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Verification of Model on Family Adaptation in Families of Hospitalized Children: Focused on Parents of Hospitalized Children in China.

Yang LIU ; In Sook PARK ; Young Sook MOON

Journal of Korean Academy of Child Health Nursing.2012;18(4):222-230.

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

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Development of Evidence-based Nursing Practice Guidelines for Febrile Children in Emergency Room.

Min Jin JEONG ; Hyun A SHIN ; Yun Hee KIM ; Jee Hyang LEE ; Seung Ja LEE ; Mi Ra SONG

Journal of Korean Academy of Child Health Nursing.2012;18(4):214-221.

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

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Effects of Adolescent Temperament and Parent-child Attachment on Depression.

So Youn YIM ; Myoung Ok CHAE ; Ja Hyung LEE

Journal of Korean Academy of Child Health Nursing.2012;18(4):207-213.

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

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Effects of Covering Newborn's Head after Bath on Body Temperature, Heart Rate and Arterial Oxygen Saturation.

Dong Yeon KIM ; Ho Ran PARK

Journal of Korean Academy of Child Health Nursing.2012;18(4):201-206.

PURPOSE: In this study changes were observed in body temperature, heart rate and arterial oxygen saturation (SaO2) of newborns after bathing and to determine the effects of covering their heads with cotton hats after bathing. METHODS: Participants were 58 newborn infants, 31 in the experimental group had their heads covered with cotton hats after their bath while 27 in the control group did not. Body temperature, arterial oxygen saturation and heart rate were measured at 8 consecutive times after bathing. Data were analyzed using t-test and repeated measures ANOVA. RESULTS: Body temperature declined shortly after bathing. The experimental group showed faster recovery (p<.001). Heart rate increased after bathing in both groups. Heart rate in the experimental group decreased for 120 minutes and gradually increased to baseline (p<.001). In the control group, heart rate decreased for 180 minutes and then increased but did not reach the baseline (p<.001). Arterial oxygen saturation decreased shortly after bathing and recovery to the baseline was more rapid in the experimental group (30 minutes vs. 60 minutes) (p<.001). CONCLUSION: With significant changes observed in newborns' body temperature, arterial oxygen saturation and heart rate, covering the head right after bathing is effective in stabilizing infants' physiological system.
Baths ; Body Temperature ; Head ; Heart ; Heart Rate ; Humans ; Infant, Newborn ; Oxygen ; Child Health

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Development and Verification of the Effect of Health Lifestyle Education Program for Cancer Prevention in Late School-aged Children.

Mi Hye CHO ; In Soo KWON

Journal of Korean Academy of Child Health Nursing.2012;18(4):192-200.

PURPOSE: This study was done to develop and test the effectiveness in late school-aged children of a healthy lifestyle education program for cancer prevention. METHODS: Participants were 26 students in the sixth grade of N elementary school in J City (experimental group) and 25 students in the sixth grade of D elementary school with same educational conditions (control group). The research design was a nonequivalent control group pretest-posttest design. Data collection and execution of the study were carried out from March 10 to May 19, 2011. For the experimental treatment, 7 weekly sessions of the healthy lifestyle education program for cancer prevention were given by the researcher. Posttest was done immediately following the conclusion of the program and 4 weeks later. Frequencies, percentages, chi2-test, t-test, repeated measures ANOVA and paired t-test with SPSS WIN 18.0 were used to analyze the data. RESULTS: Perceived barriers, perceived self-efficacy, activity related effect and family support significantly influenced cancer prevention knowledge and increases in healthy life styles. CONCLUSION: Results indicate that, as this program for cancer prevention was effective in increasing healthy lifestyle practices in these children, there is a need to further develop, test and implement programs in all schools.
Child ; Data Collection ; Humans ; Life Style ; Research Design ; Child Health

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Degree of Parenting Stress and Fatigue Perceived by Primary Caregivers of Young Children.

Sun Jung PARK ; Kyung Ah KANG ; Sung Hee KIM ; Shin Jeong KIM

Journal of Korean Academy of Child Health Nursing.2012;18(4):184-191.

PURPOSE: The purpose of this study was to provide basic data for nursing interventions to assist primary caregivers of young children by determining the degree stress and fatigue that caregivers were under due to parenting young children. METHODS: Participants were primary caregivers (181 mothers and 160 grandmothers) of young children. RESULTS: 1) Mean score for degree of parenting stress was 2.61 (+/-.69) and for fatigue, 1.97 (+/-.54). 2) There was a significant difference in degree of parenting stress according to primary caregivers' age, employment status, income, whether the children were wanted babies, health status of the children and caregivers, personality of the children, and benefits from, and satisfaction with costs of childcare. Likewise, there was a significant difference in degree of fatigue according to relationship of primary caregivers to the children, primary caregivers' age, religion, income, whether the children were wanted babies, health status of the children and caregivers, personality of the children, and benefits from, and satisfaction with costs of childcare. 3) Stress and fatigue perceived by the primary caregivers were significantly correlated (r=.554 p<.001). CONCLUSION: To alleviate more effectively primary caregivers' parenting stress and fatigue, early nursing intervention and educational programs need to be developed.
Caregivers ; Child ; Employment ; Fatigue ; Humans ; Mothers ; Parenting ; Parents ; Child Health

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Incidence and Associated Factors of Pressure Ulcers in Newborns.

Won Young CHOI ; Hyeon Ok JU

Journal of Korean Academy of Child Health Nursing.2012;18(4):177-183.

