PURPOSE: This study was conducted to identify resiliency factor, to test causal relationship and effect of resiliency factors on adaptation in families of children with cancer. A conceptual framework was constructed based on McCubbin's resiliency model. Hypotheses were tested with empirical data. METHOD: Data were collected using self-report questionnaire from 232 families of children with cancer. The collected data were analyzed using the SAS program and LISREL program for covariance structural analysis. RESULT: Family hardiness and problem-solving coping had significant direct effects on adaptation in families of children with cancer. Social support had significant indirect and total effect on adaptation. Family Schema had significant direct effect on family hardiness and problem-solving coping. Problem-solving communication had a significant direct effect on family hardiness and an indirect effect on family functioning and problem-solving coping. Among the resiliency factors, family hardiness had the greatest effect on adaptation in family of children with cancer. CONCLUSION: The findings suggest that nursing interventions to enhance family hardiness, problem-solving coping and social support would result in an increase in adaptation in families of children with cancer. An integrated intervention that emphasizes and promotes resiliency factors should be developed and established for families of children with cancer.
Child* ; Humans ; Nursing ; Child Health ; Surveys and Questionnaires

BACKGROUND: The purpose of this study was to evaluate the factors influencing quality of life (QOL) in liver transplant recipients. METHODS: The subjects of this study were 103 liver recipients who received their follow-up more than 3 months after liver transplantation at one general hospital in Seoul. A questionnaire survey was perfomed from September 1, 2012 to September 30, 2012. QOL and factors were evaluated using SF-36, Transplant Symptom Distress Scale and Multidimensional Scale of Perceived Social Support. RESULTS: Symptom distress, work change after transplant, duration after transplant were significant factors influencing QOL (Cum R2=0.39, F=19.34, P<0.001). Symptom distress was the most important factors related QOL. There were significant differences in QOL according to general characteristics such as education (t=2.16, P=0.033), work change after transplant (t=3.67, P=0.000), duration after transplant (t=2.25, P=0.027), and economic status (t=3.08, P=0.027). CONCLUSIONS: In conclusion, symptom distress had an influence on the QOL of liver transplant recipients. Thus, it is necessary to develop interventions for symptom distress to improve the QOL of liver transplant recipients.
Follow-Up Studies ; Hospitals, General ; Liver ; Liver Transplantation ; Quality of Life ; Surveys and Questionnaires ; Transplants

PURPOSE: This study was conducted to examine the effects of an individualized cardiac rehabilitation education program on knowledge about coronary artery disease (CAD), compliance of sick role and vascular health status in patients with percutaneous coronary intervention (PCI). METHODS: Quasi-experimental design-based nonequivalent control group pretest-posttest design was employed. Using convenience sampling, data were collected from 60 patients who underwent PCI at S Hospital in S City from September 2014 to February 2015. For examining the effects of an individualized cardiac rehabilitation education program, knowledge about CAD, compliance of sick role and vascular health status were measured. RESULTS: The experimental group showed statistically significant differences in knowledge about CAD (t=24.21, p<.001), compliance with sick role (t=20.81, p<.001) and vascular health status (t=15.07, p<.001) compared to the control group. CONCLUSION: The individualized cardiac rehabilitation education program is effective in improving knowledge about CAD, compliance of sick role and vascular health status in patients who underwent PCI. Based on the findings of this study, nursing intervention programs focusing on individualized approach will be useful for patients undergoing PCI.
Compliance ; Coronary Artery Disease* ; Coronary Vessels* ; Education* ; Humans ; Nursing ; Percutaneous Coronary Intervention* ; Rehabilitation* ; Sick Role*

PURPOSE: The purpose of this study was to identify influencing factors on health behavior adherence in middle and old aged men who underwent percutaneous coronary intervention. METHODS: With a convenience sampling, data were collected from 140 middle and old aged men who underwent percutaneous coronary intervention at two general hospitals. A structured questionnaire was used to measure husband-wife harmony, self-efficacy, and behavior adherence. Data were analyzed by descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression. RESULTS: Health behavior adherence was significantly correlated with husband-wife harmony (r=.59, p<.001) and self-efficacy (r=.54, p<.001). There was also a significant correlation between husband-wife harmony and self-efficacy (r=.48, p<.001). Overall, approximately 43.7% of the variability in health behavior adherence was explained by these two variables in this study (F=54.85, p<.001). CONCLUSION The findings suggest that husband-wife harmony and self-efficacy could be important factors affecting health behavior adherence in middle aged men who underwent percutaneous coronary intervention. Therefore, nursing interventions for them should focus on increasing husband-wife harmony and self-efficacy.

