• Title/Summary/Keyword: Early experiences

Search Result 543, Processing Time 0.024 seconds

Effect of Adolescents' Abuse Experience on Suicidal Ideation: Focused on Moderated Mediation Effect of Self-esteem on Depression and Anxiety (청소년의 학대경험이 자살생각에 미치는 영향: 자아존중감에 의해 조절된 우울 및 불안의 매개효과 분석)

  • Kim, Ji Young;Lee, Kyunghee
    • Journal of Korean Academy of Nursing
    • /
    • v.45 no.5
    • /
    • pp.752-760
    • /
    • 2015
  • Purpose: The purpose of this study was to examine the moderating mediation effect of self-esteem on the relations among adolescents' abuse experiences, depression and anxiety, and suicidal ideation. Methods: The participants were selected using secondary data from a population in the 2012 Korea Welfare Panel Survey (KOWEPS). Data were analyzed using SPSS 15.0 and SPSS Macro, and bootstrapping and hierarchical regression analysis were performed to analyze multilevel models. Results: First, analysis of the mediating effect of the adolescents' abuse showed that there was significant mediating influence between suicidal ideation and depression and anxiety. Second, hierarchical regression analysis showed that self-esteem had significant mediation effect on depression and anxiety in adolescents' suicidal ideation. Third, SPSS Macro showed that self-esteem also significantly moderated the mediating effect of adolescents' abuse experiences on suicidal ideation through depression and anxiety. Conclusion: The study results suggest that in future research on adolescent's abuse experience, the risk of suicide in depression and anxiety scores should be selected through evaluation of each individual's self-esteem scale. Coping strategies with immediate early intervention should be suggested.

Early Experiences of Single Incision Laparoscopic Surgery in Pediatrics in a Single Center (단일기관 소아환자에서 단일절개복강경하수술의 초기경험)

  • Song, Ra-Yeong;Jung, Kyuwhan
    • Advances in pediatric surgery
    • /
    • v.19 no.2
    • /
    • pp.90-97
    • /
    • 2013
  • Laparoscopic surgery has become popular in the past few decades, owing to less postoperative pain, fast recovery, and better cosmetic outcomes. The laparoscopic approach has been employed in pediatric surgery for the same reasons. After the first attempts of single incision laparoscopic appendectomy in pediatrics in 1998, single incision laparoscopic surgery (SILS) has recently been proven to be safe and feasible for the pediatric population. However, limitations have been reported for SILS, such as the wide learning curve, compared to standard laparoscopic surgery, and the restricted number of hospitals with surgical training programs including SILS. In this study, we intend to present our initial experiences with SILS in children, and to describe the technique, instruments used, and outcomes. This is a retrospective study of 71 pediatric patients who underwent SILS, at a tertiary medical center, between September, 2012 and August, 2013. Electronic medical records were reviewed for demographics, type of procedure, operation time, use of additional ports, conversion to open surgery, complications and hospital stay. Additional ports were inserted in 4 cases, for the purpose of traction. Postoperative complications were noted in 13 cases, which were mostly related to wound inflammation or formation of granulation tissue. According to our analyses, patients with complications had significantly longer use and more frequent use of pain killers. Notwithstanding the small sample size, many of the procedures performed in pediatric patients seem to be possible with SILS.

The Influence of Experiences in Close Relationships with Teachers for Young Children on Their Depression: Examining the Mediating Effect of Their Self-compassion (영유아교사의 친밀관계경험이 우울에 미치는 영향에서 자기자비의 매개효과)

  • Choi, Insuk;Chae, Jin-Young
    • Korean Journal of Childcare and Education
    • /
    • v.16 no.5
    • /
    • pp.201-218
    • /
    • 2020
  • Objective: The purpose of this study was to investigate the influence of experiences in close relationships with teachers for young children on their depression and to see whether there would be a mediating effect of their self-compassion. Methods: The subjects were 206 teachers recruited from Seoul and five different provinces who currently worked at the kindergarten and child care centers and agreed to participate in the survey. The data were analyzed by means of frequency, percentages, Cronbach's reliability coefficient and Pearson's correlation using SPSS 25.0 and model 4 provided in The PROCESS macro for SPSS 3.4 version. Results: The findings were as followed. First, the teachers' degrees of anxiety and avoidance for their close relationships were below the median scores. In contrast their degree of self-compassion was above the median score. In addition, their level of depression was relatively low. Second, both of the teachers' anxiety and avoidance for their close relationships had a positive impact on their depression and their self-compassion, and there were the partial mediating effect in both cases. Conclusion/Implications: These results imply that the early attachment experience connecting the experience in close relationships in the adulthood is important and that it is necessary to develop a program to enhance teachers' self-compassion to protect their psychological well-being.

