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Factors Associated with the Method of Feeding Preterm Infants after Hospital Discharge 早产儿出院后喂养方式的相关因素分析
Pub Date : 2018-04-30 DOI: 10.4094/CHNR.2018.24.2.128
Soo-Yeon Han, S. Chae
Purpose: To investigate factors that may affect the method of feeding among preterm infants at 4 weeks after discharge. Methods: This study included 222 mother-infant dyads born before a gestational age of 37 weeks. The feeding method and general medical characteristics of the participants were assessed at 4 weeks after discharge using a structured questionnaire. Multinomial logistic regression analysis was used to examine which factors were associated with breastfeeding at home. Results: Of the 222 infants who qualified for the study, 71 (32.9%) continued to receive breastmilk at 4 weeks post-discharge. Multinomial logistic regression analysis showed that breastfeeding at 4 weeks post-discharge was associated with higher breastfeeding self-efficacy, vaginal delivery (experience), direct breastfeeding in the neonatal intensive care unit (NICU), gestational age between 30 and 34 weeks, and breastmilk consumption in the NICU. The following factors were associated with mixed feeding at 4 weeks post-discharge: being employed, having higher breastfeeding self-efficacy, and direct breastfeeding in the NICU. Conclusion: NICU nurses should provide opportunities for direct breastfeeding during hospitalization and support breastfeeding to enhance breastfeeding self-efficacy. These factors may help to ensure the continuation of breastfeeding after discharge. Moreover, factors that affect breastfeeding should be considered when providing interventions.
目的:探讨影响早产儿出院后4周喂养方式的因素。方法:本研究纳入222例胎龄在37周前出生的母婴。出院后4周采用结构化问卷对参与者的喂养方式和一般医学特征进行评估。使用多项逻辑回归分析来检验哪些因素与在家母乳喂养有关。结果:222名符合研究条件的婴儿中,71名(32.9%)在出院后4周继续接受母乳喂养。多项logistic回归分析显示,出院后4周母乳喂养与较高的母乳喂养自我效能、阴道分娩(经验)、新生儿重症监护病房(NICU)直接母乳喂养、胎龄30 ~ 34周、NICU母乳消耗相关。出院后4周混合喂养与以下因素相关:在职、母乳喂养自我效能较高、在新生儿重症监护室直接母乳喂养。结论:新生儿重症监护室护士应在住院期间提供直接母乳喂养的机会,支持母乳喂养,提高母乳喂养自我效能感。这些因素可能有助于确保出院后母乳喂养的继续。此外,在提供干预措施时应考虑影响母乳喂养的因素。
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引用次数: 1
Content Analysis of Debriefing after Simulation-based Nursing Education on Respiratory Distress Syndrome in the Neonatal Intensive Care Unit 新生儿重症监护室呼吸窘迫综合征模拟护理教育后述诉内容分析
Pub Date : 2018-04-30 DOI: 10.4094/CHNR.2018.24.2.208
Kyung-Ah Kang, Sunghee Kim, Shing-Jeong Kim, Myung-Nam Lee
Purpose: The purpose of this study was to explore nursing students’ experiences of debriefing after simulation-based learning and to obtain fundamental data to support the development of effective teaching strategies. Methods: Sixty-seven nursing students participated in this study from April to May, 2017. This was a descriptive study analyzing the content of students’ descriptions of structured questions in 3 stages (description, analysis, and application) based on recorded videos. Results: The description stage was classified into 3 categories for problem recognition, 4 categories for the nursing plan, and 6 categories for the nursing intervention. The analysis stage was classified into 6 categories for satisfactory practice, 3 categories for experience and 4 categories for what they learned through practice. The application stage was classified into 5 categories, that were to be mastered, and 6 categories, that were important to recognize. Conclusion: This study succeeded in charaterizing learners’ experiences of debriefing. During the debriefing, students watched recorded videos, and we found that self-evaluation through structured questionnaires could be a very effective way to strengthen students’ core competencies. Our content analysis of the debriefing is expected to contribute to the development of effective strategies in simulation-based education for students and nurses.
