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Relationship Among Nurses’ Knowledge, Attitude Towards Palliative Care and Perception of Death in Neonatal Intensive Care Units 新生儿重症监护病房护士姑息治疗知识、态度与死亡感知的关系
Pub Date : 2016-10-31 DOI: 10.4094/CHNR.2016.22.4.257
D. Wi, S. Kang
Purpose: The purpose of this study was to investigate the relationship among knowledge and attitude toward palliative care and perception of death for Neonatal Intensive Care Unit (NICU) nurses. Methods: A cross-sectional descriptive study was conducted with 110 nurses who work in NICUs in South Korea. The participants filled out a questionnaire regarding their knowledge, attitude towards palliative care and perception of death. The attitude scale was divided into 3 subscales: comfort level, nurses’ role and nurses’ involvement with family. Results: Comfort level regarding attitude towards palliative care was positively correlated with knowledge (r=.220, p=.016) and the perception of death (r=.194, p=.042). Nurses’ role showed a positive correlation with perception of death (r=.395, p=.001). Conclusion: NICU nurses’ knowledge of palliative care was below standard across the board, implying that there is a definite need for palliative care education for nurses. The education program for palliative care should include a section that focuses on fostering a positive perception of death as well as defining and delineating the role of nurses.
目的:本研究旨在探讨新生儿重症监护病房(NICU)护士对姑息治疗的知识和态度与死亡感知的关系。方法:对110名在韩国新生儿重症监护病房工作的护士进行横断面描述性研究。参与者填写了一份关于他们对姑息治疗的知识、态度和对死亡的看法的调查问卷。态度量表分为舒适程度、护士角色和护士家庭参与三个分量表。结果:姑息治疗态度舒适度与知识正相关(r=。220, p=.016)和死亡感知(r=。194年,p = .042)。护士角色与死亡感知呈正相关(r=。395年,p =措施)。结论:新生儿重症监护室护士对姑息治疗知识的知晓程度普遍偏低,提示护士开展姑息治疗教育的必要性。姑息治疗的教育计划应该包括一个部分,重点是培养对死亡的积极看法,以及定义和描述护士的角色。
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引用次数: 16
고위험신생아의 생후 초기 구강 내 균집락 형성과 당농도 및 영향요인 高危险新生儿出生初期口腔内菌聚集形成和糖浓度及影响因素
Pub Date : 2016-10-31 DOI: 10.4094/CHNR.2016.22.4.379
안영미, 손민, 전용훈, 김남희
Purpose: A longitudinal study was conducted to explore flora colonization and oral glucose high-risk newborns during the first 7 days after birth. Methods: Oral secretions of hospitalized newborns were obtained for microbial cultures and glucose test at days 1-7 after birth. Results: Among the total 112 newborns, 40% were girls and 73% were premature. Mean gestational age was 34.4±3.2 weeks and weight was 2,266±697.5 grams. The most common flora included Streptococcus (28.2%), Methicillin-resistant Staphylococcus aureus (MRSA, 10.9%), Staphylococcus (6.0%) and Coagulase-Negative Staphylococcus (CNS, 4.0%). The average oral glucose level was 29.2±23.0 ㎎/dL~58.2±39.5 ㎎/dL. Newborns with higher oral glucose than serum (crude odds ratio [ORc] =1.75; 95% confidence interval [CI] =1.03-2.97), phototherapy (ORc=3.30; 95% CI=2.29-4.76) and prone position (ORc= 2.04; 95% CI=1.13-3.69) were more likely to be colonized. Having oral tubes (ORc=0.42; 95% CI=0.29-0.59), parental nutrition (ORc=0.21; 95% CI=0.13-0.32) and antibiotics (ORc=0.51; 95% CI=0.36-0.73) had protective effects. For oral glucose statistical significances existed on time effect among newborns with Streptococcus (F=9.78, p=.024), MRSA (F=7.60, p=.037) or CNS (F=11.15, p=.019) and interaction between time and colonization among newborns with all of four flora (F=2.73, p=.029) or colonization with only Staphylococcus (F=2.91, p=.034). Conclusion: High-risk newborns develop flora colonization at an early period of life. Their clinical features were associated with types and time of oral flora colonization. They need close monitoring and multifaceted intervention to improve oral environment and infection control.
