• 대한간호학회지
• /
• 제47권5호
• /
• pp.577-588
• /
• 2017

Purpose: This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review. Methods: We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns in the selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verified by assessors on whether they clearly reflected the interventions in the papers. Results: Among 878 searched papers, we selected 16 papers after excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers were categorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planning and intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling mother-child attachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach. Conclusion: As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was found that it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studies on developing intervention programs based on the elements.

• Child Health Nursing Research
• /
• 제9권1호
• /
• pp.36-45
• /
• 2003

The purpose of this study was to explore the various aspects of the fatigue in the mothers of infants and toddlers in descriptive study. Three hundred eighty mothers who visited the public primary health care center in subrural area were enrolled from October, 2001 to June, 2002. Data were collected using a questionnaire titled 'Symptom Table on Fatigue Perception' designed by the Fatigue Research Committee of Japan, consisted of a total 30 items categorized into three subdimensions: the physical, the psychological and the neuro-sensory. SPSS was used for the analysis of data with 0.05 of significance. The results were as follows: 1. The mean average fatigue score of subjects was 1.81(SD:.41): the physical fatigue revealed the highest value with a mean of 1.92(SD:.50), followed by psychological fatigue with a mean score of 1.79(SD:.48), neuro- sensory fatigue with a mean of 1.72(SD:.44). 2. With the respect to the general characteristics of subjects, there were statistically significant differences in the mothers' fatigue perception by with or without a job or not(t=2.213, p=.028), the number of children(t=-2.157, p=.032), the degree of spouse support in domestic households(F=3.315, p=.045), the degree of spouse support in the care of children(F=12.616, p=.000), and the amount of sleeping time(t=.130, p=.000). These results suggest that health care professional need to be aware of the persistent presence of the maternal fatigue related to the child rearing and the factors worsen the degree of the fatigue.

• Human Ecology Research
• /
• 제53권4호
• /
• pp.433-445
• /
• 2015

This study develops normative scores of the Infant/Toddler version of the Home Observation for Measurement of the Environment (IT-HOME) inventory for Korean infants and toddlers. We selected 482 0- to 36-month-old infants and families by a stratified sampling procedure that considered residency, age, and gender of children. The pass rate, discrimination rate, and internal consistency were analyzed for the item analysis. Statistical validity included intercorrelation among the IT-HOME subscales, correlation between IT-HOME scores and environmental status variables, and correlation between IT-HOME and Korean Bayley Scales of Infant Development second edition (K-BSID-II) scores. Normative scores were prepared by percentile ranks. The results of this study were as follows: First, 45 items were acceptable for Korean subjects with few exceptions. IT-HOME was developed to screen unfavorable environmental factors during infancy; therefore, items such as 12, 17, 23, 39, 44 need to be retained even though they had low discriminating power. Second, IT-HOME subscales were correlated, and IT-HOME was significantly related to parents' education level, household income level, and infant' developmental levels. Third, percentile scores and the median of each IT-HOME subscales were suggested as normative scores. We discussed the normative scores of the IT-HOME to screen the quality of home environments for children aged 0-36 months in Korea, and provide the intervention basis for the at-risk population.

• Clinical and Experimental Pediatrics
• /
• 제64권11호
• /
• pp.588-595
• /
• 2021

Background: Acute respiratory infections (ARIs), especially pneumonia, remain a major cause of infant mortality worldwide. In Indonesia, pneumonia is the second most common cause of infant and toddler deaths. Exclusive breastfeeding and basic immunization can protect infants and children from contracting pneumonia. Purpose: Our goal was to assess the risk factors for childhood pneumonia in regions with a high prevalence of pneumonia in Indonesia. Methods: This case-control study was conducted between March and April 2019. A total of 176 infants and toddlers aged 10-59 months were enrolled and selected from among patients who visited the community health center. Cases of pneumonia were diagnosed clinically based on the World Health Organization guidelines, and the control was nonpneumonia. Results: The risk factors for the diagnosis of pneumonia included no or nonexclusive breastfeeding (odds ratio [OR], 7.95; 95% confidence interval [CI], 3.52-17.94), incomplete basic immunizations (OR, 4.47; 95% CI, 2.22-8.99), indoor air pollution (OR, 7.12; 95% CI, 3.03-16.70), low birth weight (OR, 3.27; 95% CI, 1.19-8.92), and a high degree of wasting (OR, 2.77; 95% CI, 1.06-7.17). Other variables such as nutritional status (height-for-age z score), age, sex, and educational status of the mother were not risk factors for pneumonia. Conclusion: No or nonexclusive breastfeeding, incomplete basic immunizations, indoor air pollution, a history of low birth weight, and severe malnutrition were risk factors for childhood pneumonia. Breastfeeding was the dominant factor, while sex modified the relationship between exclusive breastfeeding and the incidence of pneumonia.

