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Knowledge and Practice of Fever Management by Mothers of Preschool Children at Home 学龄前儿童母亲在家发热管理的知识与实践
Pub Date : 2017-04-30 DOI: 10.4094/CHNR.2017.23.2.127
H. Park, I. Kwon
Purpose: This study was done to identify the level and correlation of knowledge and practice of fever management at home and provide data for the development of an intervention program to improve the fever management ability of mothers of preschool age children. Methods: Participants were 112 mothers with children between 1 and 6 years of age and attending one of three daycare centers located in J city. The participants had a history of using medication and tepid massage. Data were collected during April, 2016. Results: The mean scores were 27.55 (correct answer rate 70.64%) of 39 for knowledge, and 75.93 of 92 for fever management practice. There were significant differences in scores for knowledge according to the number of children and number of visits to doctors for treatment of a fever. There were no differences in scores for practice. There was a positive correlation between knowledge and practice. Conclusion: Results indicate that mothers’ knowledge and practice of childhood fever management were insufficient to provide accurate management of childhood fevers. Therefore, to improve the mothers’ ability to provide appropriate fever management, educational strategies that focus on increasing knowledge need to be developed.
目的:了解家庭发热管理知识与实践的水平及其相关性,为制定干预方案以提高学龄前儿童母亲的发热管理能力提供数据。方法:参与者是112位母亲,她们的孩子年龄在1至6岁之间,在J市的三个日托中心之一。参与者有使用药物和温热按摩的历史。数据收集于2016年4月。结果:知识39项平均得分27.55分(正确率70.64%),发热管理实践92项平均得分75.93分。根据孩子的数量和因发烧而去看医生的次数,在知识得分上存在显著差异。练习的分数没有差别。知识与实践呈正相关。结论:结果表明,母亲对儿童热管理的知识和实践不足,无法提供准确的儿童热管理。因此,为了提高母亲提供适当发烧管理的能力,需要制定以增加知识为重点的教育策略。
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引用次数: 3
A Survey of Nurses’ Perceptions on Child Abuse 护士对虐待儿童认知调查
Pub Date : 2017-04-30 DOI: 10.4094/CHNR.2017.23.2.229
H. Min, Shing-Jeong Kim, J. Lee, S. Kang, J. E. Lee
Purpose: The purpose of this study was to investigate nurses’ perceptions on child abuse. Methods: In this cross-sectional descriptive study, data were collected using a questionnaire and 217 nurses working in seven general hospitals were surveyed. The perception scale was divided into 4 subscales: physical, psychological, sexual abuse and neglect. Results: Nurses who suspected child abuse accounted for 18.1% of the nurses, and 41.9% of the nurses stated that they did not to report suspected child abuse. The nurses reported receiving only a little education about the prevention of child abuse. The mean score for perception on child abuse was high (3.59±0.31). Recognition of sexual abuse ranked highest, psychological abuse ranked lowest. Conclusion: The findings from this research provide baseline information for understanding nurses’ perceptions on child abuse, and may help in the development of appropriate education programs that will enable nurses to report child abuse.
目的:本研究的目的是调查护士对虐待儿童的认知。方法:采用横断面描述性研究方法,采用问卷调查法对7所综合医院的217名护士进行调查。知觉量表分为身体、心理、性虐待和忽视4个分量表。结果:有虐童嫌疑的护士占护士总数的18.1%,有41.9%的护士表示未举报疑似虐童。护士们报告说,他们在预防虐待儿童方面只接受了很少的教育。对虐待儿童感知的平均得分较高(3.59±0.31)。对性虐待的认知度最高,对心理虐待的认知度最低。结论:本研究的发现为了解护士对虐待儿童的看法提供了基础信息,并可能有助于制定适当的教育计划,使护士能够报告虐待儿童。
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引用次数: 5
Concept Analysis of Stress in Siblings of Patients with Childhood Cancer 儿童癌症患者兄弟姐妹压力的概念分析
Pub Date : 2017-04-30 DOI: 10.4094/CHNR.2017.23.2.190
Juyoun Yu, K. Bang
Purpose: This study was conducted to define the concept of stress in siblings of childhood cancer patients. Methods: The hybrid model was used to perform the concept analysis of stress in childhood cancer patients’ siblings. Through reviews of 16 studies in the theoretical phase and interviews with 20 siblings in the field phase, the derived results were brought together in the integration phase. Results: The concept of stress in siblings of patients with childhood cancer was found to have 6 attributes and 28 indicators in 3 domains. Personal factors included 2 attributes (fear about childhood cancer and immature coping skills), and family factors had 2 attributes (changes in relationships with family and changes in family environment), social factors had 2 attributes (changes in relationships with friends and in the school experience, and insufficient social support). Conclusion: The stress of siblings of childhood cancer patients was defined as a state of tension associated with personal, family, social factors that can be related to their siblings’ childhood cancer. The findings in this study provide the base for the development of a tool for measuring siblings’ stress and/or the development of nursing programs for these siblings.