PURPOSE: This study was done to examine the incidence of pressure ulcers and associated factors, by inspecting the skin of newborn babies in a newborn unit or newborn intensive care unit (NICU). METHODS: The participants were 101 newborn babies in either a newborn unit or NICU in D general hospital. The incidence of pressure ulcer was measured using the skin inspection tool for pressure ulcer, suggested by Agency for Health Care Policy and Research. RESULTS: Incidence rate of pressure ulcer was 19.8%, and 80% of the newborns with pressure ulcers were premature babies. The commonest region of onset was the ear (36.8%), followed by the foot (31.6%), occipital region (15.8%) and knee (15.8%). Those are the regions related to external medical devices like nasal Continuous Positive Airway Pressure and Pulse Oximetry. Factors related to pressure ulcers were gestational period of 37 weeks or less, hospitalization for 7 days or more, birth weight under 2,500 g and a low level of serum albumin. CONCLUSION: The results of the study show that the skin and underlying tissues of premature infants is at risk for pressure-related skin breakdown. As most pressure ulcers are caused by medical devices, nursing interventions are required to prevent further aggravation of the lesions.
Birth Weight ; Continuous Positive Airway Pressure ; Delivery of Health Care ; Ear ; Foot ; Hospitalization ; Hospitals, General ; Humans ; Incidence ; Infant, Newborn ; Infant, Premature ; Intensive Care Units ; Knee ; Nursing Care ; Oximetry ; Pressure Ulcer ; Skin ; Child Health

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Educational Needs in the Development of a Simulation Based Program on Neonatal Emergency Care for Nursing Students.

So Young YOO ; Sung Hee KIM ; Ja Hyung LEE

Journal of Korean Academy of Child Health Nursing.2012;18(4):170-176.

PURPOSE: The purpose of this study was to identify the current status and needs in neonatal emergency training for nursing students in Korea and to obtain preliminary information to develop a simulation based educational program on neonatal emergency care for nursing students. METHODS: Structured questionnaires were distributed to five hospitals and ten nursing schools during April and May, 2012. Data were collected from 59 nurses who worked in the nursery or Neonatal Intensive Care Units and 13 nursing educators who had specialized in pediatric nursing. RESULTS: Most nurses (86.4%) reported that they had experienced an emergency situation with newborns. Most nursing educators (84.6%) claimed that more intensive training with newborns is needed for nursing students. In particular, training in neonatal resuscitation (72.2%), respiratory distress (59.7%), and neonatal seizures (18.1%) were highly recommended as simulation based training for nursing students. CONCLUSION: A significant need for neonatal emergency educational programs was found. More efforts should be made to provide nursing students with knowledge and skills for working with neonates. The findings of this survey will ultimately provide a basis for developing a simulation based educational program on neonatal emergency care for nursing students.
Emergencies ; Emergency Medical Services ; Humans ; Infant, Newborn ; Intensive Care Units, Neonatal ; Korea ; Needs Assessment ; Neonatal Nursing ; Nurseries ; Patient Simulation ; Resuscitation ; Schools, Nursing ; Seizures ; Students, Nursing ; Child Health ; Surveys and Questionnaires

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Comparison of Antifebrile Effects of Hypothermia Blanket and Rectal Antipyretics for Infants after Open Heart Surgery.

Eun Jung KIM ; Myoung Hee KIM

Journal of Korean Academy of Child Health Nursing.2012;18(4):164-169.

PURPOSE: The purpose of this study was to compare the effectiveness for infants of antifebrile therapy using a hypothermia blanket or rectal antipyretics following open heart surgery. METHODS: This was a retrospective study and 174 infants who had open heart surgery at P University Hospital, and whose body temperature body temperature exceeded 37.2degrees C were included in the study. The assessment tool was composed of 32 items was used for assessment of fever therapy, physiological indexes and antifebrile duration. Physiological indexes included systolic blood pressure, diastolic blood pressure, heart rate, pH, PaCO2, PaO2, HCO3-, SaO2, and K+ and the antifebrile duration was minutes from having a fever until BT returned to normal levels. RESULTS: The antifebrile duration with the hypothermia blanket was shorter than with rectal antipyretics. There were significant differences in the physiological indexes with either type of antifebrile therapy, but drop in BT was greater with the hypothermia blanket than rectal antipyretics. CONCLUSION: The results of this study indicate that a hypothermia blanket is a non-invasive, non-drug and safe antifebrile therapy. Therefore, a hypothermia blanket can be applied to infants with a fever following open heart surgery.
Antipyretics ; Blood Pressure ; Body Temperature ; Fever ; Heart ; Heart Rate ; Humans ; Hydrogen-Ion Concentration ; Hyperthermia, Induced ; Hypothermia ; Infant ; Retrospective Studies ; Thoracic Surgery ; Child Health

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Effects of Life Stress and Depression in Undergraduates on Suicidal Ideation.

Sun Sook BAEK ; Eun Ho HA ; Eon Na RYO ; Mi Seung SONG

Journal of Korean Academy of Child Health Nursing.2012;18(4):157-163.

PURPOSE: This study was conducted to identify the effects of life stress and depression in undergraduates on suicidal ideation. METHODS: The participants in this study were 306 nursing students from three different cities. Collected data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. RESULTS: The mean score for life stress was 48.48, for depression, 28.59, and for suicidal ideation, 5.90. There were positive relationships between depression and life stress, suicidal ideation and life stress, and suicidal ideation and depression. The four factors of life stress, depression, school life, and gender were identified as factors influencing on suicidal ideation in undergraduates. CONCLUSION: The findings of this study indicate that the establishment of mental health care centers in universities, and development and implementation of nursing intervention programs for suicide prevention would be helpful.
Depression ; Humans ; Mental Health ; Stress, Psychological ; Students, Nursing ; Suicidal Ideation ; Suicide ; Child Health

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