PURPOSE: This study was conducted in order to identify factors related to the health behavior in elementary school children at a late school age and to provide basic data to develop more concrete and practical applications for health promotion and disease prevention. METHODS: The participants were 2,775 4th, 5th and 6th graders sampled from 10 elementary schools in Busan Metropolitan City and data were collected from 15th May to 30th June, 2010. The collected data were analyzed by mean, percentile, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression using the SPSS/WIN 17.0 program. RESULTS: The average percentiles for self-rated health, body satisfaction, stress, parent attachment, self-esteem, and health behavior were 82.8, 69.5, 40.9, 79.3, 75.9 and 75.9, respectively. There was significant relationship among the levels of self-rated health, body satisfaction, stress, parent attachment, self-esteem, and health behavior. Body satisfaction was the most powerful factor to the health behavior of elementary school children at a late school age, and was followed by parent attachment, self-rated health, self-esteem, and grade in order. These variables explained 26.6% of the total variance in health behavior. CONCLUSION: Health promotion behavior programs including body satisfaction and self-esteem elevation programs should be applied to children at home and in school and community. To achieve this, institutional and economic support should be continued.
Body Image ; Body Mass Index ; Busan ; Child* ; Health Behavior* ; Health Promotion ; Humans ; Parent-Child Relations ; Parents ; Self Concept ; Child Health

PURPOSE: The study was done to identify adjustment to hospital life of school aged children. This research was designed as a descriptive study. METHOD: A convenience sample of 186 patients who were hospitalized children, 6~12 years old. The instrument in this study were developed by researcher and constructed to include 5 sub categories about adjustment to hospital life. They ask children to rate each item on 5 Likert scale. The data were analyzed by SPSS Win Program. RESULT: The mean average score of adjustment to hospital life was 91.75(SD+/-11.22); the social support revealed the highest value, followed by self-esteem, stress on disease, stress on hospitalization, and defense strategies. There was differences on bibliographic data; hospital date, disease type. The relationship between adjustment and sub categories was significant, especially in the stress on hospitalization and disease, social support and self-esteem. The relationship between coping strategies and stress on diseases was reversed. CONCLUSION: These results suggest that pediatric nurses need to be aware of the adjustment to hospital life. A development of nursing intervention program may be useful and critical for hospitalized school aged children.
Child ; Child, Hospitalized ; Hospitalization ; Humans ; Nursing ; Child Health

PURPOSE: The purpose of this study was to develop a program promoting adjustment to hospital life and determining its effectiveness for school aged children. METHOD: The sample group consisted of 76 hospitalized children in 2 University Hospitals located in Busan. The experimental group was given the program on admission and feedback was obtained on the 3rd day and again 24 hours later. Data was analyzed using t-test and ANOVA in the SPSS program package. RESULT: There were significant differences, in information(t=4.235, p=0.000) and coping effort criteria (t=2.922, p=0.005) between the experimental and control groups. There was a non-significant difference in attitude criteria between the two groups(t=1.009, p=0.316). CONCLUSION: It was found that the adjustment promoting program for hospital life for school aged children was effective, but not enough to promote self-esteem. The program, based on a learning theory, was improved and shown to be an effective and strong method to promote adjustment of school-aged children.
*Adaptation, Psychological ; Child ; Child Psychology ; Child, Hospitalized/*psychology ; Female ; Humans ; Male

PURPOSE: This study examined what characteristics and variables predict participation in support groups for women with breast cancer. METHOD: 282 women with breast cancer from 4 hospitals located in Busan were included in the study. Data was measured on each participant from September 2006 to February 2007. Data was collected using structured researcheradministered sheets and analyzed by descriptive statistics, t-test, chi-square test and logistic regression analysis. RESULTS: The clients reported medium levels of illness perception, anxiety and depression, stress with coping, social support and self-efficacy. 48.9% of women with breast cancer participated in support groups. Significant influencing factors on the participation in support groups were 'operation time(+)', 'illness perception(+)', 'social support(-)', and 'self-efficacy(+)' Those variables explained 73.4%. CONCLUSION: It is necessary to develop a strategy or promoting program for promotion of illness perception and self-efficacy of women with breast cancer. Thus, it is essential to provide participation to a support group to a women with breast cancer.
Adult ; Aged ; Breast Neoplasms/*nursing ; Female ; Humans ; Middle Aged ; Predictive Value of Tests ; Questionnaires ; ROC Curve ; *Self-Help Groups ; Women