目的:本研究旨在探讨护生在模拟学习后的述职经验,为制定有效的教学策略提供基础资料。方法:2017年4 - 5月对67名护生进行研究。这是一项描述性研究,基于录制的视频,分三个阶段(描述、分析、应用)分析学生对结构化问题的描述内容。结果:描述阶段分为问题识别3类,护理计划4类,护理干预6类。分析阶段分为满意实践6类、经验3类、实践收获4类。应用阶段分为需要掌握的5类和需要认识的6类。结论:本研究成功地描述了学习者的述职经历。在汇报过程中,学生们观看了录制的视频,我们发现通过结构化问卷的自我评估是一种非常有效的增强学生核心能力的方法。我们对报告内容的分析将有助于为学生和护士制定有效的基于模拟的教育策略。
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引用次数: 6
Needs for Children's Health Promotion Education as Perceived by Child Care Center Teachers and Mothers 幼儿中心教师和母亲对儿童健康促进教育需求的认知
Pub Date : 2018-04-30 DOI: 10.4094/CHNR.2018.24.2.186
Y. R. Lee, Sun-Nam Park, Mi-Ran Lee
Purpose: The purpose of this study was to determine the needs for children’s health promotion education programs as perceived by child care center teachers and mothers. Methods: This study conducted a survey of 88 child care center teachers and 70 mothers of preschool children in Seoul from January 4 to February 5, 2016. This study aimed to characterize the current conditions of health promotion education for preschool children and the needs for health promotion education as perceived by child care center teachers and mothers of preschool children. Results: Areas of high need for health promotion education included lifestyle improvements for preventing diseases in children and awareness of the importance of health in educational objectives, standardized educational manuals, health educators as educators, child care centers as educational places, local health centers as educational support organizations, regular class hours as educational time, role play for training, and actual models in the educational medium. The educational subjects for which a high need was reported included safety and accident prevention, the role of smartphones and TV watching in mental health, and personal hygiene and disease prevention. Conclusion: These findings suggest that it is necessary to develop a health promotion education program for preschool children.
摘要目的:本研究旨在了解幼儿中心教师及母亲对儿童健康促进教育计划的需求。方法:本研究于2016年1月4日至2月5日对首尔市88名托幼中心教师和70名学龄前儿童母亲进行调查。本研究旨在了解幼儿健康促进教育的现况,以及幼儿中心教师和幼儿母亲对健康促进教育的需求。结果:健康促进教育的高需求领域包括改善儿童预防疾病的生活方式和提高健康在教育目标中的重要性意识、标准化教育手册、健康教育者作为教育者、托儿中心作为教育场所、地方保健中心作为教育支持机构、常规上课时间作为教育时间、角色扮演培训和教育媒介中的实际模式。据报告,高度需要的教育科目包括安全和事故预防、智能手机和看电视对心理健康的作用以及个人卫生和疾病预防。结论:有必要对学龄前儿童开展健康促进教育。
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引用次数: 1
Nursing Students’ Perceptions of Child Abuse and Factors Influencing Those Perceptions 护生对虐待儿童的认知及其影响因素
Pub Date : 2018-04-30 DOI: 10.4094/CHNR.2018.24.2.178
Y. Ha
Purpose: This study aimed to investigate perceptions of child abuse and factors influencing those perceptions among nursing students. Methods: A descriptive research design was used with a convenience sample of 669 nursing students. Data was collected from September 1 to 25, 2016 using self-report questionnaires and analyzed with descriptive statistics, the t-test, analysis of variance, the Pearson correlation coefficient, and multiple regression analysis in SPSS for Windows version 21.0. Results: The mean score for perceptions of child abuse was 3.52±0.41, and the scores by subcategory were as follows: physical abuse, 3.61±0.39; emotional abuse, 3.54±0.53; neglect, 3.17±0.69; sexual abuse, 3.85±0.35. A significant correlation was found between perceptions of child abuse and parental acceptance-rejection attitude (warmth/affection, indifference/neglect, undifferentiated rejection). The factors influencing perceptions of child abuse were gender, experiences of child abuse, and perceived parental attitudes of warmth/affection and undifferentiated rejection, which explained 5.1% of the variances. Conclusion: Based on the finding of this study, educational programs and guidelines should be developed to help nursing students improve their perceptions of child abuse.
