Lee, Chang Hee;Jang, Mi Heui;Choi, Yong Sung;Shin, Hyunsook
Child Health Nursing Research
/
v.25
no.2
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pp.184-195
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2019
Purpose: This study aimed to characterize the relationship between parental stress and nurses' communication as perceived by parents of high-risk newborns in a neonatal intensive care unit (NICU). Methods: The participants were 54 parents of high-risk newborns in a NICU. Data were collected from January to March 2018. Parental stress and parents' perceptions of nurses' communication ability and styles were measured using a questionnaire. Results: The average scores for parental stress and nurses' communication ability were 3.39 and 4.38 respectively, on a 5-point scale. Parents most commonly reported that nurses showed a friendly communication style, followed by informative and authoritative styles. Mothers and fathers reported significantly different levels of parental stress. Parental stress showed a negative correlation with nurses' perceived verbal communication ability. Higher scores for nurses' verbal communication ability and for friendly and informative communication styles were associated with lower parental stress induced by the environment, the baby's appearance and behaviors, and treatments in the NICU. Conclusion: The findings of this study suggest that nurses need to offer proper information for parents and to support parents by encouraging them to express their emotions of stress and by providing parents with therapeutic communication and opportunities to participate in care.
The present study, based on Tiffany Field's model of violence and intimacy as well as other previous research, examines the relationship between parents' physical affection and their child's aggressive behavior. One hundred seventy-five mothers and 124 fathers of Japanese preschoolers answered a questionnaire that included a parental physical affection scale developed for this study. Children's aggressive behaviors were rated by their teachers on the hostile-aggressive subscale of the Preschool Behavior Questionnaire. Consistent with Field's model and previous studies, the results of logistic regression analyses indicated that children who received more physical affection from mothers or fathers during daily parenting were less likely to be aggressive at preschool. When the mother's and the father's physical affection scores were simultaneously entered in the equation, only the father's score was significant. Implications and limitations of the research are discussed.
The purpose of this study was to examine the relationships among delay gratification, delay strategy, and parents' child-rearing attitude. The participants of the study were 62, 18-36 month old infants, who demonstrated individual differences in the level of delay gratification and their mothers. The instruments of the study were infant's delay gratification and delay strategy were assessed by Mischele(1974) and the parents' responded to the parents' child-rearing attitude(Cho et al., 1999). Data were collected by menas of conducting observations on infants in experimental settings and completing questionnaires with mothers. The results of this study were as follows: 1. The delay gratification of infants differed accordingly to their age. Older infants displayed increased time in showing their delay gratification, while younger infants relatively exhibited shortened time. There was no significant difference in infants' sex and the order of the birth. 2. Following the age factor, the distraction strategy in the delay strategy played a significant difference to infants. Older infants required a frequent use of the distraction strategy in comparison to younger infants. 3. The previous two factors - delay gratification and distraction strategy-showed a positive relationship. 4. The delay gratification was significantly influenced by infants' age, parents' attitude, direct facing strategy, and infants' distraction strategy. However, the delay gratification was insignificantly accounted for by infants' sex.
The purpose of this study was to investigate parents' recognition of the importance of their children's basic habits and how that effected their children's basic habit development, according to young children's age. The subjects of the research were 224 parents whose children were three to five years old, attending seven nurseries in Seoul and Gyeonggi-do. The results of this study were as follows. First, there was significant age difference in the parents' recognition of the importance of basic habits. As children were older, parents thought that children's basic habits got more important. Second, there was no significant difference between a mother or father's recognition about the importance of basic habits. Third, there were differences in the correlations between the parents' recognition and the teacher's ratings for the development of children's basic habits based on the children's age. In conclusion, the mothers' recognition of the importance of their children's basic habits with younger children was more related to the development of the children's basic habits.