目的:本研究旨在探讨儿童癌症患者兄弟姐妹的压力概念。方法:采用混合模型对儿童癌症患者兄弟姐妹的压力进行概念分析。通过对理论阶段的16项研究的回顾和对20名实地阶段的兄弟姐妹的访谈,得出的结果在整合阶段汇集在一起。结果:发现儿童癌症患者兄弟姐妹的压力概念在3个领域有6个属性和28个指标。个人因素包括2个属性(对儿童癌症的恐惧和不成熟的应对技能),家庭因素有2个属性(与家庭关系的变化和家庭环境的变化),社会因素有2个属性(与朋友关系和学校经历的变化和缺乏社会支持)。结论:儿童癌症患者的兄弟姐妹压力被定义为一种与个人、家庭、社会因素相关的紧张状态,这些因素可能与兄弟姐妹的儿童癌症有关。本研究的发现为开发一种测量兄弟姐妹压力的工具和/或为这些兄弟姐妹制定护理计划提供了基础。
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引用次数: 3
Adaptation Experience and Social Support Network of Adolescent Cancer Survivors 青少年癌症幸存者的适应经验与社会支持网络
Pub Date : 2017-04-30 DOI: 10.4094/CHNR.2017.23.2.238
Eunji Cho, E. Park
Purpose: The main purpose of this study was to explore the adaptation experience of adolescent cancer survivors during and after cancer treatment, and their perceived social support networks. Methods: This study was a qualitative descriptive study using the in-depth interview. Eight adolescent cancer survivors who were diagnosed with cancer between 11 to 18 years old participated in the study. Results: The adaptation experiences of adolescent cancer survivors over time were identified within five categories for during their treatment such as “being catapulted from one’s life,” “standing at the center of discomfort,” “falling behind the line,” “accepting the change,” “being developed”, and another five categories for after the treatment including “being shackled,” “encountering the forgotten reality,” “overcoming and emerging from the reality,” “growing into adulthood,” “entering into a new orbit.” Participants reported the various members of their social support network and their roles during and after the treatment as well. Conclusion: While adolescent cancer survivors adjusted to their changing situations after the cancer diagnosis, their internalized adaptation, as well as perceived social support from their diverse surrounding network, played significant roles. These findings will become a valuable asset for developing age-appropriate nursing interventions to promote psychosocial adjustment of adolescents with cancer.
目的:本研究的主要目的是探讨青少年癌症幸存者在癌症治疗期间和治疗后的适应体验及其感知的社会支持网络。方法:采用深度访谈法进行定性描述性研究。8名11至18岁之间被诊断患有癌症的青少年癌症幸存者参加了这项研究。结果:青少年癌症幸存者的适应经历在治疗期间分为“从生活中弹跳出来”、“站在不适的中心”、“落在线后面”、“接受改变”、“被发展”等5个类别,治疗后分为“被束缚”、“遇到被遗忘的现实”、“克服并摆脱现实”、“成长为成年人”等5个类别。“进入一个新的轨道。”参与者报告了他们的社会支持网络的不同成员以及他们在治疗期间和治疗后的角色。结论:青少年癌症幸存者在适应癌症诊断后不断变化的环境时,他们的内化适应以及来自不同周围网络的感知社会支持发挥了重要作用。这些发现将成为开发适合年龄的护理干预措施的宝贵资产,以促进患有癌症的青少年的心理社会适应。
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引用次数: 4
Experience of Career Decision of Korean Nursing Students 韩国护理专业学生的职业选择经验
Pub Date : 2017-04-30 DOI: 10.4094/CHNR.2017.23.2.168
H. Koo, O. K. Park, K. Jo
Purpose: The purpose of this study was to explore and describe the experiences of career decision making by Korean nursing students. Methods: The participants were 18 nursing students from one nursing college. Data were collected through in-depth individual interviews, and the main question was, “Could you describe your experience of making a career decision?” Data from the field and transcribed notes were analyzed using Strauss and Corbin’s grounded theory methodology. Results: Core category of nursing students’ experiences in making career decisions was ‘trying to find the way of being a nurse’. Action/interaction strategies were ‘becoming one’s own self’, ‘actively exploring the way of being a nurse’, and ‘experiencing one’s own achievement as a future nurse’. Consequences were ‘deciding on the career on one’s own’ and ‘career indecision on one’s own’. Conclusion: The findings indicate that nursing students tried to know themselves, explore careers and experience their achievements, and that their efforts were influenced by real situations and support systems. Therefore, nurse educators should develop systems and programs to help students in nursing make career decisions.