目的:通过一项纵向研究,探讨新生儿出生后7天内菌群定植与口服葡萄糖高危新生儿的关系。方法:对住院新生儿在出生后1 ~ 7天的口腔分泌物进行微生物培养和葡萄糖检测。结果:112例新生儿中,女婴占40%,早产儿占73%。平均胎龄34.4±3.2周,体重2266±697.5 g。最常见的菌群包括链球菌(28.2%)、耐甲氧西林金黄色葡萄球菌(MRSA, 10.9%)、葡萄球菌(6.0%)和凝固酶阴性葡萄球菌(CNS, 4.0%)。平均口服葡萄糖水平为29.2±23.0㎎/dL~58.2±39.5㎎/dL。新生儿口服葡萄糖高于血清葡萄糖(粗优势比[ORc] =1.75;95%可信区间[CI] =1.03-2.97),光疗(ORc=3.30;95% CI=2.29-4.76)和俯卧位(ORc= 2.04;95% CI=1.13-3.69)更容易被定植。有口腔管(ORc=0.42;95% CI=0.29-0.59),亲本营养(ORc=0.21;95% CI=0.13-0.32)和抗生素(ORc=0.51;95% CI=0.36-0.73)有保护作用。新生儿口服葡萄糖感染链球菌(F=9.78, p= 0.024)、MRSA (F=7.60, p= 0.037)或CNS (F=11.15, p= 0.019)的时间效应以及四种菌群均感染(F=2.73, p= 0.029)或仅感染葡萄球菌(F=2.91, p= 0.034)的时间与定植的相互作用均有统计学意义。结论:高危新生儿在生命早期发生菌群定植。他们的临床特征与口腔菌群定植的类型和时间有关。需要密切监测和多方面干预,以改善口腔环境和感染控制。
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引用次数: 1
Factors Affecting Daycare Center Teachers’ Management of Childhood Fever 影响日托中心教师对幼儿发热管理的因素
Pub Date : 2016-10-31 DOI: 10.4094/CHNR.2016.22.4.289
Song-In Park, Jin Sun Kim
Purpose: The purposes of this study were to investigate daycare teachers’ knowledge, anxiety and management of childhood fever and to identify factors affecting their management of childhood fever. Methods: A descriptive correlation study was conducted. Participants were 109 daycare center teachers from G metropolitan city. A self-administered questionnaire was used for data collection. Results: The mean percent of correct answers for knowledge about childhood fever was 42.9%. Levels of anxiety related to children’s fever were high among day care teachers in this study. Many daycare center teachers used management practices which were not recommended for childhood fever management. There was a statistically significant difference in participants’ knowledge about childhood fever by marital status and having a child. Moreover, there were statistically significant positive correlation between daycare center teachers’ knowledge and management and negative correlation between daycare center teachers’ anxiety and management of childhood fever. Knowledge and anxiety related to childhood fever accounted for 15.2% of variance for fever management. Conclusion: Results show that day care teachers’ knowledge and anxiety related to fever are important factors in predicting their fever management. Development and evaluation of educational interventions to improve daycare teachers’ childhood fever management are recommended.
