• Title/Summary/Keyword: child care Time

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The Effect of Kangaroo Care on Weight and Stress Hormone(Cortisol) in Premature Infants (캉가루식 돌보기가 미숙아의 체중과 스트레스 호르몬[코티졸]에 미치는 영향)

  • Jang, Me-Young
    • Child Health Nursing Research
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    • v.14 no.2
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    • pp.138-145
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    • 2008
  • Purpose: This study, using a pre-posttest design of non-equivalence comparative groups, was done to determine effects of KC (kangaroo care) on weight and SH (stress hormone) of premature infants. Method: Participants were 31 premature infants assigned to KC(14) or CG(control group)(17). Data were collected from June 2006 to February 2007. KC was given for 60 minutes at a time, Mon, Wed, and Fri for a 10 times. Body weight was measured at a fixed time daily and serum cortisol was examined as part of routine blood testing, frequent for premature infants. Results: The weight for infants in the KC group was higher than the control. The difference was significant between both the two groups, and the 2 measurement times(F=12.7, p=.001). SH(cortisol) in infants of KC group decreased than CG, but there was no valid difference from the statistical viewpoint. Conclusion: The result of the study suggest that KC contributes to weight increase in premature infants and also that KC is effective for SH reduction in spite of the lack of statistical validity. Therefore, our conclusion is that KC can be used as an independent nursing intervention for development and advance of premature infants.

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The Psychological Costs and Rewards of Weekend Couples by the Type of Living Together (주말부부의 거주유형에 따른 심리적 비용과 보상에 관한 연구)

  • 곽인숙
    • Journal of Families and Better Life
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    • v.21 no.2
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    • pp.187-199
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    • 2003
  • The purpose of this study was to understand the weekend couples' type of residence, and to identify the factors to determine their major living place. Specifically, this study dealt with the weekend couples' psychological costs and rewards when they live apart in weekdays. The data were collected from 33 married couples from 2002 June to July about their family life history. The major findings of this study were summarized as follows: 1) the type of living together ; husband living apart on weekdays, wife living apart on weekdays, wife and child living apart on weekdays, living multi-residence. The majority of them were the type of husband living apart on weekdays. 2) children's care and education were an important factor in a couple's decision 3) weekend couples' psychological costs were such as difficulties of children's care, very fatiguing, shortage of time, and emotional isolation. In spite of all these costs, weekend couples still maintain their separate living arrangements during the week. They felt different kind of psychological costs by the type of living together. 4) psychological rewards were professional success, self-fulfillment, plenty of time to use purposely, and weekenders' relationships to their spouses might seem better than before. Socialization of child-care and household-labor are important factors to reduce psychological costs for the all weekend couples.

Lived experience of mothers who have child with cerebral palsy (뇌성마비아 어머니의 경험)

