• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.26 no.2
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• pp.88-98
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• 2023

Purpose: Children with inflammatory bowel disease (IBD) frequently undergo clinical assessments, involving triadic communication between clinician, parent, and child. During such encounters parents are traditionally the main communicator of information on their child's IBD, including subjective symptom reports. The level of agreement between children and their parents for IBD symptoms is poorly understood, and this study aimed to examine this factor. Methods: This was a cross-sectional study among children with IBD, and one parent. A validated paediatric IBD symptom report tool (IBDnow) enabled children and their parent to rate seven pain, well-being, and stool metrics, with dyads completing the tool concurrently. Results were assessed using: Individual agreement: proportion of identical symptom reports by each dyad (ideal score >0.7); Category agreement: percentage of identical reports for IBDnow metrics for the cohort; Inter-rater reliability: Gwet's AC1 coefficient with higher scores indicating better reliability (maximum=1). Results: Seventy-four parent/child dyads participated; child's mean age 12.2 years (standard deviation [SD] 2.9, range 6-16), mean time since diagnosis 2.8 years (SD 3), 54% female, 73% had Crohn's Disease. Mean individual agreement level was 0.6, with 27% of dyads agreeing on ≥6/7 IBDnow metrics. Category agreement was reported by 61% of dyads, 20% of parents overestimated, and 19% underestimated, their child's symptoms. Inter-rater reliability ranged from fair to good. Conclusion: These results should improve clinician awareness of how IBD symptom reports from parents may introduce bias. Children should be considered the most important source of symptom reports, and tools such as IBDnow utilised to enhance communication.

• Journal of Family Resource Management and Policy Review
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• v.26 no.2
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• pp.85-94
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• 2022

This study aims to investigate predictors of the subjective well-being of middle-aged single mothers who experienced divorce or bereavement. The study involved 244 divorced or widowed women from the 7th Korean Longitudinal Survey of Women and Families aged 40-60 who had children and were employed. Descriptive statistics and multiple regression analyses were conducted. The research results showed that the socio-demographic characteristic (marital status and health), person-related variables (satisfaction with leisure activity and stress), and work-related variables (job satisfaction and work-family enrichment) were significantly related to happiness of middle-aged single mothers. Current economic status and stress were associated with depression in middle-aged single mothers. Increasing middle-aged single mothers' participation in healthy leisure activities, reducing their stress, and improving their satisfaction with work were found to be important to enhancing their subjective well-being. Regarding the foregoing, policy directions were discussed for middle-aged single mothers' leisure activities, stress management, and improved satisfaction with work.

• Korean Journal of Child Studies
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• v.35 no.4
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• pp.223-247
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• 2014

This study aimed to verify the positive effects of forest activities for children from economically underprivileged households in local children's centers and the effect of such activities on the protective factors of their development. One hundred and eighty five children participated in the Forest Activities Program, which conducted over a total 8 sessions. Pre-post tests of the subjective well-being scale, DAS, multiple life satisfaction scale, ego-resilience scale were conducted and the children then made picture stories during the program itself. The results of the analysis of differences between pre-post tests were as follows: first, the negative emotions of participating children decreased significantly. Second, the school-satisfaction and self-satisfaction levels of the participating children increased. Third the participating children's positive perceptions of self and interpersonal relationships also increased through the forest activities. Finally, there were differences of the change types of picture stories that children created while they were participating in the program; and these divergences were related to the effectiveness of the program. These forest activities had positive effects upon the economically disadvantaged children who participated in this study. However, in order to increase the effects of such forest activities qualitatively, greater support for the active involvement of children is required.

• Journal of Agricultural Extension & Community Development
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• v.20 no.2
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• pp.451-484
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• 2013

This study investigated the factors that influence subjective well-being of immigrant wives in Korea. We initially grouped the factors into 3 categories: personal, domestic, and social. For personal factors, we included couple's age difference, reason for entry, religion, marital duration, employment status, economical status, acculturation to Korean culture, acquisition of Korean language, and ego-resiliency. For domestic factors we included marriage process, reason for marriage, husbands' understanding of wife's native language, husbands' understanding of wife's culture, marital satisfaction, existence of children, head of the household, and parenting efficacy. Finally for social factors, awareness of welfare services and systems, use of public institutions and civil organizations, and participation in social groups were included. We recruited 256 immigrant wives who live in Asan City, Chungnam Province and the data were analyzed by multiple linear regression. The factors that statistically significant were: ego-resiliency, marital duration, acculturation to Korean culture and economic status among personal factors; parenting efficacy, marital satisfaction and marriage process (married without a matchmaker) among domestic factors; participation in self-help group of women from the same mother country, awareness of welfare services and systems, participation in hobby club, and participation in fraternal/religious society among social factors. It is hoped that this paper will yield general insights into subjective well-being of immigrant wives and may help them to develop inner talent and strength.

