• 성인간호학회지
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• 제17권4호
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• pp.548-560
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• 2005

Purpose: High risk women with congenital heart disease decide to get pregnancy is determined by not individual autonomous intention but complex interaction with their physical status and socio-psychological environments. This study tried to the answer to the question. : "What is experience high risk women who have congenital heart disease during transition to parenthood?". Method: A micro-ethnographic research method and oral historic research approach were done at the Grown-Up Congenital Heart Disease Clinic in one Korean metropolitan city from July 2002 to September 2003. Result: It was discovered that high risk women's experience of transitional parenthood is accounted as the process of lonely and fearful self-accomplishment. Their need for self-accomplishment creates them seek more opportunities to increase enduring abilities for their parenthood. Conclusion: We suggest that from the time of beginning of patient's making decisions about becoming pregnant, collaborative efforts must be considered that priority level of patient's needs be reviewed and find appropriate advices for their situation. Special counseling program should be provided to all the prospective parents with understanding their meaning of parenthood.

• Asian Pacific Journal of Cancer Prevention
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• 제14권9호
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• pp.5477-5482
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• 2013

Background: Communication plays an important role for the well being of patients, families and also health care professionals in cancer care. Conversely, ineffective communication may cause depression, increased anxiety, hopelessness and decreased of quality life for patients, families and also nurses. Objective: This study aimed to explore communication difficulties of pediatric hematology/oncology nurses with patients and their families, as well as their suggestions about communication difficulties. Materials and Methods: It was conducted in a pediatric hematology/oncology hospital in Ankara, Turkey. Qualitative data were collected by focus groups, with 21 pediatric hematology/oncology nursing staff from three groups. Content analysis was used for data analysis. Results: Findings were grouped in three main categories. The first category concerned communication difficulties, assessing problems in responding to questions, ineffective communication and conflicts with the patient's families. The second was about the effects of communication difficulties on nurses and the last main category involved suggestions for empowering nurses with communication difficulties, the theme being related to institutional issues. Conclusions: Nurses experience communication difficulties with children and their families during long hospital stays. Communication difficulties particularly increase during crisis periods, like at the time of first diagnosis, relapse, the terminal stage or on days with special meaning such as holidays. The results obtained indicate that pediatric nurses and the child/family need to be supported, especially during crisis periods. Feeling of empowerment in communication will improve the quality of care by reducing the feelings of exhaustion and incompetence in nurses.

• 대한간호학회지
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• 제34권2호
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• pp.252-260
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• 2004

Purpose: This study was to investigate the factors influencing problem behaviors among adolescents. Method: The subjects for this study were 596 students in middle school in Seoul. The data was collected during the period from May to November; 2001 by use of questionnaires. The instruments used were the Child Problem Behavior list by Hong (1986), the Body Cathexis Scale by Secord and Jourard(l953), and the Beck Depression Inventory by Beck(l978). The data was analyzed by using the SPSS- Win program. Result: Problem behaviors showed a significant negative correlation, with body image (r=-.310. p=.000) and positive correlation with depression (r=.674, p=.000). There were significant differences in the problem behavior scores of subjects according to sex, family status, economic status, and school scores. Female students were found to have a high degree of internalized problem behaviors. In addition, depression, body image, and sex were significant predictors to explain problem behaviors(47.3%). Depression, sex, grade, and school scores were significant predictors to explain externalized problem behaviors(21.9%) and depression and body image, internalized problem behaviors(51.4%). Conclusion: Since predicting factors of problem behaviors among middle school students by problem behavior type and sex were different, then practitioners should consider these differences when developing programs for them.