• 품질경영학회지
• /
• 제51권3호
• /
• pp.347-362
• /
• 2023

Purpose: The purpose of this study is to analyze whether service quality and sensibility quality have an effect on securing passionate fans of educational institutions as a management marketing strategy that can maximize parent satisfaction in order to secure a competitive advantage for infant and toddler educational institutions. Methods: In this study, a questionnaire survey was conducted on parents attending educational institutions for infants and toddlers, and hypotheses were verified through frequency analysis, reliability and validity correlation analysis using SPSS 22.0. Results: The results of this study are as follows. First, it was found that service quality has a significant effect on rapport formation. Second, among the sub-factors of emotional quality, stimulation and identity had a significant effect on rapport formation. Third, among the sub-factors of service quality, sensiblity and responsiveness had a significant effect on brand fanship. Fourth, among the sub-factors of sensibility quality, stimulation and identity had a significant effect on brand fanship. Fifth, rapport formation was found to have a significant effect on brand fanship. Conclusion: This study is meaningful as a service and sensibility quality study focused on educational institutions at the present time when research on service quality and sensiblity quality targeting early childhood educational institutions is insufficient. In addition, in terms of management of educational institutions for infants and young children, by paying attention to the formation of a careful and pleasant relationship with the fans of educational institutions, an empirical example of a theoretical research model was shown that strong attachment to educational institutions and positive participation lead to loyal fans.

• 디지털융복합연구
• /
• 제16권3호
• /
• pp.415-422
• /
• 2018

현대 문명의 발달로 사람들은 편안한 생활을 영유하게 됐지만, 폭력적이고 자극적인 콘텐츠들도 쉽게 접하게 되었다. 현대 문명에서 벗어나 자연을 동경하는 자연친화 문화가 형성되고 있으며 이러한 문화를 영유아들이 쉽게 접하는 캐릭터에도 적용해 자연친화적 캐릭터를 만들고 발전시켜 나가야 한다. 본 논문에서는 자연친화적 캐릭터 개발사례를 보여주고 한국의 자연친화적 캐릭터 설정을 제시하여 다양한 자연친화적 캐릭터가 등장하도록 가이드 역할을 하는 것을 목적으로 한다. 유명한 국외 자연친화적 캐릭터 3가지 사례와 자연이 영유아에게 주는 영향을 선행 연구된 논문과 출간된 책을 참고하여 조사한다. 선행 연구를 통해 자연친화가 영유아의 정서와 생명존중에 긍정적인 영향을 준다는 것을 확인하였으며 자연친화적 캐릭터의 특징으로 1.그 나라의 자연환경을 배경으로 그려졌다. 2.자연보호와 사랑, 자연에서 노는 이야기로 많은 사람들의 사랑을 받아왔다. 이야기 설정으로 1.친구들과 숲 체험활동을 하는 이야기 2.놀이, 탐구, 해설 등 자연 관찰과 탐구의 이야기 3.풀, 꽃, 나무, 곤충 등의 한국의 자연환경으로 그려진 그림 4.생명 존중, 자연보호, 자연 사랑의 교육적, 철학적 이야기를 제시하였다. 본 논문을 통해 자연친화적 캐릭터가 널리 알려지는 계기가 되길 바라며 국내 캐릭터 산업이 다양한 분야로 확장되고 성장해 나가길 기대해 본다.

