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

PURPOSE: This study was done to determine whether a parenting education program using responsive teaching strategies is effective for parenting stress, maternal interactional behavior and behavioral problems in children at risk for Attention Deficit Hyperactivity Disorder (ADHD). METHODS: Participants in this study were 17 elementary school children and their parents. The ADHD risk group was determined by scores on the Korean-ADHD Rating Scale. The parenting education program was developed based on Dr. Mahoney's responsive teaching curriculum. Mothers participated in the program once a week for 8 sessions. Treatment outcome was evaluated using the Korean version of the Child Behavior CheckList (K-CBCL), parenting stress, maternal interactional behavior, and child pivotal developmental behavior. Data were analyzed using Wilcoxon signed rank test, Mann-Whitney test, and regression analysis. RESULTS: After the parenting education program, no significant difference in parenting stress (Z=-1.00, p=.320) was found, but there was a significant decrease in the child's internal behavior problems (Z=-2.05, p=.040), and also a significant improvement in maternal interactional behavior and a significant difference in child pivotal developmental behavior (Z=-2.67, p=.008). CONCLUSION: The results indicate that parenting education programs based on responsive teaching strategies are effective and that application of a program is recommended to prevent behavioral problems and improve maternal child interaction for children at risk for ADHD.
Attention Deficit Disorder with Hyperactivity ; Checklist ; Child ; Child Behavior ; Curriculum ; Humans ; Mothers ; Parenting ; Parents ; Treatment Outcome ; Child Health

PURPOSE: The purpose of this study was to analyze factors affecting meaning of life in adolescents. METHODS: Data were collected from April 5 to June 20, 2010. The participants for this study were 343 Korean middle and high school students, recruited from four middle and high schools located in Seoul. Data collection was conducted through the use of 7 questionnaires. The data were analyzed with the SPSS WIN 12.0 program using descriptive statistics, ANOVA, Pearson correlation coefficients and stepwise multiple regression. RESULTS: 1) The mean total item score for the meaning of life scales was 2.99, which was slightly high. 2) There was a significant relationship between meaning of life and self-esteem, self control, parenting attitude, family satisfaction, school adjustment, and career maturity. 3) Stepwise multiple regression analysis showed that self-esteem, family satisfaction, school adjustment, parenting attitude and career maturity were predictors of meaning of life and accounted for 57.1% of the variance in meaning of life. CONCLUSION: Self-esteem, family satisfaction, school adjustment, parenting attitude and career maturity were variables influencing meaning of life in adolescents. These results indicate a need to develop nursing interventions to increase self-esteem, family satisfaction, school adjustment, parenting attitude and career maturity in order to improve meaning of life for adolescents.
Adolescent ; Data Collection ; Humans ; Parenting ; Parents ; Weights and Measures ; Child Health ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to examine the effects of the perception of marital conflict and child rearing attitudes on abuse experience and emotional maladjustment behavior in children. METHODS: Data were collected from May 25 to June 5, 2009. A questionnaire survey was used with 320 elementary school students. Data were analyzed using Pearson correlation coefficients and multiple regression analysis. RESULTS: For effects of perception of marital conflict and child rearing attitude on abuse experience among these children, authoritarian controlling disposition, affectionate disposition and marital conflict had a significant impact on their overall abuse experience. These variables were predictors of child abuse and accounted for 30.6% of the variance. For effects of perception of marital conflict, child rearing attitude and abuse experience on emotional maladjustment behavior among children, there was a significant influence for marital conflict, neglect, emotional abuse and authoritarian controlling disposition. These variables were predictors of emotional maladjustment behavior and accounted for 21.5% of the variance. CONCLUSION: The results indicate that marital conflict and child rearing attitude are two major variables affecting children's abuse experience and emotional maladjustment behavior.
Child ; Child Abuse ; Child Behavior ; Child Rearing ; Family Conflict ; Humans ; Child Health ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to investigate issues and needs related to child health management as recognized by teachers in day care centers. METHODS: Data were collected from 130 teachers from 20 day care centers. Each teacher was interviewed in depth and the data were examined through content analysis. RESULTS: For issues on child health management, the analysis scheme consisted of 10 categories and 36 subcategories. For needs on child health management, the analysis scheme consisted of 10 categories and 37 subcategories. Teachers indicated that tools for physical examination and playgrounds were insufficient and they had difficulty in controlling attendance of infectious children. They also indicated the lack of a linkage between day care centers and hospitals, lack of knowledge of health management, high teacher versus child ratio, and lack of help and budget needed for health care. CONCLUSION: The results of this study suggest the need to develop a linkage between day care centers and medical institutions. Also there is a need to provide support from health care personnel, health education for teacher, health management manuals for teachers, and financial aid to satisfy the needs for health management in day care center for children.
Budgets ; Child ; Child Day Care Centers ; Day Care, Medical ; Delivery of Health Care ; Health Personnel ; Humans ; Physical Examination ; Child Health

