PURPOSE: Instead of a chaotic non circadian environmental approach, continuing regular day-night rhythm in neonatal nurseries may benefit the development of preterm infants. The purpose of this study was to define the effects of cycled lighting on circadian rhythms of premature infants. METHODS: The experimental group included 15 preterm infants, and the control group, 15 premature infants in the NICU of a general hospital in Seoul. All infants were between 32 and 37 weeks' postconceptional age. The experimental group infants were provided with cycled lighting before discharge. The incubator or bassinet cover of the experimental group was off between 7 AM and 7 PM, and was covered between 7 PM and 7 AM. RESULTS: There were significant differences in the NNNS score (p=.039), and some significant differences in the sleep-activity pattern between the experimental group and the control group, but distinct differences in sleep-activity patterns between the two groups could not be defined. CONCLUSION: The results of this study suggest that cycled lighting can be helpful in the neurobehavioral development of preterm infants. By modifying the NICU environment to provide a more developmentally supportive milieu, nursing professionals can better meet the infants' physiologic and neurobehavioral needs.
Circadian Rhythm ; Hospitals, General ; Humans ; Incubators ; Infant ; Infant, Newborn ; Infant, Premature ; Light ; Lighting ; Nurseries ; Child Health

PURPOSE: This study was done to develop a cell phone addiction scale for Korean children. METHODS: The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 268 children from grades 4 to 6 in two urban elementary schools. Construct validity, internal consistence reliability, and split-half reliability were used to analyze the data. RESULTS: Nine items were categorized into 2 factors explaining 61.29% of total variance. The factors were labeled as obsessive compulsion (6 items) and dependency (3 items). Cronbach's alpha coefficient for the 9 items was .87, and Spearman-Brown coefficient was .83. Scale scores identified children as high risk users, at risk users, or average users by standard scores. CONCLUSION: The above findings indicate that the cell phone addiction scale for children has good validity and reliability when used with Korean children.
Behavior, Addictive ; Cellular Phone ; Child ; Dependency (Psychology) ; Humans ; Reproducibility of Results ; Child Health

PURPOSE: The purpose of this study was to measure (the degree of) injury risk perception in preschool children. METHODS: The data were collected from child day care centers and kindergartens located in Seoul, and Gyeonggi and Kwangwon Province. A questionnaire consisted of 28 pictures was administered to 186 preschool children. RESULTS: The mean score for the injury risk perception was 21.83 (+/-3.89), and 77.98 converted into a 100-point scale. According to sub-categories, 'burn prevention' (.96+/-.13) was the highest, 'interpersonal safety' (.44+/-.31) was the lowest. There were significant differences in injury risk perception according to gender (t=-2.358, p=.019), age (t=-2.101, p=.037), experience of safety education (t=-3.719, p<.001), area of residence (t=-3.445, p=.001), injury experience (t=3.212, p=.002), and mother's occupation (t=-4.858, p<.001). The highest item in the percentage of correct answer item was 'making jump on the desk', the lowest item in the percentage of correct answer item was 'not wearing safety equipment when rollerblading'. CONCLUSION: Based on this study, studies should be continued to standardize the instrument. In addition, it is recommended that an injury prevention education program should be developed based on the results of this study to stimulate demand and interest.
Child ; Child Day Care Centers ; Child, Preschool ; Humans ; Occupations ; Child Health ; Surveys and Questionnaires

PURPOSE: This study was done to examine the importance of health promotion behavior for infants and toddlers as perceived by mothers of children in early childhood, and graduate students in nursing and to provide information for health promotion in early childhood. METHODS: This study was a cross-sectional survey research study. The participants were 91 mothers of children in early childhood, and 115 graduate students in nursing. RESULTS: The comparisons showed that graduate students in nursing reported higher perception of the importance health promotion behavior for infants and toddlers than did the mothers. In health promotion behavior, the highest score was in the category of safety. CONCLUSION: Providing information by nurses is necessary to promote health promotion behavior for mothers of children in early childhood. Therefore, it is important for healthcare professionals to develop effective programs for these mothers who want to promote good health promotion behavior in their children.
Child ; Cross-Sectional Studies ; Delivery of Health Care ; Health Behavior ; Health Promotion ; Humans ; Infant ; Mothers ; Child Health

PURPOSE: This study was done to verify the reliability and validity of the Korean version of DMCI in Korean adolescents. METHODS: A methodological study design was used with Cronbach's alpha for reliability, and an exploratory factor analysis and contrasted groups approach for construct validity. DMCI was translated into Korean and tested with a sample of 406 adolescents in Korea. The data were analyzed using Cronbach's alpha, item correlation with total, principal component factor analysis, and t-test. RESULTS: The translated content of the DMCI was validated by nursing faculty members and translation equivalency was obtained. The Cronbach's alpha of the DMCI simplified with 18 items was .78. The factor analysis revealed three factors explaining 41.5% of total variance and the corresponding factors were self-observation (21.6%), self-judgement (11.4%), and self-confidence (8.6%). The mean score for the DMCI in the aggression group was significantly lower than the non-aggression group. CONCLUSION: Results of this study suggest that the Korean version of DMCI can used as a reliable and valid measure to assess decision making competency in Korean adolescents.
Adolescent ; Aggression ; Decision Making ; Faculty, Nursing ; Humans ; Korea ; Reproducibility of Results ; Child Health

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

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

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