A study on the Housing Life History of the Women in their 50's (50대 여성의 주거 생애사에 관한 질적 연구)

  • Shin, Soo-Young;Yoon, Chung-Sook
    • Proceeding of Spring/Autumn Annual Conference of KHA
    • /
    • 2008.11a
    • /
    • pp.173-178
    • /
    • 2008
  • The purpose of this study was to improve the understanding of housing experiences of the women in their 50's in Korean social-cultural context and to explore their housing trajectory. The grounded theory was adopted in this study to address the research questions. Data was collected through in-depth interviews with the seven women in their 50's. The major findings of this study are summarized as follows. First, the their housing experiences of childhood is characterized by emotional and affective memory, whose sub-categories are nature and large family. Second, the respondents are categorized into two types according to their tenure of their first house after marriage. the respondents who started the housing careers with rental housing tend to move more frequently than the one who procured homeownership at the early stage of life course. Third, the respondents are satisfied with their present housing, consider it as their final housing but most of them are ready to sell their present house and move to smaller or cheaper house when their children need to money to buy the house for marriage.

  • PDF

A Study on the Filipino Marriage and a Migrant Women's Married Life (필리핀 결혼이주 여성의 한국 결혼생활 현상에 관한 연구)

  • Kim, Hyun-Kyoung;Shin, Dong-Ju
    • The Korean Journal of Community Living Science
    • /
    • v.19 no.4
    • /
    • pp.519-535
    • /
    • 2008
  • The purpose of this study is to understand a migrant women's married life. The study examined migrant Filipino women's married lives, motives for marriage and migration to Korea, and their married life experiences. The results showed that these women get married to Korean men in pursuit of an economically better life to support their family in the Philippines through marriage migration. As for Filipino women's perceived difficulties in married life, they indicated hardships with redrawing the boundaries of nationality, as well as their husbands' faults or bad habits which are different from what they expected before marriage. Other difficulties mentioned were the peculiar culture of living with parents-in-law, and general difficulties in married life. This study showed that marriage migration results not from external pressure or motives but ultimately from their own decision in a social and cultural context. It was also implicated that Korea's superior position to the Philippines in international economic power has an effect on family relations. The boundaries of nationality are redrawn according to their married life. In addition, it was revealed that the Korean born children of migrant mothers who divorce because of difficulties in married life are in a very poor situation as their national identity depends on their mother's future marriage relations.

  • PDF

Barriers of community networking practices in the context of family-centered case-management (가족사례관리 중심 지역사회협의체 운영의 장애요인 및 발전 방안)

  • Auh, Seongyeon;Koh, Sun-Kang
    • Journal of Family Resource Management and Policy Review
    • /
    • v.21 no.1
    • /
    • pp.65-88
    • /
    • 2017
  • The main purposes of this study are to appraise the family-centered case-management (FCCM) practices in terms of building the community networking efforts, and to propose the practical improvement suggestions to overcome the barriers in practicing the current Healthy Families Policy, FCCM. The blended methodology was employed by collecting the quantitative and qualitative data sets including an staff's on-line survey, in-depth interviews(site case studies), and FGIs. As results, the authors found, despite the building and maintaining functional community networks was the essential and critical condition for the FCCM policy deliveries, many staffs have faced hardships in FCCM practices such as building a new network or finding an available and apt network within their communities. The lack of previous experiences in case-management exaggerated the functional difficulties thus, the new staffs were more prone than the staffs with 2 or more years experiences to the misunderstanding about the missions and tasks related to FCCM. Authors suggested that various on-the-job-training should be provided to eliminate those obstacles to build and/or maintain the community network for FCCM. Also, it is necessary for the each institution's director or managers to understand the FCCM and its relation to community networking, and to support FCCM staff members.

Emerging Poetry Composition and Poetic Expression in 4 year Olds Stemming from Forest Activities (숲 활동을 토대로 한 만 4세 유아의 자발적 동시 짓기 과정과 시적 표현)

  • Kim, Yu-Mi
    • Korean Journal of Childcare and Education
    • /
    • v.13 no.2
    • /
    • pp.59-80
    • /
    • 2017
  • Objective: The purpose of the present study was to find out the development of 4-year-old children's emerging poetry composition process and features of poetic expression through their own forest experiences. This research also aims to explore the possibility of alternative poetry education for early childhood. Methods: This study collected data from one class of four-year olds through classroom observation, interviews with teachers, and the researcher's journal entries on events that occurred during forest walking activities. Results: Research findings showed that it was possible to encourage free expression of metaphors and imagination in children and they were able to share excitement about poetry with their classmates when provided with an alternative environment. One remarkable finding was that children's spontaneous writing and pleasure in poetry did not continue when given the new theme of 'Mom and Dad'. Conclusion/Implications: The results imply that to encourage the development of children's intuitive poetic words we need to be interested in how to organize and highlight the experiences of children. This study also suggests that positive methodological and teleological changes are needed for poetry education that is separate from language education.