目的:探讨护生对虐待儿童的认知及其影响因素。方法:采用描述性研究设计,方便抽样669名护生。数据采集时间为2016年9月1日至25日,采用自述问卷,在SPSS for Windows version 21.0中采用描述性统计、t检验、方差分析、Pearson相关系数、多元回归分析等方法进行分析。结果:儿童虐待知觉平均得分为3.52±0.41分,分类别得分为:身体虐待,3.61±0.39分;精神虐待,3.54±0.53;忽视,3.17±0.69;性侵犯,3.85±0.35。儿童虐待感知与父母接受-拒绝态度(温暖/情感、冷漠/忽视、无差别拒绝)之间存在显著相关。影响儿童受虐观念的因素包括性别、儿童受虐经历、父母对温暖/情感和无差别拒绝的态度,这些因素解释了5.1%的差异。结论:根据本研究的发现,应制定教育计划和指导方针,以帮助护理学生提高对虐待儿童的认识。
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引用次数: 6
Effects of Clinical Decision-making on Job Satisfaction among Pediatric Nurses: The Mediating Effect of the Nurse-Parent Partnership 临床决策对儿科护士工作满意度的影响:护父母伙伴关系的中介作用
Pub Date : 2018-01-31 DOI: 10.4094/CHNR.2018.24.1.9
Kyoung Suk Shin, H. Kim
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引用次数: 3
Development of Parent Coaching Domains for the Health Management of Childhood Leukemia Survivors 儿童白血病幸存者健康管理家长辅导领域的发展
Pub Date : 2018-01-31 DOI: 10.4094/CHNR.2018.24.1.68
Sung Hyun Lim, Won-Oak Oh
Purpose: The purpose of this study was to develop parent coaching domains for the health management of childhood leukemia survivors. Methods: In this study, we conducted a literature review and in-depth interviews with 6 parents of childhood leukemia survivors who were identified using convenience s...
目的:本研究的目的是开发儿童白血病幸存者健康管理的家长辅导领域。方法:在本研究中,我们对6名儿童白血病幸存者的父母进行了文献回顾和深度访谈。
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引用次数: 1
Factors Related to the Development of Premature Infants at 12 and 24 Months Age: A Prospective Study 12和24月龄早产儿发育相关因素:一项前瞻性研究
Pub Date : 2018-01-31 DOI: 10.4094/CHNR.2018.24.1.58
Kyung-Sook Bang, Hyun-Ju Kang
Purpose: This prospective study aimed to examine the development of premature infants at 12 and 24 months and to explore the factors related to their development. Methods: Of the 80 premature infants who were recruited, 52 participants at 12 months and 31 participants at 24months were included in this study. The development of the infants was examined using the Korean Bayley scale of infant development-II. Postnatal depression, husband’s support, social support, mother-infant attachment, and the home environment were assessed using self-report questionnaires completed by the mothers and through the researcher’s observations. Results: There was significant difference between normal and delay group at psychomotor development at 12 months depending on social support at 6 months (t=2.03, p=.049). Mother-infant attachment at 6months (r=.71, p<.001), 12 months (r=.37, p=.043), and 24months (r=.40, p=.026), as well as social support (r=.38, p=.034) and the home environment (r=.41, p=.022) at 24 months, were correlated to mental development at 24 months. There was a significant positive correlation between mother-infant attachment at 6 months and psychomotor development at 24months (r=.40, p=.046). Conclusion: To reduce the risk of developmental delay and to promote healthy development in premature infants, early nursing interventions targeting mother-infant attachment, the home environment, and the mother’s social support structure are needed.