• 대한간호학회지
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• 제30권3호
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• pp.670-681
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• 2000

The purpose of this study was to identity the level of burden, social support and quality of life of the subjects. The subjects of this study were 68 mothers of nephrotic syndrome patients whose children were hospitalized in one pediatric ward of the University Hospital in Seoul. The data was collected using questionnaires, and the period of the data collection was from Nov. 15 to Dec. 31, 1999. The instruments used for this study were the Burden Measurement Instrument developed by Montgomery et. al(1985), social support measurement instrument designed Brandt an Weinert(1978) and Quality of life scale designed by Ro,Yoo JA(1988). The data analysis was done by SPSS, t-test, ANOVA and the Pearson correlation coefficient. The results of were as follows. 1. The level of burden showed a mean score of 54.47, the level of social support, a mean score of 86.00 and the level quality of life, a mean score of 140.20. 2. The level of burden differed according to mother's religion, patient's purpose for admission and perceived patient's condition by mothers. 3. The level of social support and the level of quality of life differed according to perceived patient's condition by mothers. 4. There was a negative correlation between burden and social support(r=-.348, p<.001). Also, burden was negatively related with quality of life(r=-3.97, p<.001). Social support was positively related with quality of life(r=.064, p<.001).

• 한국학교보건학회지
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• 제25권1호
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• pp.85-94
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• 2012

Purpose: The purpose of this study was to investigate the stress, coping and suicidal ideation among school-aged children and provide evidence for developing a stress management program for them. Methods: Data were collected and analyzed from 308 fifth graders from 6 elementary schools located in Daegu/Gyeongbuk. Results: First, for stress by general characteristics, there were significant differences in economic status, school record, self-rated health and life satisfaction. Also, subcategory stress by gender, there was a significant difference in appearance stress. Second, passive/avoidant coping had a significant difference in gender. Social support seeking coping and passive/avoidant coping were significant differences in economic status. Active coping had a significant difference in school record. Passive/avoidant coping had a significant difference in self-rated health. Aggressive coping, active coping, social support seeking coping and passive/avoidant coping had significant differences in self-rated life satisfaction. Third, stress and coping had significant differences by suicidal ideation. Fourth, stress showed positive correlations with aggressive coping and passive/avoidant coping while revealing negative correlation with active coping. Conclusion: These results from the study suggest difference by gender and need more active and positive coping strategy for suicide prevention.

• 대한간호학회지
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• 제31권4호
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• pp.641-655
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• 2001

Purpose: The purpose of this study was to determine the important factors on juvenile delinquency and to examine relationships between sex, age, the family environment, the personality of adolescents, smoking, and juvenile delinquency. Methods: Data collection was done through questionnaire surveys. The subjects for this study consisted of 1,948 adolescents delinquents : 784, students : 1,164 in Korea, using proportional stratified random sampling method. Statistical methods employed were chi-square, t-test and path analysis. Results: The results of this study were as follows : 1. The delinquent adolescents were reared in a more dysfunctional family environment, and had a higher maladaptive personality than the other student adolescents. 2. The delinquent adolescents showed the larger amount of smoking than the student adolescents. The cause of increased smoking tendency among delinquents simply were 'for social relation', 'for diversion', 'for nicotine addiction', whereas 'for tension relieving' among non-delinquent adolescents. 3. The most powerful contributors on delinquent behavior were antisocial personality tendencies, smoking, sex, strength of parent- child relationships, and the age of the adolescents in this order. Conclusions: Our cross-sectional findings indicate that smoking was one of the most powerful contributing variables to delinquent behavior, but family environment, personality, sex and age of adolescents were also proved to be strong exogenous variables to smoking in adolescents.

• 보건교육건강증진학회지
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• 제30권5호
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• pp.101-112
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• 2013

Objective: The purpose of this study was to compare eating habits and parenting about eating habits of the elementary schoolers in two regions, Seoul and Gangwon-do, in order to understand regional differences. Methods: The respondents of this study included 365 pairs of children and their mothers (150 pairs from Seoul and 213 pairs from Gangwon-do). Data was collected using a structured questionnaire from July to August, 2013. Results: Perceived body type, weight control, and eating habits were significantly different in two regions. Children's eating habits were significantly different by their perception of health status and body type. Their mother's parenting attitude toward eating habits was significantly different by children's weight control and mother's and children's perception of body type. Parenting attitude toward eating habits was not different between two regions by their mothers. eating habits and parenting attitude toward eating habits were significantly correlated. Conclusions: Health provider should consider regional difference when designing health promotion program for elementary students. Especially, when practicing eating habits related program, parents should be participated from the planning stage and provided with the information of the proper body image and weight control.