目的:本研究旨在了解幼儿园教师对儿童期发热的认知、焦虑和管理情况,并探讨影响其儿童期发热管理的因素。方法:采用描述性相关研究。调查对象是来自G市的109名幼儿园教师。数据收集采用自填问卷。结果:对儿童发热知识的平均正确率为42.9%。在本研究中,日托教师与儿童发烧相关的焦虑水平较高。许多日托中心的老师采用了不推荐的管理方法来管理儿童发烧。调查对象对儿童期发热的认知与婚姻状况、是否有孩子有显著差异。此外,日托中心教师的知识与儿童期发烧管理存在显著正相关,日托中心教师的焦虑与儿童期发烧管理存在显著负相关。儿童期发热相关知识和焦虑占发热管理方差的15.2%。结论:结果显示日托教师发热相关知识和焦虑是预测其发热管理的重要因素。本文建议发展及评估教育干预措施,以改善日托教师的幼儿发烧管理。
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引用次数: 2
A Systematic Review of Child Abuse Screening Instruments 虐待儿童筛查工具的系统回顾
Pub Date : 2016-10-31 DOI: 10.4094/CHNR.2016.22.4.265
Hyun-kyoung Kim, Hyeonjeong Choi, H. Park
Purpose: The aim of this study was to conduct a systematic review and to describe the characteristics of child abuse screening instruments. Methods: Articles regarding the development of a child abuse screening instrument were investigated using the systematic review method. A literature search using the keywords “child and abuse or maltreatment and instrument or screening tool” in English, and “child,” “abuse,” and “instrument” in Korean, was conducted of material published in PubMed, PsycINFO, CINAHL, SCOPUS, ERIC, and RISS. Database and bibliographic searches, and quality appraisal using the Quality Assessment of Diagnostic Accuracy Studies tool that included systemic reviews, yielded 17 records. Results: Key elementary child abuse screening instruments were developed for physical, psychiatric, affective and sexual and child neglect assessment. The instruments’ target populations were children at home and in institutions. The reviewed instruments had the advantage of diagnosing past, concurrent, and indirectly, potential child abuse. Conclusion: The results of this study demonstrate that child abuse screening instruments are available for screening and for assessment of abused children in various circumstances. This review of child abuse screening instruments offers evidence for the acceptable use of optimal psychometric tools for child abuse assessment and provides guidelines for child health nursing practice.
目的:本研究的目的是进行系统的回顾和描述儿童虐待筛查工具的特点。方法:采用系统回顾法对有关研制虐童筛查仪器的文章进行调查。对发表在PubMed、PsycINFO、CINAHL、SCOPUS、ERIC和RISS上的材料,使用关键词“child and abuse or maltreatment and instrument or screening tool”(英文)和关键词“child,”“abuse”和“instrument”(韩文)进行文献检索。数据库和文献检索,以及使用诊断准确性研究质量评估工具(包括系统评价)进行质量评估,产生了17条记录。结果:开发了主要的小学虐待儿童筛查工具,用于身体、精神、情感、性和儿童忽视评估。这些文书的目标人群是家庭和机构中的儿童。所审查的仪器具有诊断过去,同时,间接,潜在的儿童虐待的优势。结论:本研究结果表明,儿童虐待筛查工具可用于筛查和评估各种情况下的受虐儿童。对儿童虐待筛查工具的回顾为儿童虐待评估的最佳心理测量工具的可接受使用提供了证据,并为儿童保健护理实践提供了指导方针。
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引用次数: 2
An Analysis of Factors Influencing Parenting Stress in Children with Epilepsy 癫痫患儿父母压力的影响因素分析
Pub Date : 2016-07-31 DOI: 10.4094/CHNR.2016.22.3.163
Mi-na Jang, H. Kim
Purpose: This study was done to explore disease factors in children with epilepsy, parental factors and resource factors that are related to parenting stress and identify effects of each factor on parenting stress. Methods: Participants were 131 parents who had children who visited a hospital or were hospitalized due to epilepsy. Data collection was done between September 17 and November 17, 2012, and self-report surveys were used. Results: In Stepwise multiple regression analysis, factors influencing parenting stress in children with epilepsy were marital communication, educational background of parents, parenting efficacy, children’s development delay, drug treatment and surgical treatment as a method of epilepsy treatment. These factors explained 34.6% (F=13.22, p<.001) of the variance in parenting stress. Conclusion: The findings indicate that parental factors (educational background of parents and parenting efficacy) and resource factors (marital communication) have higher explanatory power than disease factors of the children. Thus, it is importance to assess the capacity of parents through self-evaluation, and to assess barriers to marital communication when developing parenting stress intervention programs. Furthermore, both parents should be involved in interventions for parenting stress.