目的:本前瞻性研究旨在观察早产儿12个月和24个月的发育情况,并探讨影响其发育的因素。方法:80例早产儿中,52例12月龄,31例24月龄。采用韩国贝利婴儿发育量表- ii对婴儿的发育进行检查。产后抑郁、丈夫支持、社会支持、母婴依恋和家庭环境通过母亲填写的自我报告问卷和研究者的观察进行评估。结果:正常组和延迟组在12个月时的精神运动发展依赖于6个月时的社会支持有显著性差异(t=2.03, p= 0.049)。6月龄时母婴依恋(r=。71, p<.001), 12个月(r=。37, p=.043), 24个月(r=. 043)。40, p=.026),以及社会支持(r=。38, p=.034)和家庭环境(r=. 034)。41, p= 0.022),与24个月时的智力发展相关。6月龄母婴依恋与24月龄精神运动发展显著正相关(r=。40岁,p = .046)。结论:为降低早产儿发育迟缓风险,促进其健康发育,需要从母婴依恋、家庭环境和母亲社会支持结构等方面进行早期护理干预。
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引用次数: 2
Influence of Achievement Motivation and Parent-Child Relationship on Ego Identity in Korean Nursing Students 韩国护生成就动机与亲子关系对自我同一性的影响
Pub Date : 2018-01-31 DOI: 10.4094/CHNR.2018.24.1.48
Hyun Young Koo
Purpose: This study was conducted to characterize the influence of achievement motivation and the parent-child relationship on ego identity in Korean nursing students. Methods: The participants were 217 Korean nursing students in the first and fourth year of university. Data were collected through self-report questionnaires composed of items assessing ego identity, achievement motivation, the parent-child relationship, and demographic characteristics. The data were analyzed using descriptive statistics, one-way analysis of variance, the x test, and multinomial logistic regression analysis. Results: Ego identity was related to achievement motivation; moreover, the achievement motivation of students with moratorium and achieved identity status was significantly higher than that of students with low-profile moratorium and diffused identity statuses. Ego identity was not related to the mother-child relationship, but the father-child relationship of students in foreclosure was significantly higher than that of students with diffused identity status. The factors influencing achieved identity compared to diffused identity were achievement motivation, year in school, satisfaction with school, and having religious beliefs. Conclusion: These findings indicate that nursing students’ ego identity attainment was more influenced by achievement motivation than by the parent-child relationship. It emphasizes that highly motivated students can develop their own identities regardless of the parent-child relationship.
目的:探讨成就动机和亲子关系对韩国护生自我同一性的影响。方法:调查对象为217名韩国大学一、四年级护生。通过自我报告问卷收集数据,问卷内容包括自我同一性、成就动机、亲子关系和人口统计学特征。数据分析采用描述性统计、单因素方差分析、x检验和多项逻辑回归分析。结果:自我同一性与成就动机相关;此外,缄默缄默和获得身份的学生的成就动机显著高于低调缄默缄默和扩散身份的学生。自我同一性与亲子关系无显著相关,但丧失抵押品赎回权学生的亲子关系显著高于身份分散的学生。影响成就认同与扩散认同的因素有成就动机、在校时间、对学校的满意度和宗教信仰。结论:护生自我同一性获得受成就动机的影响大于亲子关系的影响。它强调,无论亲子关系如何,高动机的学生都可以发展自己的身份。
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引用次数: 1
Quality Evaluation of Online Health Information Related to Young Child 幼儿在线健康信息质量评价
Pub Date : 2018-01-31 DOI: 10.4094/CHNR.2018.24.1.91
Hyun-Mi Son, Minji Je, Young-Sil Sohn
Purpose: This study was to evaluate the quality of online health information related to infants and preschoolers accessible through mobile applications and websites. Methods: Using combinations of the terms ‘infant’, ‘preschooler’, and ‘health’ as the main keyword or categories, the researchers searched relevant mobile applications and websites in Korean application markets and popular search engines. Twelve mobile application and 14 websites were finally selected according to our inclusion criteria and evaluated using DISCERN instrument. Results: The overall quality score of online health information available through mobile applications was 2.00 of 5 points, the reliability score was 2.15, and the quality score was 1.76. The overall quality score of online health information available through websites was 2.29, the reliability score was 2.40, and the quality score was 1.82. Conclusion: The quality of online health information related to young children was found to be low and to have potentially significant drawbacks according to DISCERN criteria. Therefore, it is necessary to establish a system to evaluate and regulate the quality of online health information. Additionally, factors that readers can use to judge the quality of health information, such as references and the benefit versus risks of the information, should be provided.
