric nurses can ensure children receive appropriate and safe fever management.