A serious disease in a family influences the entire family member given the fact that the members closely interact with each other. Especially in terms of pediatric nursing, study on family gains importance as the need to care of families whose children with developmental disabilities and chronic disease This study was done based on The Resiliency Model of Family Adjustment and Adaptation(McCubbin, 1991) is intended to examine the stress of parents whose children suffer from cleft lip or /and cleft palate. It also helps them to cope with the stress and analyze the relationship between the stress and coping This study used Family Inventory of Life Events and Changes (FILE) and Coping Health Inventory for Parents(CHIP) for measuring family stress and coping. The two instruments are revised to fit the social and cultural environment of Korean culture. Data collection was done from April 18, 1996 to May 18, 1996 at 8 University medical centers located in Seoul. Those who answered questionnaires were 84 parents whose children have cleft lip or /and cleft palate. SPSS PC+ was used to analyze the data collotted. Programs used for data analysis were t-test, ANOVA, Pearson correlation coefficient. The study is summarized as follows .1. The average score of family stress is 10.46(percentage of the full score 24.90) and 'finance and business strains'(3.25), and 'intrafamily strains'(2.65) ranked the highest. The average score of family's coping is 1.93, which is close to the answer of' moderately helpful' and they are measured to put their utmost efforts to' intergration and cooperation of family and optimistic definition on the situation'. 2. There is no significant statistical correlation between the family stress and coping. 3. Mothers show more stress than fathers in the parts of 'illness and family care strains' and 'losses'(t〓-2.34, t〓-2.32, p<.05). 4. Fathers show more willingness to cope with the stress than mothers do in the parts of' seeking social support','self-esteem','emotional comfort' 5. Mothers are more stress than fathers in the parts of family stress and its coping with it by usual traits(t〓-2.78, p<.05). Parents with religion are measured to cope more willingly than those who are not 6. Income of a family shows positive correlationship with family coping (r〓.28, p<.05). The study shows that gender difference is significant variable in studying on family stress and coping. Mothers get more stress than fathers, which has much to do with the fact that they are in charge of raising children and keeping houseworks. Accordingly, managing family crisis and its survival can be induced by giving support for the mothers, studying fathers including the rest of the family members and giving nursing care and arbitration ; religious background is also considered to be one of the important factors in family stress , judging from the relationship between family income and family's coping, caring given to suffering children is needed on societal levels. The above considerations bring up the need to have a longitudinal study of children with congenital anomaly including cleft lip or /and cleft palate and their families about family stress and coping. Resiliency programs on family system and their effectiveness and the relationship between the enlarged families with social and cultural values reflecting Korean tradition are also needed to be studied.
With advances in neonatal medicine, smaller and sicker infants are surviving premature birth. As these tiny patients battle for their lives, their parents also struggle with psychological consequences of an unexpected role. The birth of a sick infants has long been documented as stressful events for the parents. High stress levels may alter parents' interaction with their baby and impair their communication with health professionals, which can in turn affect parents' participation in care planning and decision making. Nursing interventions aimed at reducing the parental stress and anxiety levels during this crisis may have a positive impact on their ability to form an attatchment to their baby and make prudent decisions about his care. The planning of such interventions would be inhanced if the contributions of various factors to increased parental stress levels were identified. This descriptive study was conducted to understand the contents and degree of parental stress in the NICU during their premature's hospitalization, and to give a baseline data in developing nursing intervention program. Subjects were the 60 mother of hospitalized newborn in NICU of 2 University Hospital in Taejon City from April 1st, 1999 to June 30th, 1999, who agreed to take part in this study. The instrument used in this study were Parental Stressor Scales:NICU(PSS:NICU) developed by Miles et al.. and validated by 3 NICU practitioners and 3 child health nursing faculties. The questionnaire has 4 dimensions and 45 items; sight and sounds of NICU(5 items), babies' appearance and behavior nursing intervention(19 items), parental role alteration and relationship with their baby(10 items), health team communication(11 items). The questionnaire asks parents to rate each item on a five-point Likert type scale that ranges from "not stressful" (1) to "extremely stressfu1"(5). Total scores representing overall stress from the NICU environment are calculated by summing response to each item. A high score indicates high stress. A subscale score is calculated by summing the responses to each item in the subscale. Cronbach's ${\alpha}$ coefficients were .93. The data was analyzed as average, Frequency, Standard deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+. The results of this study is summarized as follows ; 1. The total perceived stress level score of mothers of premature baby was slightly high($3.66{\pm}1.1$). The highest scored dimension was 'relationship with their baby and parental role change'($4.21{\pm}0.9$), and next were 'appearance and behavior of the baby'($3.92{\pm}1.1$), 'communication with health team'($3.32{\pm}1.3$), 'sight and sounds of NICU'($3.30{\pm}1.1$). 2. There were statistically significant correlation noted ; mother's perceived severity of the baby's condition(F=8.0012, P= .0125) and baby's gestational age(r = -.4724, P = .0500). In summary, information about physical environment of NICU, the mother's perceived severity of premature baby's state, maternal role change related variables and the knowledge of characteristics of premature baby must be included in nursing intervention program of mother's of premature baby in reducing the parental stress and anxiety level. It is suggested that each NICU needs to develop a nurse managed supportive care program for parents of premature baby. Also, it is suggested that there need to investigate the coping mechanism of mother of premature baby.