摘要目的:本研究旨在探讨及描述韩国护生的职业决策经验。方法:调查对象为某护理学院18名护生。数据是通过深入的个人访谈收集的,主要问题是,“你能描述一下你做职业决定的经历吗?”使用Strauss和Corbin的扎根理论方法分析现场数据和记录笔记。结果:护生职业决策经历的核心类别为“寻找护士之路”。行动/互动策略为“成为自己”、“积极探索成为护士的方式”和“体验自己作为未来护士的成就”。结果是“自己决定职业”和“自己对职业犹豫不决”。结论:护生努力认识自我、探索职业、体验成就,其努力受到现实情境和支持系统的影响。因此,护理教育者应该开发系统和项目来帮助护理专业的学生做出职业选择。
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引用次数: 6
Ecological Factors Affecting School Adjustment of Low-Income Adolescents Attending Community Child Care Center 影响低收入青少年社区托儿中心学校适应的生态因素
Pub Date : 2017-04-30 DOI: 10.4094/CHNR.2017.23.2.158
Jiyoung Park, Young-sook Park, Jeong-Eun Lee, Soobin Kim
Purpose: The purpose of this study was to investigate the ecological factors influencing school adjustment of adolescents from low-income families. Methods: Secondary data analysis was performed using data of 1,321 low-income adolescents in 123 regions found on the Survey on Service Satisfaction with Community Child Care Center. Results: The results of multi-level analysis identified the factors influencing school adjustment of low-income adolescents as follows: individual-level factors were gender, grade in school, and emotional problem; an interpersonal- level factor was family structure; organizational-level factors were length of time attending center and satisfaction with the service of the center; community-level factors were region and perception of community. Conclusion: The results suggest that low-income adolescents’ adjustment to school is influenced not only by individual factors but also by diverse environmental factors. Community factors suggest that more education support systems and leisure facilities for adolescents need to be built in small and medium cities. Strategies to enhance positive perception of community are also needed for this population. Further, it is necessary to develop multi-level interventions to improve the school adjustment of adolescents from vulnerable social groups.
目的:本研究旨在探讨影响低收入家庭青少年学校适应的生态因素。方法:利用《社区托儿中心服务满意度调查》中123个地区1321名低收入青少年的数据进行二次数据分析。结果:通过多层级分析,发现影响低收入青少年学校适应的因素主要有:性别、年级、情绪问题;人际层面的影响因素是家庭结构;组织层面的影响因素为到中心的时间长短和对中心服务的满意度;社区层面因素为区域和社区感知。结论:低收入青少年的学校适应不仅受到个体因素的影响,还受到多种环境因素的影响。社区因素表明,中小城市需要建立更多的青少年教育支持系统和休闲设施。还需要为这一人口制定提高对社区的积极看法的战略。此外,有必要制定多层次的干预措施,以改善弱势群体青少年的学校适应。
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引用次数: 1
Mental Health and Health Risk Behaviors of Multicultural Adolescents according to Their Mothers' Native Country: Using Data from the 11th (2015) Korea Youth Risk Behavior Web-Based Survey 2015 基于母亲原籍国的多元文化青少年心理健康与健康风险行为:基于2015年第11次韩国青少年风险行为网络调查数据
Pub Date : 2017-01-31 DOI: 10.4094/CHNR.2017.23.1.101
H. Ju, S. Park, Jaeyoung Lee
Purpose: The purpose of this study was to analyze the mental health and health risk behaviors of multicultural adolescents according to their mothers’ native country. Methods: For this study raw data from the 11th Youth Health Behavior Online Survey (2015) was examined. Mental health and health risk behaviors for 62,985 adolescents were analyzed according to their mothers’ native country. Collected data were analyzed with the SPSS program using descriptive statistics and logistic regression analysis, to which the complex sample design was applied. Results: The odds ratio of depression in multicultural adolescents compared to Korean adolescents was 44.92 (CI: 5.77-349.59) for adolescents whose mothers came from Cambodia and 3.00 (CI: 1.57-5.76) for adolescents whose mothers came from North Korea. The odds ratio of attempted suicide was 14.73 (CI: 3.09-70.22) for adolescents whose mothers came from Cambodia and 8.63 (CI: 3.45-21.62) for adolescents whose mothers came from North Korea. The odds ratio of problematic drinking in multicultural adolescents was 7.47 (CI: 1.71-32.67) for adolescents whose mothers came from Mongolia. Conclusion: Findings indicate that when planning a health promotion program for adolescents from multicultural families, a customized approach should be sought taking into account the characteristics of mothers’ native country.