PURPOSE: This study was conducted to synthesis the results of research on relationships of cognitive impairment with multi-dimensional correlates of rheumatic disease through a systematic literature review and meta-analysis. METHODS: For the study purpose, 23 studies were selected through a systematic process of searching the literature. RESULTS: The study results showed that among general characteristics, age and education were the variables having a significant relationship with cognitive impairment. Among health risk factors, obesity appeared to have a significant positive relationship with cognitive impairment. For past history, diabetes and hypertension were shown to have a significant positive relationship with cognitive impairment. It was noted also that aPL, one of the physiological factor, had significant association with cognitive impairment. None of the medication related factors had a significant relationship with cognitive impairment. Results showed that among disease related factors, disease activity had the highest relationship with cognitive impairment. Depression, among psychological factors, was the only variable having a significant relationship with cognitive impairment. CONCLUSION: The findings indicate that the variables strongly impacting on cognitive impairment in rheumatic disease are depression and disease activity.
Anxiety ; Cognition ; Cognition Disorders/complications/*pathology ; Databases, Factual ; Depression/complications ; Humans ; Hypertension/complications ; Obesity/complications ; Rheumatic Diseases/complications/*pathology ; Risk Factors

PURPOSE: The purpose of this study was to contribute to enhancing elementary school health teachers professional job performance by analyzing their job identity and job stress. METHODS: The participants were 138 elementary school health teachers registered at the Busan Metropolitan City Office of Education, and the survey was conducted from the 22nd to 23rd of July, 2010. The collected data were analyzed by percentile, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression using the SPSS/WIN 17.0 program. RESULTS: The average percentiles of job identity and job stress were 70.6 and 64.0 respectively. Among the sub-factors of job identity, autonomy was highest as 73.5, and among the sub-factors of job stress, job demand was highest as 73.9. There were significant differences in the degree of job identity and job stress according to education status, the number of classes, job satisfaction, enthusiasm for work, and the image of nursing teachers expressed in a word. The regression model explained 21.2% of the variance of job identity. job stress explained 32.0% of the variance. CONCLUSION: It is important to develop various comprehensive programs for improving job identity and managing job stress. In addition, it is necessary to provide support systems including persons, promotion and rewards to school health teachers.
Busan ; Education ; Humans ; Job Satisfaction ; Nursing ; Occupations ; Reward ; School Health Services* ; Social Identification ; Stress, Psychological

PURPOSE: Involvement of families in rounds is one strategy to implement patient- and family-centered care to help families get clear information about their child, and be actively involved in decision making. The purpose of this paper was to identify the major concepts of family-centered rounds for hospitalized children. METHODS: We searched five electronic databases for relevant articles and used Whittemore and Knafl's integrative review methods to synthesize the literature. Articles published between June 2003 and January 2016 were reviewed and through full text screening 24 peer-reviewed articles were found that met the selection criteria for this review. RESULTS: Through in-depth discussion and investigation of the relevant literature, four overarching components emerged: (a) cognition of parents and medical staff, (b) effective communication, (c) collaboration of family and medical staff, (d) coaching of medical staff. CONCLUSION: For successful family-centered rounds positive cognition is important. Appropriate communication skills and consideration of multi-cultural family can lead to effective communication. Offering consistent and transparent information is important for collaboration between family and medical staff. Prior education on family-centered rounds is also important. Four major components have been identified as basic standards for implementing family-centered rounds for hospitalized children.
Child ; Child, Hospitalized* ; Cognition ; Cooperative Behavior ; Decision Making ; Education ; Family Nursing ; Humans ; Mass Screening ; Medical Staff ; Parents ; Patient Selection ; Teaching Rounds