This descriptive study aimed to explore the correlations between mothers' parenting stress and adolescents' coping responses, depression, and self-concept. Methods: Participants were 320 adolescents and their parents. The adolescents completed Self-concept Scale, Coping Responses, and Depression Scale-2, and their parents completed Parenting Stress Scale. Results: The adolescents used approach coping frequently and their depression was $54.87({\pm}14.06)$. However, adolescents' approach coping and overall self-concept were negatively correlated with parenting stress, and were significantly correlated with parenting stress in both mothers and fathers including depression. Mothers' and fathers' mean parenting stress scores and patterns were similar, but relationship patterns for parenting stress and adolescents' Seeking Guidance subscale scores differed between mothers and fathers. Conclusion: These findings could be useful in supporting school-based mental health services for adolescents, through the development of parenting roles.
Relationship between parent and children is basic relation and initial relationship. It is essential research to explore relationship between parent's role satisfaction and children's health promotion in rapidly changing social situation influence parenting attitude. The purpose of this research to explore first mother's parenting belief, communication, filial piety by indepth interview and literature review. Method of research is literature review (books and articles) and Web site researching (home page) and contacted two mothers to do individual interview. Data was collected and analysed according to the objectives. The result of this study as follows. 1) It was problem that is child rearing and child education due to working parents. 2) It was discussed parent's belief regarding child rearing. The belief was influence by culture, social economic status, family friend and internet, advise of professionals. The subjects of this study was influenced by family, friend and internet Web site. 3) Parent-child communication was reviewed and discussed about influence of masmedia and early education system. Children's level of language development was rapidly improved by role play and read the book with mother. 4) It was discussed concept of filial piety. Parent was not expected filial piety from their children. Parent thought that they already received filial piety from their children, because children gave them pleasure and happiness during growing process. Parents want their children become mature person and adapt to informative changing society. Finally, it is needed further interdisciplinary study for parent-child health promotion and growth and development in rapidly changing society.
Purpose: The purposes of this descriptive survey study were to describe the perception on the importance of parental role by mothers with infants, and to analyze the differences of those perception depending on the mothers' and infants' characteristics. Method: Data were collected from 240 mothers of infants visited at one public health center in Gangreung city. The instrument used for this study was a self-report questionnaire to identify the parental role. Results: The mean score for perception on the importance of parental role was 139.89, and item mean for caring performance ability domain 4.43, environmental organization for development domain 4.38, acceptance domain 4.26, responsibility domain 4.21점, knowledge for caring domain 4.19, sensitivity 4.16, provision of stimulus and involvement 4.01. There were significant differences in the perception of parental role according to spouse relationship, father's participation in child rearing, experience of parental role education, and infant's temperament. Conclusion: The experience of childhood is highly affected by the quality of the parental role. It is important to identify parents' perception of parental role. Therefore, the parental role education program are necessary.
The purpose of the study are to investigate the effects of the bond between grandmother and grandchild and the degree of cohesion between child in adolescence and their parents on adolescent's ego identity. The major findings are as follows. First, a level of adolesent's ego identity is moderate on the whole. Not only the degree of the cohesion between children in adolescence and parent is high, but also the bond between children in adolescence and grandmother is high. Second, adolescent's ego identity is associated with cohesion with their parent. The research also shows that adolescent's ego identity is influenced by the relationship between grandchild and grandmother. Finally, the important factors on ego identity of the adolescent who are living with their grandmothers are the degree of the cohesion with father, grandmother-parent relationships, the degree of the cohesion with mother, and occupational status of mother. Those who are not living with grandmothers, the degree of the cohesion with their mothers and the bonds with grandmothers have significant influences on adolescent's ego identity.
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