PURPOSE: The main purposes of this study were to assess maternal-fetal attachment (MFA) of the expectant mothers of a fetus with a prenatal diagnosis of congenital heart disease (CHD) and to identify factors associated with MFA. METHODS: The methodology was a cross sectional survey study using a self-administered questionnaire. Thirty pregnant women carrying a fetus with a prenatal diagnosis of CHD and 30 pregnant women with a normal fetus were enrolled in this study. The MFA Scale and PPS (The Prenatal Psychosocial Profile) were used to collect data. Data were analyzed using SPSS 20.0 Window version. Descriptive statistics, chi2-test and t-test were used to compare the two groups. The factors associated with MFA were identified by multiple regression analysis. RESULTS: There was no significant difference between the two groups in MFA and social support from spouse was the only variable showing a significant difference. The model from the multiple regression analysis explained 33.8% of MFA for both groups. CONCLUSION: MFA of expectant mothers with a prenatal diagnosis of CHD and of mothers with a normal fetus were not significantly different. It is important that health care providers encourage expectant fathers to support the expectant mothers to increase MFA.
Cross-Sectional Studies ; Fathers ; Female ; Fetus ; Health Personnel ; Heart ; Heart Diseases ; Humans ; Lifting ; Maternal-Fetal Relations ; Mothers ; Pregnant Women ; Prenatal Diagnosis ; Spouses ; Child Health ; Surveys and Questionnaires

PURPOSE: The aim was to explore the relationship between health status/life style and prevalence of atopic dermatitis in adolescents. METHODS: Data from 1,743 adolescents (aged 13 to 18 years) derived from the fourth Korea National Health and Nutrition Examination Survey (KNHANES) were analyzed using binary logistic regression and the classification and regression tree (CART) model. RESULTS: The prevalence rate of atopic dermatitis was 10.3%. Third quartile income class (OR=2.19, 95% CI=1.20-4.00), fair and unhealthy self-rated health (OR=1.49, 95% CI=1.06-2.11; OR= 2.73, 95% CI=1.64-4.55), past or current smoker (OR=0.41, 95% CI=0.20-0.85; OR=0.44, 95% CI=0.21-0.92), and more than average stress (OR=1.43, 95% CI=1.03-1.99) were related with increased prevalence of atopic dermatitis. The high prevalence risk groups for atopic dermatitis were adolescents who perceived themselves to be healthy on self-rated health and had more than average stress and those who perceived themselves to be unhealthy and who never smoked. CONCLUSION: The results of the study indicate that health status, smoking, and stress are associated with a prevalence risk for adolescent atopic dermatitis in different degrees. Therefore, for control of atopic dermatitis, various interventions for smoking and stress need to be reinforced for the high prevalence atopic dermatitis groups.
Adolescent ; Dermatitis, Atopic ; Humans ; Korea ; Life Style ; Logistic Models ; Nutrition Surveys ; Prevalence ; Smoke ; Smoking ; Child Health

PURPOSE: The purpose of this study was to examine the effects of structured nursing intervention for caregivers on maintenance of intravenous (IV) infusions in infants. METHODS: The structured nursing intervention was developed through the processes of interviews with nurses from pediatric wards. To identify the effects of the developed nursing intervention, a non-synchronized non-equivalent control group pretest-posttest design study was conducted with caregivers from the pediatric ward from a hospital in Seoul. Of 100 admitted infants, 50 caregivers were assigned to the intervention group and received the structured nursing intervention for maintenance of intravenous infusions in infants. The others were assigned control group and received routine care. Data were collected on patient factors, IV insertion factors, treatments, and IV related complications. The form developed for the structured nursing intervention was used by staff nurses. RESULTS: Compared to the control group, IV insertion frequency in experimental group infants was significantly lower and IV related complications decreased (p<.05). CONCLUSION: These results suggest that the structured nursing intervention for caregivers on maintenance of intravenous infusions may have effects on maintenance of intravenous infusions in infants, and decreasing IV related complications. This nursing intervention can be used to improve IV related problems of admitted infants.
Caregivers ; Humans ; Infant ; Infusions, Intravenous ; Child Health

PURPOSE: This study was conducted to investigate health issues of children with disabilities attending daycare centers, and to identify the way of teachers' management on child health. METHODS: A cross-sectional descriptive study design was performed with a convenience sampling of 127 teachers from 19 daycare centers for children with disabilities and 175 teachers from 17 general daycare centers. A survey questionnaire was used to collect data, and the data were analyzed using the SPSS 17.0 program. RESULTS: For the last one month, about 90% of the teachers working in daycare centers for children with disabilities had to care for sick children. When a child is sick, 50% of the teachers tended to contact with the parents of the child. The majority of the teachers caring for sick children experienced difficulties with no one available to give expert health care advice. CONCLUSION: The results of the study indicate that there are many health issues in daycare centers for children with disabilities and therefore health professionals need to be available to the centers. Specifically, health management services and programs need to be developed and provided for children with disabilities.
Child ; Child Day Care Centers ; Delivery of Health Care ; Disabled Children ; Health Occupations ; Health Services ; Humans ; Parents ; Child Health ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to examine and analyze the post operative fasting period of neonates in the intensive care unit (ICU) after receiving open heart surgery in order to provide optimal nutrition support for these neonates. The variables included biochemical nutrition indexes (albumin, total lymphocyte count, total cholesterol) and patient outcomes (duration of mechanical ventilation, ICU stay, hospital stay, infectious complication). METHODS: The participants were 124 neonates in ICU after receiving open heart surgery, and the design of this study was to investigate their post operative fasting period retrospectively to analyze the biochemical nutrition indexes and patient outcomes according to post operative fasting period. RESULTS: The results for 4 groups according to post operative fasting period showed that the group with less 48 hours of fasting had the best biochemical nutrition indexes and patient outcomes, followed by the 48-72 hour group, the 72-144 hour group, and the over 144 hour group. CONCLUSION: The results indicate that for new born babies receiving open heart surgery, the period of fasting after the operation should be minimized and tube feeding should be started as soon as possible.
Enteral Nutrition ; Fasting ; Heart ; Humans ; Infant, Newborn ; Intensive Care Units ; Length of Stay ; Lymphocyte Count ; Nutrition Assessment ; Respiration, Artificial ; Retrospective Studies ; Thoracic Surgery ; Child Health

