The Transactions of The Korean Institute of Electrical Engineers
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제67권7호
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pp.969-975
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2018
The purpose of this study is to develop a healthcare service based on standard protocol and information communication technology for mother's sustainable postpartum care. The developed service was consisted of a client area where mothers measure, manage and transmit their vital signs using their own smartphone and personal health devices, and a server area that manages and shares with the received mother's vital signs and the results of examination results and personal health records. The client area collects vital signs through the IEEE 11073 Personal Health Device (PHD) using the m-health application of the previous study and Continua Health alliance certified personal health devices and transfers to Health Level Seven (HL7) V2.4, Continuity of Care Record (CCR) and Continuity of Care Document (CCD). The server area consists of a mobile web that manages and shares the HL7 Fast Healthcare Interoperability Resources (FHIR)-compliant personal health records to ensure interoperability of examination results, and a mobile web where the postpartum caregiver enters and manages the results of the mother's examination results and provides it to the mother. In this way, the healthcare service of this study securing continued exchanges between the mother and postpartum caregiver improves the quality of life of the mother not only to satisfy the needs of the mother who was discharged but also through self-management and postpartum. In the future, we will conduct a study applying mothers and postpartum caregiver after approval of a clinical trail at a university hospital to evaluate developed healthcare services.
Purpose: This study was done to compare families of boys or of girls for actor and partner effect of stress, depression and parent-adolescent communication as perceived by mother, father and adolescent on adolescents' suicidal ideation. Methods: Participants were 183 families (104 boys' families, 79 girls' families) who met eligibility criteria. All measures were self-administered. Data were analyzed using SPSS 18.0 and AMOS 18.0 program. Results: In boys' families, boys' depression and communication with father showed actor effect on boys' suicidal ideation. Boys' stress showed indirect effect on boys' suicidal ideation through communication with father and boys' depression. Mothers' depression showed indirect partner effect on boys' suicidal ideation through boys' depression. In families of girls, girls' depression and stress showed actor effects on girls' suicidal ideation. Girls' communication with mother showed indirect effects through girls' depression. Also girls' stress showed indirect effect through girls' depression. Stress in mothers and/or fathers showed partner effect on girls' suicidal ideation. Conclusion: To intervene in adolescents' suicidal ideation and promote adolescents' mental health, programs should be developed differently according to gender and based on parent's psychological states.
The purpose of this study was to investigate infants' development, parenting characteristics, and the infants' daily routines by monthly family income, and examine variables related to infants' development. The 2010 data of the panel study on Koreans were used. The sample for this analysis was 1,802 children aged 21-23 months and their parents. The data were analyzed with ANOVA, Pearson's correlation analysis, and multiple regression analysis with SPSS version 18.0. The results were as follows: First, the development of infants differed by the family income. Infants' communication and problem solving skills in families with an income at the 25th percentile or below was lower than those above the 25th percentile. Second, parenting characteristics differed by family income. In the lower income group, the mother's parenting stress was highest, but the father's parenting time on weekends was lowest. Third, the most frequent activity of infants differed by family income. Playing with friends or caregivers was lowest, but watching TV and videos was highest in the lower income family group. Fourth, there was a relation among infants' development (communication and fine motor skills) and parenting characteristics (mother's parenting style, stress, and father's parenting time on weekends), and the infants' daily routines (playing with friends or caregivers). Fine motor development was affected by playing with a caregiver.
The purpose of this study was to investigate the levels of the adolescents' self-concept, communication, and conflict with parents, and to examine relationship between adolescents' conflict and their communication. This study also investigated the effect of the conflict and the communication on their self-concept. 179 second graders of 3 middle schools and 182 6th graders of 2 elementary schools of East Jeonnam were selected as the subjects. The questionnaires for the communication and the conflict between the adolescents and the parents and the self-concept inventory were used. The data were analyzed by regression analysis, t-test, paired-t-test, one way ANOVA and Duncan analysis. First, mother was better than father in the communication with the adolescent. The conflicts with the parents were as shown below in order; the homework, school record, sibling relationship, playing computer games, etc.. The adolescents' self-concept was above the median. Second, the adolescents' conflicts and communications with parents were negatively correlated. Third, there was a difference in the adolescents' self-concept according to the conflict with the parents. Fourth, the adolescents' self-identity was influenced by the communication with the parents. Their self-acceptance was highly influenced by the conflict and the communication with the parents. Their self-behavior was influenced by the communication with the parents.
Purpose: This study was conducted to compare the level of depression, self-esteem and mother-adolescent (M-A) communication perceived by both mothers and adolescents between the early adolescent (E-A) group and the late adolescent (L-A) group; and to examine the actor effect and the partner effect of self-esteem and M-A communication on depression in mothers and adolescents. Methods: Participants were 107 Kirogi families who resided in the Midwest region of the U. S. Data were collected from September, 2008 to March, 2009 using the scales of Center for Epidemiologic Studies Depression (CES-D), Self-esteem and Parent-Adolescent Communication Inventory. Results: Mothers in E-A group reported higher scores on depression than mothers in L-A group. Adolescents in L-A group reported higher scores on depression and lower scores on self-esteem than adolescents in E-A group. In the E-A group, mothers' selfesteem had big actor effect on mothers' depression and partner effect on adolescents' depression. In the L-A group, selfesteem of mothers and adolescents had actor effect on their depression respectively without partner effect. M-A communication of mothers influences mothers' depression negatively and adolescents' depression positively. In both group, M-A communication influences their depression with mediating effect of self-esteem. Conclusion: To promote Kirogi families' mental health, programs for mothers and adolescents should be developed differently according to adolescents' development stage.