  • Lee Hwa Za;Kim Yee Soon;Lee Gee Won;Gwan Soo Za;Kang In Soon;An Hea Gyung
    • Child Health Nursing Research
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    • v.2 no.1
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    • pp.93-111
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    • 1996
  • The purpose of the study is to identify the lived experience of mothers who have children with cerebral palsy in order to understand their agony. Moreover, the result of study was to find some nursing intervention for disabled children and their mothers. For this purpose, ten mothers who are willing to cooperate with this research were selected at random from those who have children with the cerebral palsy, currently using the municipal facilities for the handicapped with cerebral malfunction. Data collection was done from October 4, 1994 th December 31, 1994. The data were collected by asking the mothers mentioned above with some unstructured open-ended questions, recorded on the tapes with permission by the interviewee in order to prevent missing of the interviewed contents. These collected data have been substantiated and properly analyzed on the basis of phenomenological approach initiated by Colaizzi's method. The results and validity are proved to be credible by means of the individual checking of the interviewed mothers. The results of this study are as follows : 1. When the mother is first informed of the diagnosis of cerebral palsy on her child, she usually misses the crucial timing needed for proper treatment of the child's disorder because she is notified through the doctor's indifference and his apparently inactive, matter-of-fact attitude. At first she suspects the doctor's diagnosis and tries to attribute it to the unknown cause from a certain genetic problem and then she quickly wants to deny the whole situation that her child is really suffering from the cerebral palsy. The reality is too much for her to accept as it is and she would not believe her child is abnormal. Therefore, she even attempts depend on the power of God for its solution. 2. The mother, who goes thorough this kind of uncommon experiences, is totally devoted to the treatment and care of the child and completely ignores her own life and happiness. At the same time, she feels sorry for her other normal children she believes having not enough care and concern. Also, she feels sorry for the sick child when the child's brothers or sisters show special concern for the patient out of sympathy. It is sorry and not satisfied for her that the child is growing with abnormality and neighbor other around have inappropriate attitudes. Likewise, she is discontent with her husband's lack of concern about the child's treatment. She believes that the health care system in this society isn't fulfilling its due purpose. In the state of her utmost distress and anxiety, she always feels the need of competent consultants, and is angry about that her child is treated as an abnormal being, she is trying to hide the child from other people and to make him or her disappear, if possible. Although she doesn't have harmonious relation with her husband, she id happy when he shows his affection for the child and she feels relieved and thankful when the relatives don't mention about the child's condition Since the child's overall status of health is continuously in unstable conditions, requiring her all-time readiness for an emergency, she feels guilty of her child's illness toward the fEmily members as if it was her own fault to have borne such an abnormal child and she feels responsible for the child morally and financially if necessary Because her life is centered on taking care of the child, she cannot afford to enjoy her own life and happiness. She is a lonely mother, fatigued, with no proper relationship with other people around her. With this sense of guilt and responsibility as a mother of an unusual disease, she has no choice but to grieve her destiny from which she is not allowed to escape. 3. Nevertheless, the mother with the child suffering from the cerebral palsy does not easily give up the hope of getting her child cured and she believes that in the long run, though slower than hoped, her abnormal son or daughter will be eventually cured to become a normal sibling someday. This kind of hope is sustained by the mother's strong faith coming from observing the progress of other similar children getting better. Sometimes she is encouraged to have this faith by other mothers who share the same painful experiences, believing that her child will improve even more rapidly than others with the same palsy. Full of hope, she painstakingly waits for the child's healing. Moreover, she plans to have another child. she thinks that the patient child's brothers and sisters only can truly understand and look after the patients. However, when she notices that the progress of other children under the treatment does not look so hopeful, she is distressed by the thoughts that her child may never get well. Too, she is worried that the patient's brother or sister will be born as the same invalid with the cerebral disease. She is discouraged to have another baby as much as she is encouraged to. She is also troubled by the thought that in case she has another baby, she will have to be forced. to neglect the patient child, especially when she does have an extra hand or some reliable person to help her with taking care of the patient.

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Predictors of Nursing Home Placement for the Elderly with Dementia: Adult Child Caregivers VS. Spousal Caregivers (치매노인의 요양시설 입소에 미치는 영향: 배우자 부양자 대 성인자녀 부양자)

  • Baek, Ju-Hee
    • 한국노년학
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    • v.25 no.2
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    • pp.127-141
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    • 2005
  • Prior studies about nursing home placement identified factors contributing to the risk of institutionalization by pooling adult child caregivers and spousal caregivers together, regardless of differential challenges for the two types of caregivers. In a sample of 456 caregivers followed for a 2 year period, an event history analysis showed that relationship made difference in time to placement and that differential factors led to institutionalization for spousal caregivers and daughter caregivers. Spousal caregivers are more likely to place dementia patients into nursing homes sooner than adult child caregivers. The age of care recipients and role captivity (refers to being unwilling, involuntary incumbent of a caregiver role) are predictors of placement for both groups of caregivers. Dementia patients who were older had a greater risk of institutionalization. Greater feelings of role captivity also shortened the time to placement. Income and education are significant predictors only for caregiving daughters. Daughters who had a high education level are more likely to delay nursing home placement whereas those who had a higher income are more likely to institutionalize their demented parents sooner. Use of day care and behavioral problems are significant predictors only for spousal caregivers. Specifically, use of day care and behavioral problems precipitates nursing home placement. The findings of this study suggest that interventions for helping family members to provide care to the demented elderly at home must consider different circumstances faced by caregiving spouses and caregiving daughters.