目的:本研究旨在评估通过移动应用程序和网站访问的与婴儿和学龄前儿童相关的在线健康信息的质量。方法:以“婴儿”、“学龄前儿童”、“健康”为主要关键词或类别,在韩国应用市场和热门搜索引擎中搜索相关的移动应用程序和网站。根据我们的纳入标准,最终选择了12个移动应用程序和14个网站,并使用DISCERN工具进行评估。结果:通过移动应用获取的在线健康信息总体质量得分为2.00分(总分5分),可靠性得分为2.15分,质量得分为1.76分。通过网站获取的在线健康信息总体质量得分为2.29,信度得分为2.40,质量得分为1.82。结论:根据DISCERN标准,发现与幼儿相关的在线健康信息质量较低,存在潜在的重大缺陷。因此,有必要建立一套评估和规范网络健康信息质量的体系。此外,应该提供读者可以用来判断健康信息质量的因素,例如参考文献和信息的益处与风险。
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引用次数: 8
A Model for Role Transition of Older Mothers with Preschool Children 高龄母亲照顾学龄前儿童的角色转换模式
Pub Date : 2018-01-31 DOI: 10.4094/CHNR.2018.24.1.37
Mee-kyung Kim, H. Jung
Purpose: The purpose of this study was to construct a model to explain the parenting satisfaction associated with the role transition of older mothers with preschool children. Methods: The participants of this study were mothers of 3to 6-year-old children who gave birth after 35 years of age, and were drawn from 16 child care centers and 8 kindergartens in 4 administrative districts of B city. Data were analyzed using SPSS for Windows version 22.0 and AMOS for Windows version 22.0. Results: Parental stress, mother-child interactions, parental beliefs regarding personality, and socioeconomic status (income, education, and occupation) had direct effects on parenting satisfaction. Social support also showed direct and indirect effects. Among the sub factors of child temperament, sociability had a significant effect. These variables explained 57.4% of the variation in parenting satisfaction. Conclusion: The results of this study will contribute to the development of effective programs to enhance the parenting satisfaction of older mothers, and will help older mothers through the role transition necessary for the growth of their children.
目的:本研究的目的是构建一个模型来解释学龄前大龄母亲的角色转换与养育满意度的关系。方法:选取B市4个行政区16所托儿中心和8所幼儿园的35岁以后生育3 ~ 6岁儿童的母亲为研究对象。数据分析采用SPSS (Windows version 22.0)和AMOS (Windows version 22.0)。结果:父母压力、母子互动、父母人格信念和社会经济地位(收入、教育和职业)对父母养育满意度有直接影响。社会支持也有直接和间接的影响。在儿童气质的子因素中,社交性有显著影响。这些变量解释了57.4%的父母满意度差异。结论:本研究的结果将有助于制定有效的方案来提高高龄母亲的育儿满意度,并帮助高龄母亲完成其子女成长所必需的角色转换。
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引用次数: 0
期刊
Journal of Korean Academy of Child Health Nursing
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