The purpose of this study was to describe the current status of dual-earner families in Seoul. The specific aims of this study were to examine the dynamics of marital relationship, parent-child relationship and old mother-daughter/daughter in law relationship in the same family. The sample consised of 265 dual-earner families was selected based on wives' jobs, primarily non-professional. The information was gathered from working couples and their school-aged children. The findings of this study were as follows: 1. Sex role attitude of husbands was more traditional than their wives. Therefore, housework sharing of husbands was very low and wives' perception of inequity was high. Wives' marital satisfaction was affected by the wives' perception of inequity, joint leisure activity, sexual satisfaction, and wives' job satisfaction. Husbands' marital satisfaction was affected by sexual satisfaction, perceived difficulties and problems of the husbands caused by wives' employment, and the degree of their housework participation. 2. The emotional uneasiness of children during mothers' absence was reported. The communication about mothers' job was helpful to gain children's understanding toward mothers' job. Mothers suffered from guilty feeling of neglecting their children in spite of their good performance of mothering role. 3. The employed daughters/daughters in law perceived high rewards and low cost in relationships with their mothers/mothers in law. The perceived quality of daughter-mother relationship was higher with low cost and high rewards than that of daughter in law/mother in law. Finally practical and policy implications were suggested.
This study deals with a counseling case in which a mother requested counseling due to the problems of her daughter, who suffers from multiple tic disorder. The participants of this study included five family members (grandmother, father, mother and two female children) and a total of 23 sessions were held from September 2006 to December 2007. Additional counseling ($24^{th}$ counseling session) was conducted on April 1st, 2009. The data was based on recorded transcripts and notes from 24 family therapy sessions. The study used a constant comparative analysis, which uses matrix and network display as an analysis method suggested by Miles&Huberman(1994). The characteristics of the family of origin and the indifference of the husband had caused the wife stress. The couple had frequent conflicts due to dysfunctional communication methods, a clash of values, sexual dissatisfaction, and a lack of communication. This marital conflict became the primary factor of the daughter's multiple tic disorder. Intervention of the family therapist resulted in the setting of treatment goals based on MRI's communication theory and Bowen's family systems theory in order to solve the problem of the daughter's multiple tic disorder. Also, the therapist's intervention techniques included exploring experiences with the family of origin, shedding light on the multigenerational transmission process, exploring dysfunctional attempts at solutions, the therapist's self-disclosure, providing similar cases, dealing with resistance, and suggesting a new communication method. To solve the problem, the therapist helped the family separate the daughter spatially from her parents. Therefore, the therapist's intervention helped reduce the daughter's tics and improve relationships among the family.
This study examined the influences of demographic variables, parent-adolescent conversation time, and open communication on the positive psychological capital of adolescents. The data were collected from 243 middle school students living in Gwangju from December 23, 2019, to January 3, 2020. Data were analyzed using correlation analysis, and hierarchical regression analysis. The results can be summarized as follows. First, with economic condition, academic achievement, parent-adolescent conversation time, and open communication, positive psychological capital showed significant difference statistically. Second, father-adolescent open communication best explained positive psychological capital, followed by academic achievement, and mother-adolescent open communication. The results highlight the important roles played by parent-adolescent open communication and academic achievement in improving adolescents'positive psychological capital. The study contributes to the literature by providing fundamental insights into adolescents'positive psychological capital.
Purpose: The purpose of this study was to investigate how pediatric intensive care unit (PICU) nurses and the mothers of hospitalized children perceived their partnership and identify the detailed differences in the common domains of partnership between them. Methods: A qualitative descriptive design with semi-structured and open-ended interviews was used. Interviews with mothers of hospitalized children and nurses in the PICU were conducted at a national university hospital in South Korea. Results: Five integrated categories were identified concerning nurses' and mothers' perceptions of partnership. Five common domains were derived by merging the partnership categories perceived by each PICU mother and nurse: expectation of trust, sharing and communication, participation in care, equality in the relationship, and coordination of opinion However, there were significant differences in the composition of the categories of these common domains. Conclusion: These results may facilitate more effective partnerships between parents and PICU nurses. Efforts should be taken to promote the formation of trust between nurses and parents and create an environment that is conductive to regular open communication in particular, steps should be taken to reduce gaps in awareness concerning this partnership and information sharing, nursing methods, and decision-making.
This study investigated (1) present modes of parent education in the kindergartens, (2) mother's level of and need for knowledge about child development, child rearing and related areas, and (3) the variables that related to mothers' needs in these areas. The subjects of this study were 80 teachers and 674 mothers of 21 kindergartens in Seoul. The instruments were two questionnaires on a 4-point scale. The questionnair for mothers was composed of 86 items, and that for teachers was of 14 items. The data were analyzed with frequency, percentage, mean, standard deviation and multiple regression. The results showed that (1) The most common type of parent education was techer-parent conference and newsletter. The contents and methods of parent education was mainly decided by the directors in consulation with teachers. (2) Among the six general areas, mothers had most knowledge abut modification of child behavior, but their most felt needs was knowledge about child development (3) Need assessment based on item analysis revealed, in descending order, felt needs for knowledge about creative development, observation techniques, social developement, saftey and first-aid, and ways to stimulate educational motivation. (4) The variables that predicted mothers' felt needs were the birth order of the child, mother's experience in parent education, family cohesion, adaptability and communication.
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