• Women's Health Nursing
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• v.30 no.2
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• pp.153-163
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• 2024

Purpose: This study aimed to investigate the experiential meaning of child-rearing for marriage immigrant women in Korea in the context of the coronavirus disease 2019 (COVID-19) pandemic. Methods: Using the hermeneutic descriptive phenomenology framework developed by Colaizzi, 10 marriage immigrant women rearing preschool and school-age children were invited through purposive and snowball sampling from two multicultural support centers in Korea. The participants were rearing one or two children, and their original nationalities were Vietnamese, Japanese, Cambodian, and Chinese. Individual in-depth, face-to-face, semi-structured interviews were conducted from September 1 to November 30, 2021. We extracted significant statements from the transcripts, transformed these into abstract formulations, and organized them into theme clusters and themes to authentically capture the essence of the participants' subjective experiences. Results: Four theme clusters with 14 themes were derived. The four theme clusters identified were "navigating child healthcare alone," "guilt for not providing a social experience," "worry about media-dependent parenting," and "feelings of incompleteness and exclusion." This study explored the perspectives of mothers raising children as marriage migrant women who experienced physical and emotional health crises due to the COVID-19 pandemic. Conclusion: The findings underscore that marriage immigrant women encountered heightened challenges in managing their children's health and well-being during the COVID-19 pandemic due to linguistic and cultural barriers limiting access to healthcare and information. Additionally, these women experienced considerable emotional stress from perceived inadequacies in providing a holistic social and developmental environment for their children under extensive social restrictions.

• Korean Journal of Child Studies
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• v.33 no.1
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• pp.1-21
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• 2012

The purpose of this study was (1) to examine the impact of chronic diseases and emotional-behavioral problems on school-age children's self-perceived QOL, and (2) to investigate what factors were related to the QOL of children. Participants were 972 Korean 4th, 5th, & 6th grade students and 47 teachers. Children completed a questionnaire to evaluate their self-perceived well-being and subjective health. Also they reported their height/weight and physical health state indicating whether they have chronic diseases or not. Teachers reported each child's psychosocial health problems and also reported whether the child has chronic diseases or not. Major findings were as follows : 1. Physical and psychosocial health status had significant impact on school-age children's QOL. Moreover, physical and psychosocial health status were interrelated. 2. Presence of physical and psychosocial problems contributed to substantial declines in self-perceived QOL of school-age children. Children who have chronic diseases and emotional-behavioral problems reported significantly lower QOL compared with children in a normal state. 3. Peer relationship was found to be the significant factor that contribute to the QOL of all children.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.7 no.2
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• pp.271-286
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• 2000

This study is designed to investigate what elders think about the meaning of aging. We have used Q-methods to identify meaning of aging from elders, and developed self-referenced surveys to analyze characteristics In this study, we used a non-structured method to select Q sampling. From 183 Q populations, we selected 36 Q sampling. A total of 32 persons sixty-years or older were randomly selected for P samples, When the Q-sorting was complete, we interviewed the participants at both end of the extremes(agree or disagree), and documented their responses. We used PC QUANL to process the data and used principal component analysis for Q factor analysis. There were five subjective types for the meaning of aging by elders. Of the 32 P-samples of elders, 11 were identified as Type 1, 7 as Type 2, 2 as Type 3, 8 as Type 4, and 4 as Type 5. Type 1 : 'Matured elders' Elders wished the well being of their children, thought older persons should maintain good health, worried about becoming senile, and dependent God believing in life after death. Type 2 : 'Assertive-Rights' Elders categorized as Assertive-Rights insisted on their rights to life as a person. Type 2 elders characterized themselves as people who should keep themselves healthy, become weak and lack sexual desires, act selfish like a child, need to be protected, and be financially independent. Type 3 : 'Passive-Dependents' Elders characterize themselves as those who pray for their children's well being, worry about the children even after their death. and becoming senile. Type 4 : 'Hopeless' The 'Hopeless' type of elders characterized aging as a time to pray for their children, insignificant beings, thoughts were selfish and child-like, poor, worried about going senile, regret their life overall, and preferred to die than to live as an old person. Type 5 : 'Attached-Present' The 'Attached-Present' type of elders thought elderly characterized themselves as acting selfish and child-like, wiser, anxious, regret their life, stand aloof of greed and worldly things, being a model for the society, and deserving to be treated with filial respect. Thus far, Korean elders seemed to have a positive and negative meaning of aging due to the current changes in the society, value system, and family structures. The above five subjective meanings of aging confirm that we need to approach and nurse the elderly differently. Years of aging are a part of and a natural process of life with various physical, psychological, and sociological changes. Nurses need to assist elderly to find the positive meaning of their life by providing appropriate physical, psychological, and social support at an earlier stage in nursing. Based on this study, we could derive the following two implication from the perspectives of science of nursing to care for elders. 1) Based on the studies investigating the type of meaning of aging, we could develop tools to assist in nursing intervention programs for elderly. 2) Based on research on the meaning of aging for different developmental stages of life, we could develop a model for roles for different family members in nursing and caring for the elders.