PURPOSE: This study was done to develop an education program on cell phone use for elementary school students, and examine its effects on their knowledge, attitude, self-efficacy, and self-control in cell phone use. METHODS: The study was designed using a nonequivalent control group pretest-posttest design. The participants were 64 elementary school students (31 in the experimental group and 33 in the control group). Students in the experimental group were given the education program on cell phone use. The data were analyzed using the SPSS/WIN 19.0 program. RESULTS: Students in the experimental group reported increased knowledge and attitude regarding cell phone use which were significantly higher than students in the control group (p<.001, p<.001). But, self-efficacy and self-control for students in the experimental group were not different from those in the control group. CONCLUSION: The study results indicate that the education program for cell phone use is effective in increasing knowledge and attitude regarding cell phone use in elementary school students.
Behavior, Addictive ; Cellular Phone ; Humans ; Child Health

PURPOSE: This study was designed to analyze recent trends in research about caregivers of hospitalized children in Korea and to suggest future research directions in this area. METHODS: Eighty one studies selected from http://www.kan.or.kr, www.childnursing.or.kr, www.riss4u.net, and www.ndsl.kr published from 1995 to 2011 were used. The analysis framework of concepts was derived from client domain (Kim, 2000) and knowledge type (Kim et al., 2004). RESULTS: In terms of research design, nonexperimental studies (82.7%) were the most frequent, followed by experimental studies (14.8%) and qualitative studies (2.5%). Mothers were the most frequent caregivers, and hospitalization was the most frequent health problem of the children. In terms of categories of the concepts, 35 (39.3%) studies included essentialistic concepts like coping and adaptation, 15 (16.9%) studies included problematic concepts like anxiety and uncertainty, and 39 (43.8%) studies included health-care experiential concepts like educational needs and nursing needs. In term of knowledge types, there were 35 (39.3%) studies of the explanatory knowledge type, 44 (49.5%) descriptive ones, and 10 (11.2%) prescriptive ones. CONCLUSION: The results indicate that further research is necessary on problematic concepts and prescriptive knowledge types for child health nursing practice which will lead to expanding nursing knowledge.
Anxiety ; Caregivers ; Child ; Child, Hospitalized ; Hospitalization ; Humans ; Korea ; Mothers ; Research Design ; Uncertainty ; Child Health

PURPOSE: The purpose of this study was to facilitate home visits to assess the current rate of child abuse in order to provide an agenda for the early detection and prevention of child abuse and neglect in Korea. METHODS: For this retrospective descriptive research, 20 public health centers were selected, 1,991 families were visited and 2,680 children were assessed. RESULTS: We found 415 cases (15.5%) of potential abuse and 7 cases (0.3%) of actual abuse. The greatest risk group was to children age 4 to 6 years. According to the HOME Inventory, there were 17 infants (5.8%) presenting a potential risk for child abuse and neglect. CONCLUSION: Visitation screening is highly recommended for prevention in the high-risk preschool age group.
Child ; Child Abuse ; House Calls ; Humans ; Infant ; Korea ; Mass Screening ; Nursing Assessment ; Public Health ; Retrospective Studies ; Child Health

PURPOSE: This study was done to explore the meaning of joys and sorrows in mothers of children with Mucopolysaccharidosis (MPS). METHODS: The participants were 9 mothers who each had a child with MPS. Data were gathered using in-depth interviews. The interviews were recorded and transcribed verbatim. Data were analyzed using Colaizzi method. RESULTS: The significant results from analyzing the interviews can be grouped into 12 concept descriptions, and 5 theme clusters. The essential theme clusters for the experience of the mothers were 'hopelessness about this rare disease', 'guilt because of the disease being hereditary', 'endless courses of treatment', 'wounds in the relationship', and 'relative composure of mind'. CONCLUSION: The finding of this study offer profound information on joys and sorrows experienced by mothers of children with MPS and provide basic data for developing nursing intervention strategies for the mothers of children with rare diseases.
Child ; Humans ; Mothers ; Mucopolysaccharidoses ; Rare Diseases ; Child Health

PURPOSE: The study was conducted to explore the parenting experience of mothers who have defected from North Korean. METHODS: Nineteen mothers who defected from North Korean were recruited in Hanawon and data were collected through face-to-face interviews. Grounded theory methodology developed by Strauss and Corbin (1998) was adapted for theoretical sampling and analysis. Interviews were recorded with consent and transcribed verbatim. RESULTS: The core category was discovered to be 'pursuing positive parenting'. Phenomenon was identified as 'acting out of frustration' and this series of processes was categorized as having four stages: 'harsh reality', 'moving forward', 'seeking transition' and 'internalization'. CONCLUSION: The results indicate that their parenting experiences were in a transition process and, thus, it is critical to develop positive parenting intervention programs as a way to promote the empowerment of these mothers in parenting to help them support themselves and their children.
Child ; Democratic People's Republic of Korea ; Humans ; Mothers ; Parenting ; Parents ; Power (Psychology) ; Child Health