• Journal of Korean Academy of Nursing
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• v.25 no.3
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• pp.485-495
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• 1995

The purpose of this study was to contribute to family nursing aimed at reducing stress and improving the coping abilities of parents with kindergarten or early primary school aged children. Data were collected through self- reported questionnaires over a period of one month between November 1994 and December 199t in the Kyoung-in area. The subjects consisted of 198 parents (99 mothers and 99 fathers) of children attending 1 elementary school and 2 kindergartens. The levels of general stress and of parental role stress were measured with the General stress scale and the Parental role stress scale, respectively, while the Coping scale was used to measure the level of coping. The data were analyzed by a SAS program using paired't-test and oneway ANOVA. The results were as follows : 1. The level of general stress was significantly higher in mothers than in fathers. Mothers experienced significantly greater level of parental role stress than fathers did. In contrast, fathers revealed significantly greater scores in coping than mothers. 2. General stress experienced by fathers was different according to education, occupation, health status, satisfaction with family life and support from spouse. Occupation, health status, satisfaction with family life, satisfaction with spouse and support from spouse influenced parental role stress experienced by fathers. There was no correlation between level of coping and general characteristics. 3. In mothers, the level of general stress was different according to their health status, family type, and number of children, while parental role stress was related to satisfaction with family life, satis-faction with spouse and family type. There was no correlation between level of coping and general characteristics. The above findings indicate that the mothers did not develop more coping strategies than the fathers, despite their experience of greater stress than the fathers. Hence, nursing intervention for managing stress and improving coping abilities should be provided for mothers. In particular, fathers should actively participate in parenting, and support their spouse.

• Korean Journal of Cleft Lip And Palate
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• v.4 no.2
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• pp.9-18
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• 2001

Cleft lip and palate is the most frequent congenital facial deformity of the orofacial area. Successful management of patients with cleft lip and palate requires a multidisciplinary approach from birth to adult stage. The early surgical intervention of lip and palate induces a significant incidence of maxillary growth restriction that produces secondary deformities of the jaws, and the severity of the skeletal discrepancies tends to increase with growth. The early growth modification treatment to utilize the patient's growth potential is necessary in the cleft lip and palate patients, and we must consider not only the existing skeletal discrepancies but the residual growth amount and the direction. However, once we have obtained good results with orthopedic treatment in mixed dentition stage, we must pay special attention to maintain the treatment results because of high relapse tendencies and the alterations of jaw relationships due to residual growth.

• Journal of Chest Surgery
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• v.14 no.4
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• pp.381-387
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• 1981

Fourteen Infants with congenital cardiac anomalies underwent primary surgical Intervention within the first 12 months of life. There were eight patients with ventricular septal defect, two with total anomalous pulmonary venous return [TAPVR], and the remainders with tetralogy of Fallot, transposition of great arteries [d-TGA], Taussing-Bing malformation, and coronary A-V fistula. The age of the patients ranged from 5 to 12 months, with a mean age of 9.9 months. The mean weight was 6.7 Kg [3.8 to 9.5 KS]. Congestive heart failure persisting despite intensive medical treatment was present In 8 patients [56%], and was the most common indication for operation. Early operation was necessary in 5 of these patients [35%], because of failure to thrive and recurrent pulmonary infection. In one patient with TOF, frequent hypoxic spell prompted the necessity for early operation. In cases of VSD, TAP. VR, TOF, and coronary A-V fistula, Intracardiac repair was done with conventional cardiopulmonary bypass, chemical cold cardioplegia, and topical myocardial cooling. Deep hypothermic circulatory arrest with surface induced cooling, followed by core cooling and core rewarming, was employed .for better exposure in the cases of d-TGA and Taussing-Bing malformation. The results were however, not satisfactory. The overall mortality was 28 per cent. There were no deaths in the eight patients with VSD. The one with coronary A-V fistula survived. The other 5 cases all expired either on the table or immediately after operation. The non-fatal post-operative complications included low cardiac output, respiratory insufficiency, bleeding, and temporary A-V block. The causes of death were prolonged circulatory arrest time in d-TGA, complete A-V block and low cardiac output in TOF and Taussing-Bing malformation and prolonged bypass time and Inadequate correction in TAPVR.