• Korean Journal of Hospice Care
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• v.8 no.1
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• pp.13-28
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• 2008

Purpose: This paper aims to examine the subjective structures and types of school age children's perception of death through an investigative study on their perception of death in order to provide a basic material for them to understand death, and develop and carry out an effective death education program. Methods: The study method used the Q Methodology which can investigate the subjective structures and types of school age children's perception of death. For Q-population, 20 school age children were used as subjects for neutral interviews and open surveys, and through documentary research, a total of 132 statements were collected, For Q-samples, 23 statements (Q-samples) were derived through a non-structural method. P-samples were 31 school age children (8-13 year olds), Q-sorting was carried out using Q-cards, and the collected data was analyzed using the PC QUANL program. Results: As a result of the study, children's perception of death was divided into five types. The first type was functional type, characterized by prominent subjective perception regarding the elements of death, such as non-reversibility, universality, non-functionality, and causality. The second was after-life type, characterized by a strong, focus on life after death in one's perception of death, and it included children with Christian background and those who had experienced death in their immediate family. The third was religious type, characterized by a strong belief in being able to still watch over one's family and friends after one's death, resulting in a positive faith in the after-life. The fourth was fearful type, characterized by a deeper fear of death in comparison to other types. The fifth was realistic type, characterized by a strong and positive assent to the perception of good death. Conclusion: The significance of the results of this paper's study to Nursing is as follows. In terms of understanding the subjectivity of school age children's perception of death in nursing practice, and understanding the compositional elements of death presented with strong emphasis in existing literature and studies, the results will expand these understandings and allow us to understand the level of perception in school age children regarding the definition of death, after-life, and good death, be utilized as useful material in developing an effective death education program for them according to their type characteristics, and become the fertilizer for enabling the children to live a proper life and preventing the tendency to make light of death that occur in adolescence and the spread of suicides. In terms of nursing theory, the description and examination of the subjective structures and the characteristics of the different, types of school age children's perception of death can be utilized as useful material for building a model of school age children's perception of death, and be further used for teaching respect for life. In terms of nursing research, the results can contribute to research describing the effects of nursing intervention strategies and developing tools for providing psychosocial nursing in terms of giving school age children a positive perception of death according to their types as well respect for life.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.5
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• pp.320-326
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• 2020

This study was conducted to investigate the risk factors affecting dental caries in children by using the 2018 children's oral health survey data. The study was conducted on 20,235 children who were 12 years of age. The survey items examined general characteristics, dental dietary behavior, the oral condition, and the behavioral factors related to oral health. The results showed that gender, region, economic level, subjective oral health condition, dental dietary behavior, oral condition and oral health-related behavior were all risk factors. Those children with oral conditions particularly showed a higher risk of the dental caries symptoms of dental calculus, dental bleeding, tooth pain and white spot teeth. The oral health-related behaviors were found to be tooth brushing less than two times a day, the risk of not using a handle to hold dental floss and not using dental floss. Our results showed that countries or communities can diagnose and manage dental well-being early on for children with the highest sensitivity of dental health and they need to continue to establish a dental well-being management system for the oral health care of children. In addition, oral health education should be expanded, which can improve oral health care habits of children and adolescents. Further, an oral health policy system for improving community programs to prevent dental and community utilization is needed.

• Journal of the Korean Home Economics Association
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• v.51 no.1
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• pp.1-16
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• 2013

The purpose of this study is to examine the relative influence of various characteristics that affect the happiness and family strength of pre-elderly and the elderly. This study also shows the differences between the two age groups. The National Survey of Korean Families has been done by the Ministry of Equality and Family on 2010. Respondents selected from national survey were 1016 pre-elderly and 629 elderly. The results of this study are as follows; first, 66% of the respondents chose health as the condition is being the important elements of their happiness following money, work (job), children, spouse and family life. Second, the group of people considering work and health as important elements of their happiness is happiest, but the group considering money and health as the important elements of their happiness feels a lower level of happiness. Third, the pre-elderly chose health as the most important condition, but the elderly chose subjective economic condition, among the factors affecting family strength. Fourth, family strength affects most on in regard to the happiness of pre-elderly and the elderly. Next, the more they are financially stable, physically healthier and living in rural areas, they feel the happier they feel. Based on the results of this study, further studies are needed to determine components of family strength that both pre-elderly and the elderly consider as important elements of their happiness. Support programs for the elderly without a spouse will increase the well-being of the elderly.