目的:探讨癫痫患儿的疾病因素、父母因素和资源因素对父母教养压力的影响,并确定各因素对父母教养压力的影响。方法:研究对象为131名因癫痫就诊或住院的儿童家长。数据收集时间为2012年9月17日至11月17日,采用自我报告调查。结果:通过逐步多元回归分析,影响癫痫患儿父母教养压力的因素有婚姻沟通、父母文化程度、父母教养效果、儿童发育迟缓、药物治疗和手术治疗等。这些因素解释了34.6% (F=13.22, p< 0.001)的父母压力方差。结论:研究结果表明,父母因素(父母教育程度和教养效能)和资源因素(婚姻沟通)比儿童疾病因素具有更高的解释力。因此,通过自我评价来评估父母的能力,并在制定父母压力干预方案时评估婚姻沟通障碍是很重要的。此外,父母双方都应该参与干预养育压力。
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引用次数: 3
Effects of Parenting Stress in North Korean Refugee Fathers on Their Parenting Behavior 北韩难民父亲教养压力对其教养行为的影响
Pub Date : 2016-07-31 DOI: 10.4094/CHNR.2016.22.3.182
I. Lee, Jung-hee Jeon
Purpose: The purpose of this study was to identify effects of parenting stress in North Korean refugee fathers on their parenting behavior. Methods: A descriptive study design was used. Data were collected during 2014 and 2015 in a settlement support center for North Korean refugees and 99 North Korean refugee fathers participated. Data were analyzed using SPSS 21.0. Results: Warmth․encouragement parenting behavior received the highest score. The score for parenting stress was 81.98 out of 180, and 32.3% of participants were found to need professional help (≥PSI 90). There were significant negative correlations between warmth․encouragement parenting behavior and parenting stress. There were also significant positive correlations between rejection․neglect parenting behavior and parenting stress. Predictors of warmth․encouragement behavior were parent-child dysfunctional interaction which explained 10.1% of the variance. Predictors of rejection․neglect behavior were parent-child dysfunctional interaction, number of children and wife’s education level which explained 33.4% of the variance. Conclusion: Findings show that North Korean refugee fathers’ parenting stress significantly influenced warmth․encouragement and rejection․neglect parenting behavior indicating a need to identify ways to decrease parenting stress. Parenting education can guide North Korean refugee fathers to strengthen parent-child positive interactions and therefore promote their children’s growth and development.
目的:本研究旨在探讨北韩难民父亲教养压力对其教养行为的影响。方法:采用描述性研究设计。数据于2014年和2015年在北韩难民定居支援中心收集,99名北韩难民父亲参与了调查。数据采用SPSS 21.0进行分析。结果:“温暖”、“鼓励”育儿行为得分最高。父母压力得分为81.98分(总分180分),32.3%的参与者需要专业帮助(≥PSI 90分)。温情、鼓励教养行为与教养压力呈显著负相关。拒绝、忽视教养行为与教养压力之间也有显著的正相关。温暖鼓励行为的预测因子为亲子功能失调互动,解释了10.1%的变异。排斥。忽视行为的预测因子为亲子互动失调、子女数目及妻子受教育程度,这些因子解释了33.4%的差异。结论:研究结果显示,北韩难民父亲的育儿压力显著影响温暖、鼓励、拒绝、忽视等育儿行为,显示需要找出减轻育儿压力的方法。亲子教育可以引导朝鲜难民父亲加强亲子的良性互动,从而促进孩子的成长和发展。
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引用次数: 4
Prospective Study on Factors Related to Development in Premature Infants at Six-Months 6月龄早产儿发育相关因素的前瞻性研究
Pub Date : 2016-07-31 DOI: 10.4094/CHNR.2016.22.3.199
K. Bang, H. Kang, Buhyun Lee, Mikyung Kwon
Purpose: This study was conducted to monitor the development of Korean premature infant at six-month age and to explore factors related to developmental status of the premature infants. Methods: Participants were 58 premature infants whose corrected age was six-months old and their mothers. The developmental states of infants were followed-up with the Korean Prescreening Developmental Questionnaire (KPDQ-II). Clinical characteristics of the infants were identified from the medical records. Other characteristics including Edinburgh Postnatal Depression Scale, husband’s support, social support, and mother-infant attachment were assessed using self-report questionnaires from the mothers. Results: Forty three percent of the infants were in the group of questionable status of development on the KPDQ-II. There were significant differences between the premature infants with normal developmental status and those with questionable developmental status depending on gender (χ2=5.03, p=.034), gestational age (t=2.59, p=.012), hospital stay (p=.013), revised Neurobiologic Risk Score (p=.005) and motherinfant attachment score (t=2.12, p=.040). Conclusion: Mother-infant attachment, as well as physiological state of premature infants, is an important variable in early development. Therefore, early monitoring for the development has to be done for physiologically vulnerable premature groups. Also, providing proper nursing support to improve maternal attachment needs to be considered.