Effects of Variables on Mothers' Choices of Types of Infant Care (영아를 둔 어머니의 어린이집 선택에 영향을 미치는 변인에 관한 연구)

  • Seo, So Jung;Ha, Ji Young
    • Korean Journal of Childcare and Education
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    • v.10 no.2
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    • pp.319-335
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    • 2014
  • The purpose of this study was to examine the effects of variables of interest on mothers' choices of infant care. The variables of interest in this study were categorized into the following three areas: 1) demographic characteristics of mothers and infants, 2) structural and procedual dimensions of infant care facilities, and 3) maternal beliefs on child-rearing. The subjects of this study were mothers whose infants were currently cared by at infant care facilities(n=185) and those who were on the waiting list to use non-maternal infant care(n=53). The main results of this study were as follows. First, mothers of this study preferred to select a type of center-based subsidized infant care over other types of care(family day care) due to quality of the program. Second, the mothers who were not using infant care and cared for their infants at homes reported that there were limitations in their choices of types of infant care due to accessibility and availability of public subsidized infant care facilities, and their child rearing goals were more likely to emphasize learning achievement and maturity than character education or personality. The mothers were more likely to choose a family home care over center-based public subsidized care when they were employed, had younger infants, had longer period of time on waiting lists, and emphasized structural dimensions of infant care than center-based care users. Implications for research and practices were discussed along with the main results of this study.

Four Children with Multidrug-resistant Acinetobactor baumanii Infections in the Intensive Care Units of a University Hospital (단일 3차 의료기관 집중치료실에서 발생한 다약제내성 Acinetobacter baumannii의 4례)

  • Lee, Kyung Suk;Lee, Gyu Min;Yoon, Hoi Soo;Chung, Sa Jun;Cha, Sung-Ho;Chun, Hee-Kyung
    • Pediatric Infection and Vaccine
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    • v.18 no.1
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    • pp.97-102
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    • 2011
  • The Multidrug-resistant Acinetobactor baumanii (MDRAB) is an opportunistic pathogen. Patients with long periods of hospital stay and/or under intensive care unit (ICU) receiving invasive management are more susceptible to this pathogen. In this report, four children with MDRAB infection are reviewed and described their clinical characteristics. There had been concurrent outbreaks of MDRAB infection in adult patients in the ICU at this period of time. The first child had received a craniotomy and epidural hematoma evacuation. The second child was admitted for status epilepticus with hydrocephalus. The third child had pneumonia with status epilepticus with hydrocephalus. The fourth child had poor activity due to hypoxic ischemic encephalopathy and convulsive disorder. Except the fourth child, all had not been exposed to carbapenem prior to infection of MDRAB. That imply the cause of MDRAB infections may be associated with invasive management and prolonged hospitalization together with the previous exposure to carbapenem in our cases. We would like to emphasize the importance and minimizing the spread of hospital infection in patients under prolonged intensive care management regardless of the use of carbapenem.

The burdens faced by parents of preschoolers with type 1 diabetes mellitus: an integrative review

  • Sunyeob Choi;Hyewon Shin
    • Child Health Nursing Research
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    • v.29 no.3
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    • pp.166-181
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    • 2023
  • Purpose: This study examined the literature concerning the burdens of parents of preschool-aged children diagnosed with type 1 diabetes mellitus. Methods: We employed an integrative review methodology based on Whittemore and Knafl's framework. The literature search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines across four electronic databases: PubMed, Web of Science, the Cumulative Index to Nursing Allied Health Literature (CINAHL), and PsycINFO. Ultimately, 18 articles were included in the review. Results: The review yielded four themes: (1) parental burdens, (2) factors related to the burdens, (3) coping strategies, and (4) implications for clinical practice. Parents experienced psychological, physical, and social burdens due to the diabetes care of their children. Several factors influenced burdens, including child-related characteristics such as age, severity of diabetes, and hospitalization experience, as well as parental factors like family income, race, and residential area. Parents initially felt burdened when their child was diagnosed with type 1 diabetes, but over time, they often adapted to the situation through support and sharing of responsibilities. Parents desired education and interventions reflecting the unique characteristics of preschoolers. Conclusion: This integrative literature review revealed that parents experience numerous burdens when their child is diagnosed with diabetes. Future research should focus on developing interventions to address parents' psychological difficulties, including tracking parental psychological changes over time. Tailored nursing interventions should also be provided to parents of preschool-aged children, as opposed to the more generic nursing interventions traditionally applied across all age groups of children in clinical settings.