Twenty three experiences of Fontan operation (Fontan 술식의 치험 23례에 관한 고찰)

  • 안재호
    • Journal of Chest Surgery
    • /
    • v.16 no.3
    • /
    • pp.342-348
    • /
    • 1983
  • The Fontan principle of redirecting systemic venous blood into the pulmonary arteries via a conduit was initially proposed for Tricuspid Atresia, but it and its modifications have now gained a much wider application than initially intended. From September 1978 to July 1983, Atriopulmonary anastomosis has been performed in 23 patients, 2 months to 19 years of age, Seoul National University Hospital. The diagnoses were Tricuspid Atresia [TA] in 13, Univentricular Heart [UVH] in 9 and one case of Double Outlet of Right Ventricle [DORV]. Previous procedures included two Glenn shunts and one Blalock-Taussl8 shunt. Among these 23 patients, 10 patients had Right Atrial to Pulmonary Artery conduit, with a valve in 7 and without in 3. The remaining 13 patients had direct anastomosis between RA to PA. There were 14 early deaths, 7 of 13 TA patients, 6 of 9 UVH patients and one DORV, and the total hospital mortality was 60%. But there were no later deaths, 9 of these 23 patients survived operation and are presently alive. The Fontan procedure can be done with an acceptable low mortality with good functional results for Tricuspid Atresia and other complex lesion in foreign hospital, but till now our results revealed much higher risks. For our good operative results and effective patients selection, we must clarify the exact condition of pulmonary arterial system and accumulate much more experiences and technique.

  • PDF

Transition Experiences of the Elderly from Long-Term Care Hospital to Home: Focusing on the Elderly Living Alone of Community Care Project (요양병원 장기입원 노인의 재가 전환 경험: 지역사회 통합돌봄 독거노인을 중심으로)

  • Hwang, Yun Hee;Lee, Ga Eon
    • Research in Community and Public Health Nursing
    • /
    • v.32 no.3
    • /
    • pp.382-395
    • /
    • 2021
  • Purpose: The purpose of this qualitative study was to explore the transition experiences of the elderly from long-term care hospitals to their homes. Methods: The participants were eight elderly medicaid beneficiaries, who had been the subjects from the community care project in Korea. The data were collected with one-on-one interviews from April to November in 2020, and analyzed by phenomenological steps. Results: The seven themes derived in this study were 'Space to escape', 'Reliable supporter opened the way to discharge', 'Comfortable life at home', 'Obstacles to independent life', 'Struggling to live alone', 'Fence for community life', and 'Energizing in daily life' Conclusion: The results revealed the positive aspects of Community Care program in Korea. However, it is suggested that active communication between hospitals and community care institutions, and improvement of home environment to live in the community before discharge should be required. And system revision is needed to adjust activity in their home and support health problems of the elderly in the early stage of discharge. The results of this study can be referred to as the foundation of transitional care for the elderly.

Recognition of the appearance and fashion style of women who experience childbirth (출산을 경험한 여성의 외모에 대한 인식과 패션스타일)

  • Kim, Koh Woon
    • The Research Journal of the Costume Culture
    • /
    • v.29 no.3
    • /
    • pp.453-470
    • /
    • 2021
  • The aims of this study are to explore the experiences of modern Korean women who experience childbirth and to examine the perceptions of body and appearance in everyday life and how fashion provides a means of self-expression. The study utilizes focused ethnography (a qualitative research method) of cultural technology magazines, conducted to observe women's behavior and language, and to explore their life values, such as beliefs, attitudes, and behaviors in fashion style in everyday life. The purpose of this study is to reveal the actual meaning of childbirth, the resulting change in appearance, and patterns of specific style expression. This will enable a better understanding of the experiences of married women with children in Korea using vivid language, by which an in-depth understanding of their lives may be promoted. A survey of 24 women (aged 25~40) who had experienced pregnancy and childbirth were included in the study, categorized as early pregnancy, pre-birth, and post-birth parenting. Subcategories were derived as "unfeasible pregnancy," "unpredictable and unprepared anxiety," "self-awareness of changing bodies," "pressure on healthy bodies," "opportunity to let go of pressure on appearance management," "pressure on hard parenting," and "experience of change in unmanaged areas." Pregnant women and women with children demonstrated tastes and preferences in style suitable for differentiated situations and roles, along with perceptions of appearance.