目的:本研究的目的是分析多元文化青少年的心理健康状况和健康风险行为。方法:本研究采用2015年第11次青少年健康行为在线调查的原始数据。对62985名青少年的心理健康状况和健康风险行为进行了分析。收集到的数据用SPSS程序进行分析,采用描述性统计和logistic回归分析,其中采用复杂样本设计。结果:母亲来自柬埔寨的多元文化青少年抑郁的比值比为44.92 (CI: 5.77 ~ 349.59),母亲来自朝鲜的多元文化青少年抑郁的比值比为3.00 (CI: 1.57 ~ 5.76)。母亲来自柬埔寨的青少年企图自杀的比值比为14.73 (CI: 3.09-70.22),母亲来自朝鲜的青少年企图自杀的比值比为8.63 (CI: 3.45-21.62)。母亲来自蒙古的多元文化青少年饮酒问题的比值比为7.47 (CI: 1.71 ~ 32.67)。结论:研究结果表明,在规划多文化家庭青少年健康促进方案时,应考虑到母亲祖国的特点,寻求一种定制的方法。
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引用次数: 7
Development and Effects of a Child Health Management Program Based on Cooperative Learning for Mothers of Preschool Children 基于合作学习的学龄前母亲儿童健康管理方案的开发与效果
Pub Date : 2017-01-31 DOI: 10.4094/CHNR.2017.23.1.48
Dong won Lee, I. Kwon, Eun Jeong
Purpose: This study was conducted to develop and test effects of a child health management program based on cooperative learning for mothers of preschool children. Methods: For this quasi-experimental study, a nonequivalent control group pretest-posttest design was used. Outcome measures were level of child health management self-efficacy, child health management practices, child’s health behavior. Participants were 55 mothers (experimental group 28, control group 27). The program was composed of 6 categories of home health management for preschool children, and provided for three 120-minute sessions. Data were collected from September to October, 2015, at 3 times: baseline, 3 and 6 weeks after beginning the intervention. Data were analyzed using SPSS/WIN 21.0 program. Results: After 3 and 6 weeks, there were significant differences between the two groups in child health management self-efficacy (F=18.33, p<.001), child health management practices (F=8.91, p<.001), and child’s health behavior (F=9.91, p<.001). Conclusion: Study findings indicate that this child health management program based on cooperative learning is effective and can be recommended as an intervention for mothers of preschool children. It will contribute to enhanced child health management self-efficacy and health management practices and improved child’s health behavior.
