The aim of this descriptive study was to identify the impact of chronic illness on children and their families. Mothers of 177 children with chronic disease were recruited from aged one to 17 years hospitalizing the pediatric nursing unit at one university hospital. 28 questions. a self-complete maternal questionnaire developed by researchers based on literatures and 'The Impact of Childhood Illness Scale' (Hoare & Russell, 1995) assess four aspects of the child's and family's lifestyle with two dimensions for each question. the frequency of the problem and its importance of concern that it cause. In the data analysis. Pearson correlation coefficients and analysis of variance were used to test any association and a statistical comparisons. between individual variables and the impact on child's and family's lifestyle. The results were as follows: 1) There were the higher mean scores on the importance dimension than on the frequency dimension on total impact on child's and family's lifestyle. On the importance dimension. mothers had much higher levels of concern about impact on child's development and adjustment among subscales. On the frequency dimension, mothers had much higher levels of concern about impact on the family daily living on subscales. 2) The impact on child's and family's lifestyle related on individual variables were: (1) On the importance dimension. there was statistically significant low in the impact on child's development and adjustment among subscales in older parent group compared with it of younger parent group. (2) On the frequency dimension. there were statistically significant high in the impact on child's development and adjustment among subscales in the children with leukemia or cancer compared with it of the other children who had another chronic illnesses. And there were statistically significant high in the impact on child's development and adjustment among subscales in less than high school educated mothers compared with it of mothers who was educated college level. (3) On the frequency dimension. There were statistically significant high in the impact on family's daily living among subscales and total impact on child's and family's lifestyle in female children. (4) There was positive correlation between impact on parents daily living and frequency of child's hospitalization on the frequency dimension. but there was negative correlation between the two variables on the importance dimension. (5) There was positive correlation between impact of chronic illness and its treatment and duration of child's hospitalization on the frequency dimension. In conclusion. these results were reflected by the high level of concerns about impact on child's development and adjustment although mothers had frequently responded about the impact on the family daily living. We suggest consistent intervening program that help the family empowering to make children live with and adjust to their chronic illnesses from the point of diagnosis and after discharge from the hospital. We also suggest these results can be utilized as a useful data in the practice of home health nursing for children who have chronic illnesses and their families.
The 612 4th- and 6th-grade subjects completed a self-administered questionnaire. Data were analyzed by t-test one- and two-way ANOVA, Pearson's r, and multiple regression analysis. Perceived mother's emotional abuse and neglect predicted child's depressive tendencies(DT). Abusive mothers were hostile and showed lack of concern for children's safety. Male children reported more neglect by mothers than female children. Younger mothers were more abusive. Higher maternal education was negatively related to neglect and positively related to lower DT. Mother's having a job was positively related to neglect. Mother's emotional abuse and neglect was the greatest predictor of child's self-regulation; children who experienced more emotional abuse had lower self-regulation capacity and higher DT. Self-regulation of male children was positively while that of female children was negatively correlated with age.
The purpose of this study was to obtain the information of the home treatment state for children with delayed development and to identify stress and coping pattern in mothers of the children. Data were collected from 211 mothers of delayed developmental children(DDC) by means of structured questionnaires. The results of this study were that in the home treatment mothers had technical insufficiencies to treat their children. so they had a difficulties in treating their children at home. But the home treatment were effective and mothers were assisted by their family and others in their treatment. The mothers had stress by anxiety of prognosis. hurts, responsibility, technical insufficiencies and negligent in housework. And acquisition of home treatment technique, the existence of assistant, and emotion in treatment also influenced on stress in the mother. The coping pattern in the stress were regular medical examination. communication with medical team and other mothers with DDC, faith of recovery and treatment. confidence in home treatment, family coorperation. and leisure time without concern for treatment. The younger mother received the more help from other mothers with DDC. And the mothers with severe, complex DDC had the more help from faith of recovery. Regular medical examination and faith of recovery were helpful coping pattern in mothers who had no treatment skill. Confidence in family coorperation and leisure time without concern for treatment were particularly helpful in mothers whose treatment duration is longer, and home treatment was not effective.
A major concern in the area of moral education is to find an effective educational method capable of supporting maturity of moral reasoning in young children. The purpose of the present study was to evaluate the effects of distributive dilemma discussion on children's distributive justice reasoning. The subjects were fifty 5-year-olds selected from a kindergarten in the city of Kumi. 26 children participated in a 10 week discussion intervention; another 24 children constituted the control group. The experimental procedure consisted of 3 parts; a pre-test to determine the experimental and control groups, moral discussions on dilemma situations based on 10 stories for the experimental group, and a post-test for both groups. The moral discussions were audio-taped. The results showed that children in the experimental group used more varied and elaborate distributive justice reasoning as the discussions proceeded. Moral discussions facilitated distributive justice reasoning.
The purpose of this study is to explore the features and features of causes of communicative deficits in high-functioning autistic children in order to intervene educational programs. When communicating with others, high-functioning autistic children have difficulties in the aspects of syntax and semantics, especially pragmatics. These causes of communicative deficits of high-functioning autistic children can be explained respectively by theory of mind, executive function, and central coherence theory. According to theory of mind, qualitative impairment of interaction and communication accounts for communicative deficits. Executive function argues that communicative deficits of high-functioning autistic children be caused by limited concern. Central coherence theory suggests that communicative deficits be caused by the inappropriate integration of cues. Considering these causes of communicative deficits in high-functioning autistic children, we proposed educational strategies order to intervene educational programs.