• Perspectives in Nursing Science
• /
• 제11권2호
• /
• pp.144-152
• /
• 2014

Purpose: The purpose of the study is to offer necessary data to develop nursing interventions to reduce intravenous injection pain and uneasiness among hospitalized children. Methods: A total of 200 patients aged 1-72 months were selected. Pain during intravenous cannulation was assessed using the Procedural Behavior Checklist (PBCL) and the Faces Pain Rating Scale (FPRS). Data were analyzed by t-test and ANOVA using the SPSS/WIN 12.0. Results: Younger patients showed higher pain response than older patients (F=33.87, p<.001). Children with respiratory diseases showed higher responses in FPRS and PBCL than children without respiratory disease (F=4.17, p=.017; F=25.31, p<.001, respectively). Children of preschool age showed higher pain response during IV cannulation than the comparison group (t=2.04, p=.045). Children who had previous experiences with hospitalization and injections showed higher response to pain than those without these experiences (t=2.05, p=.045). In regards to FPRS, patients who were recannulated showed more painful restarts compared with patients injected just once (t=-3.60, p<.001). In regards to PBCL, infants and toddlers (t=-4.88, p<.001) and preschoolers (t=-3.86, p<.001) showed high pain scores during recannulation. Conclusion: A sick child's response to pain may be worse as they feel more pain over time. These characteristics should be considered for development of nursing interventions.

• 대한간호학회지
• /
• 제39권6호
• /
• pp.796-804
• /
• 2009

Purpose: This quasi-experimental study was performed to evaluate the effectiveness of an early nursing intervention program to support mothers of children aged 0-3 yr living in poverty. Methods: In this study, mothers who received financial support from the government were recruited from one city and assigned to an intervention group (24) and comparison group (18). They completed a baseline questionnaire about depression, child rearing burden, agreement on physical punishment, and child temperament. Also, Denver II screening of the children was performed by the researcher. Mothers in the intervention group received a home visit intervention every two weeks for three months. At 3-months post-baseline, questionnaire and Denver II screening were reused to compare these two groups. Results: Mother's depression, child rearing burden, agreement on physical punishment, and child temperament were not significantly different between the two groups. However, the percentage of depression declined only in the intervention group. Mothers in the intervention group showed higher Home Observation for Measurement of the Environment (HOME) scores than mothers in the comparison group. Conclusion: The findings of the study show that this nursing intervention is an effective parenting program. The early nursing program for mothers with infant and toddlers in poverty is effective in promoting HOME, the child rearing home environment.

• 수면정신생리
• /
• 제26권2호
• /
• pp.67-74
• /
• 2019

Anger is a multi-dimensional concept ranging from feeling irritable to violent aggression. A growing body of literature suggests the relevance of sleep in regard to anger. The current study aims to review previous studies on the association between anger and diverse aspects of sleep including sleep disruption, chronotype, sleep disorders and sleep deprivation. An association between sleep and anger has been observed starting in the early stage of life, with sleep of infants or toddlers affecting emotional and behavioral aspects of anger. However, the association between anger and sleep is not clear in adolescents and might be due to the effects of psychosocial factors on both sleep and anger during adolescence. Subjective but not objective sleep disturbances of adults have been also associated with anger. Evening types showed more anger, which might be mediated by psychological characteristics or social jet lag of evening people. Increased anger has also been found in those with insomnia, sleep apnea, or experimental sleep-deprivation. Previous studies have reported that diverse sleep disturbances are related to anger. Future study assessing the various sleep or circadian indices and considering the multidimensional aspects of anger are needed.

• Child Health Nursing Research
• /
• 제26권2호
• /
• pp.190-200
• /
• 2020

Purpose: This study was conducted to identify correlations between how much fever management information mothers obtained from the internet and their actual knowledge and practices of fever management. Methods: This was a descriptive survey of 172 mothers with children aged between 0 and 3 attending five daycare centers located in the city of Daegu. Descriptive statistics, the independent t-test or one-way analysis of variance, and Pearson correlation coefficients were used for data analysis. Results: In total, 75% of the mothers had searched the internet for information on fever management. The overwhelming majority (92.2%) used information from the internet to help manage fever in their children. Positive correlations were found between acquiring fever management information from the internet and fever management practices (r=.18, p=.038), and between mother's knowledge and practices of fever management (r=.27, p<.001). Conclusion: Based on the results of this study, to improve fever management practices, it is necessary to increase mothers' knowledge. Therefore, resources should be developed to augment mothers' knowledge of fever management through the internet.