PURPOSE: This study was done to compare edema and pain after completing a nurse's daily shift and to examine the effects of self leg massage which was usually used for reducing nurses' lower extremity edema and pain after their shift. METHODS: The research design was a nonequivalent control group pretest-posttest design. Study subjects wer 81 nurses who took a self leg massage program created by the researcher. Self leg massage was done 15 times during 3 weeks. Data were collected from September 21 to October 31, 2007. The level of lower extremity edema was measured by ankle and calf circumference by a tapeline in cm and the pain score was measured by using a subjective numbering rating scale. Data were analyzed with the SPSS 12.0 program using statistics of repeated measures ANOVA. RESULTS: There was a statistically significant difference in pain according to the department. There was a statistically significant difference in lower extremity edema and pain in nurses after their shift and self leg massage. CONCLUSION: Self leg massage was effective for relieving nurses' lower extremity edema and pain. Therefore, it is proposed that standardized self leg massage should be applied as a method for nurses' lower extremity edema and pain.
Adult ; Edema/*therapy ; Education, Nursing, Continuing ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; *Leg/physiology ; *Massage ; Nursing Staff, Hospital/*psychology ; Pain/*therapy ; Pain Measurement ; Self Care ; Young Adult

PURPOSE: Parents with a premature infant are usually confronted with difficulties in caring for their babies and need education on appropriate care. The purpose of this paper was to describe the components of caring education for parents with a premature infant based on an integrative literature review and to present strategies for future education. METHODS: Four electronic databases were searched to identify studies. Sixteen articles were selected through full text screening of related research published in domestic journals from January 1990 to October 2012. RESULTS: Through in-depth discussion and investigation of the relevant literature, three components emerged; (a) nurses as educators and parents as learners, (b) education content including caring on admission or discharge, and effects of education, and (c) education environment including timing, place and materials. CONCLUSION: Future education on caring for premature infant should include the nurse as educator and have diverse content including parent's role, interaction with healthcare providers, and special care for premature infants with special problems. Moreover, highly technical teaching materials should be provided, along with continuous support of institution and government to individual caregivers. Results of this study provide comprehensive prospective and basic standards for education on premature infant care.
Caregivers ; Electronics ; Electrons ; Health Personnel ; Humans ; Hypogonadism ; Infant, Newborn ; Infant, Premature ; Mass Screening ; Mitochondrial Diseases ; Ophthalmoplegia ; Parents ; Teaching Materials

PURPOSE: The purpose of this study was to develop an instrument that evaluated QUality Of care Through patients' Eyes for hospitalized child (QUOTE-Child), and examine the validity and reliability. METHODS: Preliminary items were reviewed through expert content validity and face validity. To test the validity and reliability of the instrument, the data were collected from 221 care givers of hospitalized children. Data were analyzed using exploratory factor analysis, Pearson correlation coefficient, Cronbach's alpha and Spearman-Brown coefficient. RESULTS: Factor analysis yielded 19 items in four factors including 1) respect, 2) explanation, 3) kindness, and 4) skillfulness, with a cumulative explanatory variance of 70.68%. For criterion-related validity, a significant positive relationship was found between quality of care and pediatric family satisfaction. For internal consistency reliability, the Cronbach's alpha was .93 (importance) and .95 (performance) for the overall instrument. The half split reliabilities were .86, .95 (importance) and .92, .97 (performance). The Cronbach's alpha of 110 data was .92 (importance) and .94 (performance). CONCLUSION: Researchers and practitioners can use this instrument to systematically assess quality of care for hospitalized children and identify areas of support for hospitalized children and their family.
Caregivers ; Child ; Child, Hospitalized* ; Humans ; Quality of Health Care ; Reproducibility of Results