摘要目的:本研究以合作学习为基础,为学龄前儿童的母亲制定并检验儿童健康管理方案的效果。方法:准实验研究采用非等效对照组前测后测设计。结果测量为儿童健康管理自我效能水平、儿童健康管理实践水平、儿童健康行为水平。参与者为55名母亲(实验组28名,对照组27名)。该方案由6个类别的学前儿童家庭健康管理组成,提供3个120分钟的课程。数据采集时间为2015年9月至10月,3次:基线、干预开始后3周和6周。数据分析采用SPSS/WIN 21.0软件。结果:治疗3、6周后,两组儿童健康管理自我效能感(F=18.33, p<.001)、儿童健康管理实践(F=8.91, p<.001)、儿童健康行为(F=9.91, p<.001)差异均有统计学意义。结论:基于合作学习的儿童健康管理方案是有效的,可推荐作为学龄前儿童母亲的干预措施。这将有助于提高儿童健康管理自我效能和健康管理做法,并改善儿童健康行为。
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引用次数: 6
Parents’ Perception and Behaviors regarding Child Safety Accidents 父母对儿童安全事故的认知与行为
Pub Date : 2017-01-31 DOI: 10.4094/CHNR.2017.23.1.91
Shing-Jeong Kim, J. Lee, Ji Young Min
Purpose: The purpose of this study was to investigate parents’ perception and behaviors in the case of a child safety accident. Methods: The participants were 254 parents of children under 12 years old. Data were collected from October 12 to November 25, 2016 using self-report questionnaire. Results: The mean score for parental perception and behaviors showed a high score of 3.12±0.30. In addition, the top three categories were drug management (3.45±0.54), prevention of burns (3.34±0.52), and vehicle safety (3.34±0.44). The overall difference in categories of perception and behaviors about child safety accidents according to demographic characteristics of participants, was developmental age (F=5.616, p=.004). Most of the categories had significant correlation with other categories. Conclusion: Findings in this study show parental perception and behaviors were relatively high. It is recommended that safety education for parents should be done for a healthy life for their children.
目的:本研究旨在探讨家长对儿童安全事故的认知与行为。方法:调查对象为254名12岁以下儿童的父母。数据采集时间为2016年10月12日至11月25日,采用自述问卷。结果:家长感知与行为的平均分为3.12±0.30分,得分较高。排在前3位的分别是药品管理(3.45±0.54)、烧伤预防(3.34±0.52)和车辆安全(3.34±0.44)。根据人口统计学特征,被试对儿童安全事故的认知和行为类别的总体差异为发育年龄(F=5.616, p= 0.004)。大多数类别与其他类别有显著相关。结论:本研究结果显示家长的认知和行为相对较高。为了孩子的健康生活,建议对父母进行安全教育。
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引用次数: 6
Adolescent Health Behaviors according to Body Mass Index 体质指数对青少年健康行为的影响
Pub Date : 2017-01-31 DOI: 10.4094/CHNR.2017.23.1.1
Y. Im, Won-Oak Oh, M. Suk
Purpose: The purpose of this study was to analyze differences in health behaviors among adolescents in order to provide fundamental data to develop an effective body weight control program. Methods: Secondary analysis was done using data from the 9th (2013) Online Survey on Adolescents’ Health Behaviors by the Korea Centers for Disease Control and Prevention. The adolescents were divided into low weight, normal weight, overweight, and obesity groups according to body mass index (BMI). Differences in health behaviors were analyzed. Results: Gender, grade, socioeconomic status, perceived-health status, exercise, breakfast, fast food, ramen noodles, snacks, carbonated soft drinks, fruits and vegetables, satisfaction with sleep, stress, smoking, and alcohol consumption were significantly different among the groups. Ingestion of carbonated soft drinks and snacks was significantly higher in the low weight group compared to the normal weight group. Eating fast foods, ramen noodles, and snacks was significantly lower in the overweight and obesity groups compared to the normal weight group. Conclusion: Findings indicate that health behaviors among the groups differ from traditional knowledge about obesity. To develop optimal programs and improve efficacy, prior knowledge should be used to think differently and individualized programs should be based on an understanding health behaviors of adolescents.
目的:本研究旨在分析青少年健康行为的差异,为制定有效的体重控制方案提供基础数据。方法:采用韩国疾病控制与预防中心2013年第9次青少年健康行为在线调查数据进行二次分析。根据体重指数(BMI)将青少年分为低体重组、正常体重组、超重组和肥胖组。分析健康行为的差异。结果:性别、年级、社会经济地位、感知健康状况、运动、早餐、快餐、拉面、零食、碳酸软饮料、水果和蔬菜、睡眠满意度、压力、吸烟和饮酒在组间存在显著差异。与正常体重组相比,低体重组的碳酸饮料和零食的摄取量明显更高。与正常体重组相比,超重和肥胖组吃快餐、拉面和零食的比例明显降低。结论:研究结果表明,人群的健康行为与传统的肥胖知识不同。为了制定最佳方案和提高效果,应该利用先验知识进行不同的思考,并在了解青少年健康行为的基础上制定个性化方案。
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引用次数: 14
期刊
Journal of Korean Academy of Child Health Nursing
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