PURPOSE: The purpose of this study was to investigate the knowledge and practice level of infection managements in child guardians with respiratory infections after H1N1 diffusion of 2009. METHODS: The data were collected during February and March 2010 using a self-report questionnaire. The participants were 228 child guardians. Data were analyzed using frequency, percentage, means, SD, t-test, F-test, Pearson correlation coefficients, and Cronbach's alpha with the SPSS 17.0 program. RESULTS: Mean age of the guardians and children were 37.8 years, 4.1 years respectively. For knowledge level of respiratory infections, hand washing method had the highest score and snuffles prevention method, the lowest. For practice level for respiratory infections, environmental hygiene management had the highest score and symptom management, the lowest. Infection management knowledge and practice level had a positively significant correlation in every area. CONCLUSION: The results indicate the necessity of continual education on infection management, and that the most efficient timing for the education appears be for participants during their first pregnancy or after the woman has delivered her child.
Child ; Compliance ; Diffusion ; Female ; Hand Disinfection ; Humans ; Hygiene ; Legal Guardians ; Pregnancy ; Respiratory Tract Infections ; Child Health ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to identify the effect of family stressors, family strains, general family values, family values for hospitalized children and family hardiness on family adaptation based upon McCubbin's family resilience model for families of hospitalized children in China. METHODS: A survey using a self-report questionnaire was conducted with 330 hospitalized children's parents. Six instruments were used in this model. The data were analyzed using SPSS WIN 19.0 and AMOS 19.0 program. RESULTS: Family strain had a significant negative direct effect, general family values and family hardiness had a significant positive direct effect, and family values for hospitalized children had a significant positive direct effect and indirect effect on family adaptation of hospitalized children. CONCLUSION: In this study McCubbin's resilience model and resiliency factors were identified. According to the finding of this study nursing interventions to reduce family stress, enhance family hardiness and consolidate general family values and family values for hospitalized children can help to increase family adaptation in families of hospitalized children. Therefore, the significance of this study is that the results can be used to develop family nursing intervention programs based on family resilience to strengthen family adaptation in families of hospitalized children.
Child ; Child, Hospitalized ; China ; Family Nursing ; Hospitalization ; Humans ; Parents ; Sprains and Strains ; Child Health ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to develop evidence-based nursing practice guidelines for the care of febrile children in the emergency room and to evaluate the guidelines by applying them to practice. METHODS: This study was conducted using a methodological design. referring to the Scottish intercollegiate guideline network, draft of guidelines were developed based on the recommendations found from the critical literature analysis. Then, the draft was modified by an expert group and a pilot application. The final draft was evaluated by the expert group using appraisal of guidelines for research and evaluation. Finally, the final guideline and algorithm were completed. RESULTS: The guideline includes 39 recommendations for the care of febrile children in the emergency room. CONCLUSION: The clinical guidelines developed through this research can be utilized as systematic and scientific guidelines for the care of febrile children in the emergency room. In addition, the research results will contribute to improving care services.
Child ; Emergencies ; Evidence-Based Nursing ; Fever ; Humans ; Child Health

PURPOSE: This study was done to examine levels of temperament, parent-child attachment and depression of adolescents and verify its effects. METHODS: Surveys were conducted with 500 students from two middle schools, one located in Seoul and one in Gyeonggi Province. Adolescent temperament was measured using the Junior Temperament and Character Inventory, parent-child attachment using the Revised Inventory of Parent and Peer Attachment and depression using the Children's Depression Inventory. Cluster, t-test, correlation and logistic regression were used for data analysis. RESULTS: Characteristics of temperament were classified into 2 groups. The 'Adaptation vulnerable group' showed high Harm Avoidance and the 'Adaptation protective group' showed high Reward Dependence, and Patience. The 'Adaptation vulnerable group' showed lower attachment and higher depression than the 'Adaptation protective group'. Novelty Seeking and Harm Avoidance correlated positively with depression and negatively with attachment. Students with higher levels of attachment reported lower levels of depression. The logistic regression analysis showed that the 'Adaptation vulnerable group' was 2.16 times more likely to be affected by depression than 'Adaptation protective group'. CONCLUSION: Results of this study can be used to develop depression intervention programs for adolescent psychological health and provide encouragement in the development of parent-child attachment.
Adolescent ; Depression ; Humans ; Logistic Models ; Parent-Child Relations ; Parents ; Reward ; Temperament ; Child Health