目的:对6月龄韩国早产儿进行发育监测,探讨影响早产儿发育状况的相关因素。方法:研究对象为58名矫正年龄为6个月的早产儿及其母亲。采用韩国筛查发展问卷(KPDQ-II)对婴儿的发育状态进行随访。从医疗记录中确定婴儿的临床特征。其他特征包括爱丁堡产后抑郁量表、丈夫支持、社会支持和母婴依恋,采用母亲的自我报告问卷进行评估。结果:43%的婴儿在KPDQ-II上属于发育状况可疑组。发育正常早产儿与发育有问题早产儿的性别差异(χ2=5.03, p= 0.034)、胎龄差异(t=2.59, p= 0.012)、住院时间差异(p= 0.013)、修正神经生物学风险评分差异(p= 0.005)、母婴依恋评分差异(t=2.12, p= 0.040)均有统计学意义。结论:母婴依恋和生理状态是影响早产儿早期发育的重要因素。因此,必须对生理上脆弱的早产儿群体进行早期发育监测。此外,提供适当的护理支持,以提高产妇依恋需要考虑。
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引用次数: 4
Perceived Parental Stress and Nursing Support for Fathers of High Risk Infants 感知父母压力与高危婴儿父亲的护理支持
Pub Date : 2016-07-31 DOI: 10.4094/CHNR.2016.22.3.190
Soo-Yeon Han, S. Chae
Purpose: The purpose of this study was to examine the paternal stress and nursing support as perceived by fathers of high risk infants admitted to Neonatal Intensive Care Units (NICU). Methods: The study participants included 88 fathers of high risk infants in NICUs. Their parental stress and nursing support were measured using a self-report questionnaire. Results: The parental stress level of the fathers was 3.57 of a possible 5. Among the parental stress items, ‘Relationship with infant and parental role’ had the highest scores. The perceived nursing support level was a relatively high, 3.90 on a 5-point scale. The lowest score was for the item ‘showed concern about my well-being.’ The parental stress was lower in fathers with low income, higher in fathers in nuclear families and when the infants’ condition was serious. Conclusion: The findings indicate that fathers of high risk infants experience intense parental stress. Thus when designing care to provide support for these fathers and their infants, it is necessary to encourage the fathers’ engagement, provide information on how to respond to the baby, and include supportive care to the fathers.
目的:本研究旨在探讨新生儿重症监护病房(NICU)高危婴儿的父亲所感受到的父亲压力和护理支持。方法:研究对象为88例新生儿重症监护病房高危儿父亲。他们的父母压力和护理支持使用自我报告问卷进行测量。结果:父亲的父母压力水平为3.57(满分5分)。在父母压力项中,“与婴儿的关系”和“父母角色”得分最高。感知护理支持水平相对较高,在5分制中为3.90分。得分最低的是“关心我的幸福”一项。“低收入家庭的父亲承受的父母压力更小,核心家庭的父亲承受的压力更大,而且当婴儿的病情严重时。”结论:研究结果表明,高风险婴儿的父亲经历了强烈的父母压力。因此,当设计护理为这些父亲和他们的婴儿提供支持时,有必要鼓励父亲的参与,提供如何回应婴儿的信息,并包括对父亲的支持性护理。
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引用次数: 10
Reliability and Validity of the Korean Version of the Helicopter Parenting Scale 韩国版直升机教养量表的信度与效度
Pub Date : 2016-07-31 DOI: 10.4094/CHNR.2016.22.3.207
Myung-Ock Chae, Soyoun Yim, Yong-hwa Lee, Ji-Hyun Kim, Ji-Hyang Oh
Purpose: Helicopter parenting is emerging in parenting as a way of rearing adolescents and adult children. The aims of this study were to develop a Korean version of the Helicopter Parenting and Autonomy Supportive Behaviors Scale (HPASB). Methods: The HPASB questionnaire items were translated into Korean and reviewed by experts and Content Validity Index (CVI) in a preliminary study with 10 university students. During September and October, 2014 data were collected from 229 nursing students from five different universities in different locations. For data analysis, SPSS 21.0 statistics which included exploratory factor analysis, t-test, one-way ANOVA were utilized. Results: Content validity was over CVI .8. The 6 factors of K-HPASB were extracted and accounted for 59.30% of variance. The Cronbach’s alpha coefficient was .71 indicating high reliability. Conclusion: The Korean version of the HPASB was identified as a scale with a high degree of validity and reliability. The results of this study provide a valuable scale which can be useful in the study of parenting as a way of rearing adolescents and adult children in Korea. To enhance the positive aspect of helicopter parenting, we suggest the development of intervention programs on parenting.