PURPOSE: The purpose of this study was to compare psychosocial adjustment in children aged 4-11 years with cancer between on and off treatment. METHOD: The data was collected from parents of children with cancer through interviews with structured questionnaire at the pediatric outpatient department and inpatient ward of one university hospital located in Seoul. The instrument were the Child Behavior Check List(CBCL) developed by Achenbach(1991) and revised to standardize for Korean children by Oh et al(1997). RESULT: Total behavior problem score for children on treatment was greater than the score off treatment but there was no significant difference. Children on treatment reported higher levels of depression/anxiety, withdrawal, internalizing scores than children off treatment. Social competence score of children off treatment was greater than the score on treatment and the difference of school performance score of children between on and off treatment was not significant. The scores on the withdrawal, somatic complaints, social immaturity, internalizing scales in the cancer group including both on and off treatment was greater than normative findings in the general population. The scores on the school competence of children off treatment were lower than the norms for healthy children. CONCLUSION: Findings from this study support the importance of nursing interventions to facilitate the adjustment of children with cancer both on and off therapy.
Child Behavior ; Child* ; Humans ; Inpatients ; Mental Competency ; Nursing ; Outpatients ; Parents ; Seoul ; Weights and Measures ; Child Health ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to identify whether self-directed fundamental nursing practice using a smart phone affected self-efficacy, practice satisfaction, and skill competency of nursing students. METHODS: This was a nonequivalent control group pretest-posttest quasi-experimental design. The participants were 40 children in the experimental group and 40 in the control group. In experimental group, self-directed fundamental nursing practice using a smart phone was given to nursing students. Data for this study was collected from 25 March 2015 to 10 April 2015. The data were analyzed using SAS 21.0. RESULTS: In self-efficacy and skill competency, there were no statistically significant differences between the experimental group and control group. In practice satisfaction, there were statistically significant differences between the experimental group and the control group. CONCLUSION: The results indicate that self-directed fundamental nursing practice using smartphone video is effective in practice satisfaction. Therefore, this intervention can be utilized in nursing practice education as an effective educational device.
Child ; Education ; Humans ; Nursing* ; Smartphone* ; Students, Nursing

PURPOSE: The purpose of this study was to describe health problems and psychosocial adaptation in children with cancer and to determine the relationship between these two variables. METHOD: The data were collected from parents of 61 children with cancer, aged 4-11 years at one university hospital in Seoul. The instruments for this study were the Korea Child Behavior Check List (KCBCL) and a physical symptom checklist developed by the researchers. RESULT: The major health problems were coughing, sleeping disturbances, fatigue and weakness. The total behavior problem score for children in the cancer group was higher than the score for those in the norm group. The scores on the scales for withdrawal, somatic complaints, social immaturity, and internalizing problems were higher in the children with cancer compared to normative findings. Scores on social and school competence in the cancer group were lower than the norms for healthy children. The relationship between health problems and psychosocial adaptation was significant in the subscales of withdrawal, anxiety/depression, internalizing problems and social involvement in the off therapy group. CONCLUSIONS: This study shows the various areas that need further study in caring for children with cancer.

Purpose: The purpose of this study was to examine the effects of intervention studies for child abuse victims in Korea focused on depression, anxiety, self-esteem, problem behavior, and sociability. Methods: Published articles on intervention programs for abused children were investigated using the systematic review method. A total of 24 studies up to August 2021 were included in the final analysis using the Comprehensive Meta-Analysis (CMA) 2.2 program. Results: The differences in effects depending upon the year of publication, total sessions, group size, and time per session were statistically meaningful. The effect size of art therapy was found to be larger than that of traditional group therapy. The effect size of the overall interventions was 1.75, which was a high level in terms of Cohen’s criteria. Intervention programs showed significantly large effect sizes in sociability, problem behavior, and self-esteem. The effect of programs on anxiety and depression was not statistically meaningful. Conclusion The results of this study are meaningful because they can be used as basic data for the development of intervention programs for abused children. Intervention programs for child abuse victims should continue to be developed and applied.

PURPOSE: The purpose of this study was to test the reliability and validity of an MIL instrument for adolescents. METHOD: The research design was a three-phase, methodological study. 1) The original 46 items of the Meaning in Life (MIL) Scale were reviewed and corrected partially by 20 adolescents. 2) The content was validated by an expert panel (n=15) and adolescents (n=5). 3) The instrument was validated by survey (n=468). Finally, 33 items were chosen for the adolescents meaning in life(AMIL) scale. RESULTS: Cronbach's alpha coefficient of the 33 items was .92, confirming the high internal consistency of the instrument. 2) Eight factors were extracted through factor analysis: 'experience of love', 'making efforts for goal', 'awareness of essential being', 'awareness of self limitation', 'feeling of satisfaction', 'relation experience', 'positive thinking', and 'hope'. These factors explained 58.26% of the total variance. CONCLUSION: AMIL Scale was identified as a tool with a high degree of reliability and validity. The tool can therefore be effectively utilized to assess the degree of meaning of life in caring areas for adolescents. Studies on AMIL of different adolescent subjects are needed for further verification.
Adolescent ; *Adolescent Psychology ; Analysis of Variance ; Demography ; Female ; Humans ; Male ; *Quality of Life ; Questionnaires ; Reproducibility of Results ; Self Concept

Infantile onset diabetes mellitus(especially, neonatal diabetes) is rare disorder and may be transient or permanent. Most patients are full-term but small-for-date infants and typical symptoms occur within the first 4-6 weeks of life, requiring insulin therapy. Neonatal diabetes differs from type 1 diabetes in many aspects and seems to form a distinct entity of inborn pancreatic malfunction. The transient cases often develop type 2 diabetes mellitus later in life. In recent reports, transient neonatal diabetes is associated with paternal uniparental isodisomy and unbalanced duplication of chromosome 6q22-23. In our study, clinical course of case 1 was compatible with transient neonatal diabetes, but chromosomal abnormalities such as above was not shown in DNA analysis. In case 2 and 3, we could not decide exactly on genetic basis.
Chromosome Aberrations ; Diabetes Mellitus, Type 1* ; Diabetes Mellitus, Type 2 ; DNA ; Genomic Imprinting* ; Humans ; Infant ; Insulin ; Uniparental Disomy