• Title/Summary/Keyword: difficult children

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The Lived Experience of Mothers about Rearing of School Children With Cerebral palsy (뇌성마비 취학아동 어머니의 양육체험)

  • Baek Kyoung-Seon
    • Child Health Nursing Research
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    • v.7 no.4
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    • pp.434-450
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    • 2001
  • This study is designed to understand the meaning and nature of raising children with cerebral palsy. It researches the experience of mothers of schoolchildren with cerebral palsy by the research method of hermeneutic phenomenology. The study was conducted from November 10, 1999 to December 20, 2000. When children with cerebral palsy usually show symptoms in the early stage of cerebral palsy, mothers do not take children to a doctor for diagnosis. And, most of mothers have a difficult time to accept the reality; they usually respond to the initial diagnosis with shock, reproach, and deny. When mothers start recognizing the reality, they consider that their children have cerebral palsy due to the their mismanagement during pregnancy, delivery, nursing, and initial treatment. They shelter their children from view and feel guilty that they cannot afford to try folk remedies for their children. As time passes, mothers face conflicts between families in diverse ways. Families put the blame on genetic effects. Mothers-in-law give their daughters-in-law a hard time, husbands shift the responsibility of raising children onto their wives, and trouble arises between families-in-law and mothers native families. When children grow up, it is physically difficult for mothers to take care their children. In addition, they suffer from all the troubles in family due to childrens handicap. Mothers try the diverse methods of bringing up children. However, they start getting tired of raising children as they experience failures and financial difficulties. Mothers feel collapsed recalling the ways of raising children. They feel anxiety, miserable, lonely, and worrying when they think how children would attend school, make friends, and live in the future. In this stage, mothers do their best to raise their children with hope. They tend to compare their children with others without handicap and spend money and time in attempting all the treatments. When mothers and children join the society at school, they find that the society does not understand disabled people, teachers show inconsiderate attitude, friends avoid them, and children hardly follow classes. Such experiences make mothers feel angry and frustrated. However, when children adapt to school, mothers see the possibility that children could accomplish schoolwork. They appreciate teachers help and others consideration. Mothers place appropriate expectations on their children and help them to prepare for the future. I would make following suggestions based on the results. 1. As a primary basic course of rehabilitation nursing intervention, solution-centered nursing intervention system should be developed. The intervention needs to be based on the understanding of mothers, who raise children with cerebral palsy, through in-depth interview. 2. Advance researches on the development of individual nursing intervention should be conducted. Individual nursing intervention needs to prevent and release actual pain focusing on mothers raising children with cerebral palsy. 3. Integrated curriculum that help children with cerebral palsy lead a normal school life with ordinary children should be developed. 4. Basic research on using of facilities and effective application of service volunteer to help children with cerebral palsy in school needs to be conducted.

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Convergent and Discriminant Validity of the Toddler Behavior Assessment Questionnaire in Korean Children (걸음마기 아동 기질척도의 타당도 연구)

  • Park, Seong Yeon;Rubin, Kenneth H.
    • Korean Journal of Child Studies
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    • v.28 no.5
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    • pp.55-72
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    • 2007
  • Replication of the factor structure of the TBAQ(Toddler Behavior Assessment Questionnaire Goldsmith, 1988) in Korean 2-year-old children was examined by Multitrait Multimethod matrix of observed and reported child behavior. Participants included 113 toddlers and their mothers. Three factors comprising 63 items were identified and labeled as easy, difficult and fearful. On the Child Behavior Checklist(Achenbach & Edelbrock, 1983) difficult temperament was positively related to externalizing while fearful temperament was positively related to internalizing problems. Observation of inhibited child behavior in both unfamiliar social and nonsocial situations demonstrated a positive relationship to observed inhibition of fearful temperament. Easy temperament correlated negatively with both social inhibition and internal behavior problems. Results supported construct validity of TBAQ factors for Korean 2-year-old children.