• Journal of Chest Surgery
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• v.14 no.4
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• pp.388-398
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• 1981

Fourteen Infants with congenital cardiac anomalies underwent primary surgical Intervention within the first 12 months of life. There were eight patients with ventricular septal defect, two with total anomalous pulmonary venous return [TAPVR], and the remainders with tetralogy of Fallot, transposition of great arteries [d-TGA], Taussing-Bing malformation, and coronary A-V fistula. The age of the patients ranged from 5 to 12 months, with a mean age of 9.9 months. The mean weight was 6.7 Kg [3.8 to 9.5 KS]. Congestive heart failure persisting despite intensive medical treatment was present In 8 patients [56%], and was the most common indication for operation. Early operation was necessary in 5 of these patients [35%], because of failure to thrive and recurrent pulmonary infection. In one patient with TOF, frequent hypoxic spell prompted the necessity for early operation. In cases of VSD, TAP. VR, TOF, and coronary A-V fistula, Intracardiac repair was done with conventional cardiopulmonary bypass, chemical cold cardioplegia, and topical myocardial cooling. Deep hypothermic circulatory arrest with surface induced cooling, followed by core cooling and core rewarming, was employed .for better exposure in the cases of d-TGA and Taussing-Bing malformation. The results were however, not satisfactory. The overall mortality was 28 per cent. There were no deaths in the eight patients with VSD. The one with coronary A-V fistula survived. The other 5 cases all expired either on the table or immediately after operation. The non-fatal post-operative complications included low cardiac output, respiratory insufficiency, bleeding, and temporary A-V block. The causes of death were prolonged circulatory arrest time in d-TGA, complete A-V block and low cardiac output in TOF and Taussing-Bing malformation and prolonged bypass time and Inadequate correction in TAPVR.

• Journal of Chest Surgery
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• v.45 no.5
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• pp.308-315
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• 2012

Background: Long-term surveillance comparing satisfaction between the early experience of Nuss procedure vs. Ravitch procedure. Materials and Methods: A total of 100 patients that underwent surgical correction of a pectus excavatum between 2001 and 2004 and were followed for ${\geq}2$ years were included. Surveillance on the degree of satisfaction was performed using five-levels of the Likert scale and self-assessment scoring. Results: Nuss or Ravitch surgery was performed in 63 and 37 patients, respectively. The Nuss procedure required a shorter operation time and shorter hospital stay than the Ravitch procedure (p<0.001). The surveillance demonstrated that 17.6% of the Nuss group and 35.7% of the Ravitch group were not satisfied with the outcome of the surgery (p=0.072). The most common causes of dissatisfaction were redepression in the Nuss group (n=5) and incomplete correction in the Ravitch group (n=7). The multivariate analysis showed that reoperation and a high postoperative pectus index were significant risk factors for a low satisfaction score. Conclusion: The Nuss procedure had several advantages over the Ravitch procedure in the immediate postoperative period. However, the long-term satisfaction was determined by a complete correction without recurrence or need for re-intervention rather than by the operation type.

• Women's Health Nursing
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• v.6 no.1
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• pp.109-116
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• 2000

In modern society, the amount of alcohol ingestion is increasing at a dangerous level, especially among women. One of reason for increased alcohol consumption is stress caused by social pressures. Alcohol is a kind of depressant of centric nervous system, so it can induce relaxation of body and decrease the stress. The evidence on the effects of alcohol on the fetus is somewhat hazy, whereas that of smoking is quite clear. The literature on the ingestion of alcohol strongly suggests that drinking during pregnancy is associated with teratogenic effect and low birth weight. Therefore, the adverse effect of alcohol ingestion during pregnancy must be informed to public. More remarkable warning sign about alcohol ingestion must be attached on the top of bottles. This can be an effective measure for public education. Also legal sanction or tax imposition for the production of liquor be required. First of all, drinking habit or drinking culture must be changed. In fact, the strongest motivation of drinking in adolescent is a peer pressure which is related to drinking habit or culture. Secondly, early detection and treatment must be required to prevent from fetal alcohol syndrome. Accordingly, drinking history of pregnant women must be assessed as early as possible and health professional should give a warning about the abstinence of alcohol to drinking women. Thirdly, to minimize the adverse effects for mother, withdrawal syndrome by alcohol ingestion must be treated. to correct the malformation by fetal alcohol syndrome(FAS) can be corrected. Sometimes surgical intervention may be required for this purpose.