The purpose of this study was to obtain basic data for nutrition education of the children in a health promoting elementry school. The data was collected by a questionaire of food habits, and anthropometric measurement and biochemical test in comparison with obesity index. The study subjects were boys and girls aged 10 to 12 years who participated in the “99 Children Nutrition Camp”. The average obesity index was 1.7$\pm$21.6% in boys and -11.4$\pm$12.6% in girls. After school, major leisure items were significnatly different by gender but both boys and girls played mainly computer game. In concern for body image and eating habits, girls had more concern and girls had attempted weight control more than boys. 80.2% of subjects had prejudice for special food, especially, all subjects in the severely underweight group had prejudice. But this tendency was significantly decreased with the increasing obesity index. The lowest preferency was for vegetables(64.4%). The tendency of prejudice of subjects was higher whose mother are thirties than those of subjects whose mother are in fourties. The serum GOT and GPT values were significantly higher in overweight and obese group than the other groups. The only serum T-chol was significantly higher in boys than in girls. The number of risk factors related to coronary heart disease(CHD) based on coresponding criteria of TG, T-chol, HDL-chol, and LDL-chol was not increased significantly with the degree of obesity index. The results indicated the need of nutritional management for the children. At a point of view, to educate children early who are able to change food habits and life-styles means to help heathy growth and to deliver up heathy adults. Active nutrition education for both children and mothers will be recommended with joint participation of nutritionists in community public health center and elementary school.
Poor children are a field of causing of various Issues and become a subject of sympathy, concern and anger, against adult's poor such as sleeper outdoors and unemployed to be made a subject of discussion. This study has theoretically investigated the poverty concept, family trait around poor children. And also for understanding the above status, poverty circumstances have been focused children family and shelter-care children. The conclusions are as follows. First, the family of children head was formed with children under fifteen years of age. It was reported that solo families were 26.4% and living together families with relatives were 64.7%. As status of producing causes, parents death was shown the most rate as 49% and abscondence or missing was 31.9%. Second, In the shelter-care aspect, the highest case is a parents-divorce with 42.5%, while children-head case is just shown 0.5%. Therefore, in a child right viewpoint, it needs more systematical/long-range study on children poverty, and some policies for protecting the poverty-children must be established in social policy.
The purpose of this study is to survey and analyze the environmental awareness and attitude of elementary school students, adapting the CHEAKS(Children's Environmental Attitude and Knowledge Scale) for Korean elementary students, which is the valid-tested tools for children's environmental awareness and altitude. The subjects are 580 students from 6 elementary schools. The differences of the environmental attitude are surveyed and analyzed by environmental education activities, such as environmental activities in school and “the school forest movement”, and environmental awareness and concern. The results are as followings: First, the subjects replied that the environmental problems are very serious, such as atmospheric pollution(37.6%), water pollution(22.2%) and food waste(16.3%), but they are relatively optimistic of the future environment. Second, the verbal commitment subdomain and the affect domain are evaluated higher than the actual commitment subdomain, and the environmental issues of water, energy and recycling are considered more importantly than other issues such as environmental generals, pollutions and animals. Third, the grade and the sex have little effect on the environmental attitude, but the environmental education activities have great positive effect, such as the experience of environmental camping, the education of saving resources, waste separation and the experience of raising plants and flowers. Fourth, the students with high awareness and concern about the environmental problems have high environmental attitude. Especially, the awareness and concern on the flowers and plants have very strong correlation with environmental attitude, regardless of the subdomains. Finally, the students from the school participating “the school forest movement” have relatively positive environmental attitude. Particularly, the participation of students and the positive approach of the school have positively great influence on the students' environmental attitude in all of 3 subdomains and 6 environmental issues.
Purpose: We reported a survey-based study assessing the parental intention to vaccinate children of 5 to 7 years old against coronavirus disease 2019 (COVID-19). The aim of this study is to assess factors influencing the parental intention to vaccinate their children against COVID-19. Materials and Methods: This study adopted a cross-sectional design, held at the public health center of Senen district, Jakarta, Indonesia from November 1-30, 2022. The off-line questionnaires were distributed via the school administrator to all eligible parents. Factors associated with intention to vaccinate were analyzed with the regression logistic models. Results: Of the 435 parents in this study, 215 had already vaccinated their children against COVID-19 (49.4%), and the overall intention of the participants to vaccinate was 69.7%. Factors associated with intention to vaccinate the children against COVID-19 were parental employment status, parental COVID-19 vaccine status and concern of contracting COVID-19. Parents who are employed, had completed vaccines with COVID-19 booster vaccine, and had concern of their children contracting COVID-19 were more likely to vaccinate their children (odds ratio [OR], 2.10; 95% confidence interval [CI], 1.22-3.69; p=0.011; OR, 2.15; 95% CI, 1.21-3.83; p=0.013; OR, 2.40; 95% CI, 1.34-4.30; p=0.004, respectively). Concern on the vaccine's side effects was negatively associated with the willingness to vaccinate. Conclusion: This study showed that childhood COVID-19 vaccine only covered half of the population, with parental intentions for childhood COVID-19 vaccination being high, reaching almost two-thirds of the study participants. Factors influencing parental intentions were employment status, parental COVID-19 vaccine status, concerns about COVID-19 and concerns about vaccine side effects.
The purpose of this study was to investigate the influence of irrational beliefs on parenting stress of mothers with early children. For achieving this purpose, Irrational Belief Test and Parenting Stress Index were administered to 300 mothers with early children in Busan and data from 234 mothers were used for statistical analysis. Collected data were analyzed using Pearson correlation coefficient and stepwise multiple regression analysis. The results of correlational analysis showed that irrational beliefs were positively related to parenting stress. Anxious over-concern factor was related to all parenting stress variables. The results of stepwise regression analysis revealed that 2~4 irrational beliefs significantly influenced parenting stress; sub-factors of parenting stress variable that irrational beliefs had the most effect on was competence factor. Based upon these results, it can be concluded that irrational belief is an important variable which predicts parenting stress of mothers with early children.
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