• 대한간호학회지
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• 제34권1호
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• pp.81-92
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• 2004

Purpose: The purpose of this study was to identify a path diagram for the influence of family, personality, sexual abuse, drug abuse, coping strategies, and aggressive impulsiveness on aggression, and to develop a sublimation program for Korean adolescent's aggression. Method: Data was collected by self-report questionnaires. Subjects consisted of 2,111 adolescents. A proportional stratified random sampling method was used. The major instrument was the Mental Health Questionnaire for Korean Adolescents, and the Cronbach's Alpha ranged from .54 to .95 for each subscale. Statistical methods were Chi-square, correlation analysis, and path analysis. Results: The strongest contributing variables on aggression were person-related aggressive impulsiveness, antisocial personality, self-injured aggressive impulsiveness, gender, sexual abuse, psychosomatic symptoms II, drug abuse, age, parent-child relationship, alcohol abuse and cognitive avoidance coping strategies in the order named. Also the author developed a multi-systemic sublimation program for Korean adolescents's aggression. The multi-systemic sublimation program involves four domains including adolescents, parents, peers and community, and has several therapeutic sub-programs for each domain. Conclusion: The ecology of human development is composed of multiple, integrated levels of organization, including biological, individual-psychological, social-interpersonal, cultural, and historical levels. Therefore, this multi-systemic sublimation program will prevent and decrease the rate of aggressive behavior among Korean adolescents.

• 대한간호학회지
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• 제34권1호
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• pp.182-190
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• 2004

Purpose: This study was conducted to understand the health status and health behaviors of preschoolers to provide baseline data for developing health promotion programs. Method: Parents of children attending day-care centers were recruited for the study. Participating day-care centers were selected using a stratified sampling method. Data was collected from June to August 2002 using a questionnaire. Result: Among 754 preschoolers, 17.3% were overweight, while 18.2% were underweight. The most frequent infectious diseases that children have had previously were hand-foot-mouth disease (20.2%) and chicken pox (18.7%). Current health conditions that children have frequently are respiratory disease (28%) and atopic dermatitis (23.8%). Only 61% brush their teeth everyday at bedtime, 54.3% wash their hands every time after returning home, 8.8% wear bicycle helmets, 9.3% use a child car seat, and 8.1% eat fruits and vegetables five times a day. Children residing in the metropolitan area were more likely to have positive health behaviors, and children of parents with an advanced college level education were more likely to have positive health behaviors than those with only a high school level education. Conclusion: Based on the study results, health professionals could plan and develop health promotion programs to change unhealthy behaviors of preschoolers targeting high-risk groups.

• 대한간호학회지
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• 제34권1호
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• pp.132-140
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• 2004

Purpose: This study was performed to investigate the effects of oral health education on kindergarten children. Method: The study was designed as a quasi-experimental, nonequivalent control group pre -post test design. Data was collected from April 1st to November 30th, 2001. The total samples were sixty seven healthy kindergarten children; the experiment group consisted of thirty three and the control group was thirty four children. The experimental group received an oral health education program daily for 20 minutes for four weeks. Result: There was significant improvements on oral health behavior in the experimental group. Streptococcus mutans and lactobacilli of the salivary variables in the experimental group were significantly higher than the control group. The dmft was lower in the experimental group than the control group, but there was no significant difference between the two groups. However it was significantly lower in the experimental group than control group over time. Conclusion: Oral health education for kindergarten children showed an increase in the use of tooth paste and practicing correct tooth brush usage. Also, it decreased the rate of eating cariogenic food and had a positive effect on oral health through suppressing dental cavities.