目的:直升机式育儿法作为一种养育青少年和成年子女的方式出现在育儿中。本研究的目的是开发一个韩国版本的直升机育儿和自主支持行为量表(HPASB)。方法:对10名大学生进行HPASB问卷的翻译、专家审核和内容效度指数(CVI)的初步研究。2014年9月至10月,对来自不同地区5所不同大学的229名护生进行数据采集。数据分析采用SPSS 21.0统计方法,包括探索性因子分析、t检验、单因素方差分析。结果:内容效度在CVI .8以上。提取K-HPASB的6个因素,占方差的59.30%。Cronbach’s alpha系数为0.71,信度较高。结论:韩文版HPASB量表具有较高的效度和信度。本研究的结果提供了一个有价值的尺度,可以在韩国作为一种养育青少年和成年子女的方式的研究有用。为了增强直升机式育儿的积极面,我们建议在育儿方面制定干预方案。
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引用次数: 6
Comparison of Needs About Sexual Abuse Prevention Education Between Elementary School Students and Teachers 小学生与教师性侵预防教育需求之比较
Pub Date : 2016-07-31 DOI: 10.4094/CHNR.2016.22.3.215
Shing-Jeong Kim, Kyung-Ah Kang, Haeryun Cho, H. Min
Purpose: This study was done to provide basic data for sexual abuse prevention programs for elementary school students by comparing stated needs of the students and teachers. Methods: The participants were 4th, 5th, and 6th grade elementary school students and elementary school teachers. Data from questionnaires completed by 1,372 students and 162 teachers were analyzed. Results: 1) The mean scores for felt need for sexual abuse prevention education was relatively high in both of the elementary school student and teacher groups but there was a significant difference between the two groups (t=15.28, p<.001). 2) In the elementary school students, there was a significant difference in the degree of need for sexual abuse prevention education according to father’s educational level (t=2.89, p=.004), experience of sexual education (t=3.11, p=.006), and recognition of the necessity of sexual abuse education (t=7.56, p<.001). 3) In the elementary school teachers, there was no significant difference in the degree of need for sexual abuse prevention education according to the participants’ socio-demographic and sexual abuse prevention education related characteristics. Conclusion: When planning educational programs on child sexual abuse prevention, needs of the elementary school students should be considered. Then, the educational program at school would be more effective.
摘要目的:本研究旨在通过比较小学生与教师的性侵需求,为小学生性侵预防工作提供基础资料。方法:调查对象为小学四、五、六年级学生和小学教师。对1372名学生和162名教师完成的问卷数据进行了分析。结果:1)小学生组和教师组的性侵害预防教育需求平均得分均较高,但两组间差异有统计学意义(t=15.28, p< 0.001)。2)小学生在父亲文化程度(t=2.89, p= 0.004)、性教育经历(t=3.11, p= 0.006)、性教育必要性认知(t=7.56, p< 0.001)方面对预防性虐待教育的需要程度存在显著差异。(3)小学教师对性侵预防教育的需求程度在社会人口学特征和性侵预防教育相关特征上均无显著差异。结论:在制定儿童性虐待预防教育方案时,应考虑到小学生的需求。这样,学校的教育项目就会更有效。
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引用次数: 2
期刊
Journal of Korean Academy of Child Health Nursing
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