The Full-time Housewives Support Policy from the Perspectives of Human Resource Development and Utilization (인적자원 개발과 활용 관점에서 본 전업주부정책)

  • Kim, Seon-Mi;Lee, Ki-Young
    • Korean Journal of Human Ecology
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    • v.11 no.1
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    • pp.13-29
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    • 2002
  • This study was performed to discuss how to develop policies to support social participation by full-time housewives, from the perspectives of human resource development and utilization. This study focused on three areas of potential human resource development: (a) labor force participation (b) social education (c) volunteerism. It analyzed the related "social infrastructures," especially labor market situation and child care systems. The current governmental policies and other social programs implemented by various institutions as well as the relevant literatures were reviewed. The preliminary policy proposals outlined in this study were evaluated by the policy developers and experts through several hearings and discussions. Programs proposed from this study were as follows : (a) programs to support housewives who wish to find employment or create a self-owned business, (b) educational programs exclusively offered for full time housewives, and (c) programs to award certificates and rewards and to create paid employment tied to volunteer work. In addition, the ways how to ameliorate the gender discrimination by changing the labor and social environments and institutionalizing the child care were discussed.

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A Study on the Elderly Women's Voluntary Activities for Child Nursing Facilities -Centering around workers of child nursing facilities- (보육시설 내 여성노인 자원봉사활동 도입을 위한 탐색적 연구 -보육시설 종사자를 대상으로-)

  • Sim, Mi-Young;Jung, Jung-Sook
    • Korean Journal of Human Ecology
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    • v.8 no.1
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    • pp.59-70
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    • 2005
  • The purpose of this study is to develop a program that allows older women to provide voluntary services for child nursing facilities, making those women have more social participation, effectively their spare time and ultimately improve the quality of their life. Results of the study can be described as follows. First, social requests about the use of older women as volunteers for child nursing services were analyzed to show that most people working at child nursing facilities perceived lack in the number of child nursing teachers. Those people recognized the need of using older women as service volunteers for the facilities. They were very positive about such use. Second, it is recommendable that volunteers of child nursing service should be not too much older women, or below 65. Voluntary activities that those women participate include taking care of younger children, reading interesting stories for children, helping works of child homes, teaching manners and living attitudes, instructing dietary etiquettes and cooking. Voluntary service activities should be made 1 to 3 times a week, 1 to 2 hours a time, considering psychological and physical states of older people. Third, such older volunteers should be educated about 6 areas, 'the operation and management of child homes, 'practices', 'child health and safety', 'the quality of child nursing', 'child development and counseling' and 'voluntary service training'. Out of these six areas, 'child health and safety' and 'voluntary service training' are more required to be instructed. such training needs to focus on activities in which older women can actually engage as volunteers. Fourth, it is advisable that the recruitment and management of such volunteers are led by the city and that the development of training programs for voluntary service activities and education of the volunteers are referred to universities.

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A study for the balance between Work and Family of married working women : focused on the families with the child(ren) of lower grades (기혼취업여성의 일-가정 균형 실태 : 초등학교 저학년생 자녀를 둔 가정을 중심으로)

  • Song, Hyerim
    • Journal of Family Resource Management and Policy Review
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    • v.18 no.3
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    • pp.41-59
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    • 2014
  • This study investigate the balance between work and family of married working women. Data from 12 married working women who have child(ren) in age 7-9. was collected through in-depth interviews. The interviews was to examine their child-caring and the balance between work and family. The results show that the child(ren)'s age, the quality of after school program, the time to go to work and out of work, the type of work and labor flexibility were the important factors which affect the everyday child-caring. The respondents were unsatisfied with their balance between work and family, especially they felt that their leisure time is insufficient, but they seemed to accept this unbalance to some extent because they recognize the child-caring is more important than their balance between work and family in this life cycle. In conclusion the public support for the child-caring of dual-earner families with the child(ren) in lower grades has to be more extended because the support system and services for this life cycle are weak and insufficient compared with the support system for the child(ren) of the preschool ages. The currently public services for child-caring are still far from their needs to achieve the balance between work and family. So the whole child care support policies and systems are to be continued with more balanced perspectives and practical programs.