• Anxiety and mood
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• v.6 no.1
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• pp.55-64
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• 2010

Objective : Depression is a significant and growing problem among college students. Depression contributes to numerous academic, social, and health problems, including suicide. This study surveyed depression awareness and the need for establishing a depression support program through Kyunghee University. Methods : We used the Kyunghee University Mail delivery system for college students to conduct this survey on depression and depression. Results : All of the students who responded to the survey, 41.86% reported that they had experienced depression. Among students experiencing depression, 27.27% experienced suicidal ideation, and 56.56% said they wanted to receive mental health counseling or treatment. All the respondents, 47.04% of respondents said they would to go to the external medical center, not school's internal counseling center of school, for such treatment. All the respondents, 73.75% said the student depression/suicide problem was serious. In addition, 71.34% of respondents required a depression support program. Conclusion : The university's depression support program needs to improve its accessibility by developing content focused on the early detection of, and improved awareness of, depression.

• Journal of the Korea Convergence Society
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• v.12 no.9
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• pp.323-330
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• 2021

Purpose: This study aimed to identify the maternal functioning and related factors among early postpartum women. Methods: In this cross-sectional study, 243 women recruited from three women's hospitals. Participants completed a structured questionnaire in on-line or off-line between 6 and 12 weeks postpartum. Data were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression with SPSS for Windows ver. 25.0. Results: The mean score for the maternal functioning was 73.28±16.78 out of 120 points. Maternal functioning was associated with postpartum depression (r=-.57 p<.001), and spousal and family support (r=.54, p<.001). According to the stepwise multiple regression, postpartum depression (β=-0.43, p<.001), spouse and family support (β=0.39, p<.001), employment (β=0.12, p=.012) and delivery method (β=-0.10 p=.026) had a significant relationship with the maternal functioning among postpartum women. These variables had an explanatory power of 49.0% for maternal functioning. Conclusion: It is necessary to develop and implement a maternal intervention program focused on alleviating postpartum depression and improving spouse and family support. This study will be the starting point for various studies by identifying the maternal functioning of postpartum women for the first time in Korea.

• Korean Journal of Social Welfare Studies
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• v.48 no.1
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• pp.143-171
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• 2017

This study aims to examine experiences of homeless risk factor before becoming the homeless focusing during their childhood period. This study underscore their victimization experience in their previous life with life history interviews of 60 homeless adults. As a result, this study identified various individual homeless risk factors they experienced for a long time. Also the risk factors were interactive, amplified and affect becoming homeless in the end. Moreover the results proved different characteristics between the group according how often they experienced homeless risk factors. These results show that the individual factors emerging homeless also start early stages of their life and those were invincible misfortune and victimization. These findings suggest that the government policy and proactive intervention in order to prevent homeless in the early stage need to be established and have more concerns about high risk youth.

• Journal of Convergence for Information Technology
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• v.8 no.6
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• pp.1-7
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• 2018

The study was investigate the effect of quality of life of mothers in the postpartum period. This study was a descriptive research study of 113 women who lived in D metropolitan area within 6-8 weeks after birth, Data were analyzed using SPSS 21.0 program ANOVA, t-test, Pearson's correlation analysis and multiple random analysis. Data collection was from August 2018 to September 2018. The results were as follows. The most influential factors on quality of life were parenting stress(${\beta}=-.646$, p =.000), fatigue(${\beta}=-.329$, p =.009). It is necessary to develop a nursing intervention program related to physical and mental health because maternal quality of life leads to lower quality of life when feeling emotional mood change such as emptiness and depression.