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A Study on Children's Poetry Activity through Integrative Music Appreciation Program in A Small Group (통합적 음악 감상을 통한 유아 소그룹 동시짓기 활동의 효과)

  • Park, Boo Sook;Lim, Myeung Hee;Park, Yoon Joe
    • Korean Journal of Child Education & Care
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    • v.17 no.4
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    • pp.233-258
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    • 2017
  • Although listening to music is the most basic musical experience that is ahead of all the other musical activities, it tends to be neglected due to lack of awareness and difficult teaching methods. This study is to compose integrative music appreciation by reflecting thoughts of children, draw children's attention to listening to music, and let them to discover and create musical concept and structures by themselves, accompanied by related activities through which children can express their thoughts and feelings with children's poem. Considering the peculiarities of three-four year-olds, it may be difficult for them to create poems individually, so we let them to write poems through small group discussion in which they can share their opinions and observe their peers' reaction. We provided a teaching method to teachers who find activities of listening to music and writing poems difficult, then we analyzed the effect. When children finished writing poems in small groups through integrative music appreciation reflecting their thoughts, they placed greater weight on preparing to listen to music at first, but going through the program, they discovered musical concepts and became active in music appreciation. In the related activity, writing poems inspired them to think creatively, listening to their peer's stories. Even children who were not interested in children's poem showed higher participation. Teachers found children's creative words to be interesting, discovering the joy of creation.

Surgical Treatment of Pancreatic Trauma in Children (소아의 외상성 췌장 손상의 수술적 치료)

  • Cho, Jae-Hyung;Kim, Hyun-Young;Jung, Sung-Eun;Park, Kwi-Won
    • Advances in pediatric surgery
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    • v.19 no.2
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    • pp.98-107
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    • 2013
  • Debates exist about the appropriate treatment for pancreatic trauma in children. We intended to examine the safety of the operation of pancreatic trauma in children. This is a retrospective study of 13 patients, younger than 15, who underwent surgery for pancreatic trauma, between 1993 and 2011 in Seoul National University Children's Hospital. Medical records were reviewed for mechanism of trauma, clinical characteristics, radiological findings, operation and outcomes. Organ injury scaling from the AAST (American Association for Surgery of Trauma) was used. All injuries were caused by blunt trauma. Patients with grade III, IV, and those who were difficult to distinguish grade II from IV, underwent surgery due to severe peritonitis. Three patients with grade II were operated for reasons of mesenteric bleeding, tumor rupture of the pancreas, and progression of peritonitis. Distal pancreatectomy was performed in 10 patients and subtotal pancreatectomy and pylorus preserving pancreaticoduodenectomy in 1 patient each. The remaining one underwent surgical debridement because of severe adhesions. The location of injury, before and after operation, coincided in 83.3%. The degree of injury, before and after the operation, was identical in all the patients except for those who were difficult to tell apart grade II from grade IV, and those cannot be graded due to severe adhesion. Postoperative complications occurred in 23.1%, which improved with conservative treatment. Patients were discharged at mean postoperative 12(range 8~42) days. Even though patients with complications took longer in time from diagnosis to operation, time of trauma to operation and hospital stay, this difference was not significant. In conclusion, When pancreatic duct injury is present, or patient shows deterioration of clinical manifestation without evidence of definite duct injury, or trauma is accompanied by other organ injury or tumor rupture, operative management is advisable, and we believe it is a safe and feasible method of treatment.

Psychological / recognitive development of children and adolescents (소아 및 청소년의 심리/인지적 발달)

  • Song, Je Seon
    • The Journal of the Korean dental association
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    • v.54 no.11
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    • pp.908-916
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    • 2016
  • Psychological and cognitive development in child and adolescent periods is key knowledge for understanding children and adolescents' behavior and inducing their actions. So far, psychoanalytic approaches have been primarily researched by Freud's analytical tools and Piaget's analysis on cognitive developments have been mainly employed to explore children and adolescents' psychological developments. In addition, other various theories have been suggested in order to explain children and adolescents' psychological developments. However, in reality, it is difficult to integrate diverse theoretical lens to investigate children and adolescents' psychological developments. Considering this constraint, in clinical dentistry, the conventional theoretical instruments have been still widely employed to guide children and adolescents' behavior.

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Syringomyelia in the Tethered Spinal Cords

  • Lee, Ji Yeoun;Kim, Kyung Hyun;Wang, Kyu-Chang
    • Journal of Korean Neurosurgical Society
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    • v.63 no.3
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    • pp.338-341
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    • 2020
  • Cases of syringomyelia associated with spinal dysraphism are distinct from those associated with hindbrain herniation or arachnoiditis in terms of the suspected pathogenetic mechanism. The symptoms of terminal syringomyelia are difficult to differentiate from the symptoms caused by spinal dysraphism. Nonetheless, syringomyelia has important clinical implications, as it is an important sign of cord tethering. The postoperative assessment of syringomyelia should be performed with caution.

Capsule Endoscopy in Children (소아에서의 캡슐내시경)

  • Ko, Jae-Sung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.13 no.1
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    • pp.1-6
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    • 2010
  • The small bowel is the most difficult intestinal segment to examine. Radiologic tests are mostly insensitive and double-balloon enteroscopy is unsuitable for the younger child. Capsule endoscopy is a novel wireless method of investigation of the small bowel. The primary indications for capsule endoscopy include evaluation of obscure gastrointestinal bleeding, small bowel Crohn's disease, and polyposis syndromes. Capsule endoscopy offers an accurate and effective means of investigating the small bowel in children. Capsule retention is a potential complication of capsule endoscopy. This review provides the indications, safety, and limitations of wireless capsule endoscopy in children.

Mothers' Perception and Attribution of Parenting Efficacy for the Children's Social Development (어머니의 사회성 양육 효능감 지각과 귀인)

  • 한유미
    • Journal of Families and Better Life
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    • v.21 no.5
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    • pp.51-59
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    • 2003
  • Many parents recognize the importance of social development during early childhood but they feel difficulty in helping their children develop socially. Recently, many researchers have suggested that maternal cognition is an important factor on their parenting behavior and children's development. Thus, this study attempted to investigate the mother's perception and attribution of parenting efficacy for children's social development. Total 247 mothers of three to five year-old children reported self-questionnaire consisting of Melson, Ladd, & Hsu(l993)'s Perceived Difficulty at Parenting Tasks, Criniic & Greenberg(1990)'s Parenting Daily Hassles and Abdin(1990)'s Parenting Alliance Inventory. Also, 82 of the subject's children were individually tested with McGinnis & Goldstein(1990)'s Skill Situations Measure. The major results were as follows: 1) Mothers' parenting efficacy for children's social development was significantly related with child's age, mother's education and the father's cooperation of parenting. 2) Mothers' perceived parenting efficacy was significantly correlated with some dimension of the child's actual social skill (i.e., maintenance of peer relation). 3) Mothers of young children were more likely to attribute to their children for their parenting efficacy than those of old children. 4) Mothers were more likely attribute to their children than themselves when they perceive parenting difficult. 5) Mothers who perceive parenting easy and attributed it to their children had less parenting stress than those of attributing it to themselves.

The Effect of Mother and Father's Parenting Efficacy and Parenting Stress on Daily Stress of Elementary School Children (학령기 아동의 일상 스트레스에 대한 어머니, 아버지의 양육효능감, 양육스트레스의 영향)

  • Jang, Young-Ae
    • The Korean Journal of Community Living Science
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    • v.23 no.2
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    • pp.163-175
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    • 2012
  • The purpose of this study was to examine the effects of mother and father's parenting efficacy, parenting stress on children's daily stress. The subjects were 292 children selected from 4 elementary schools and their mothers and fathers. Data was collected using the parenting efficacy index, parenting stress index, and children's daily stress inventory, and was statistically analyzed using t-test, one way ANOVA(Scheffe test), correlation analysis and multiple regression analysis. The study showed that there were some significant differences in children's daily stress according to the children's grade and gender. Correlation analysis indicated that the mother's parenting efficacy and children's daily stress had negative correlation, and also father's parenting efficacy and children's daily stress had negative correlation. Further, mother's parenting stress had positive correlation with children's daily stress, and father's parenting stress as well. It was also found that parenting efficacy of mother's general parenting ability, parenting efficacy of father's discipline ability, father's stress of difficult child, mother's educational distress, and children's gender were all significant predictors of the children's daily stress.

The Effect of Parental Depression on Children's Problem Behavior

  • Chun-Ok Jang
    • International Journal of Advanced Culture Technology
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    • v.11 no.1
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    • pp.55-62
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    • 2023
  • For proper socialization of children the psychological and emotional state of parents that affect children is very important. Recently, while interest in various psychological behavioral problems of children has increased, various studies have been conducted on parental psychology that affects children's emotions. In particular, due to COVID-19, stress has increased throughout society, and it has made parental psychology and childrearing more difficult. Therefore, we aim to investigate the effects of psychological factors, among the variables of various parents that affect children's problem behavior in this study. As a result of this study, it can be confirmed that there is a difference in the effect of parental depression on children's internalizing and externalizing behaviors. Parental depression had a significant positive effect on children's internalizing behavior with 𝛽 =.34, p<.001. In other words, the higher the parents' depression, the higher the child's internalization behavior. And parental depression was found to have a significant effect on children's externalizing behavior, with 𝛽 =.81, p<.001. This also means that the higher the parents' depression, the higher the child's externalizing behavior. Therefore, it can be seen that parental depression is an important factor influencing both children's internalizing and externalizing behaviors.