PURPOSE This study was done to evaluate effects of a mother-fetus interaction promotion program on maternal and infant sleep/activity regulation, and examine the correlation between maternal and infant sleep/activity. METHODS Thirty-four mother-infant dyads were recruited from an OB-GY clinic with postpartum care center, and assigned to the intervention group (17) or control group (17). Data were collected from January 18 to August 5 2005. A programmed education focused on mother-fetus interaction was provided to the intervention group in the 3rd trimester. Maternal sleep/activity record was completed at 32-36 weeks gestation and infant sleep/activity record was completed for one month after birth. RESULTS During the 3rd trimester, there were no significant differences in maternal sleep/activity between the groups, except for frequency of mothers' night awakening and urination at night. There were no significant differences in infant sleep, but significant difference was found in feeding times between the groups. Correlation of maternal sleep in the 3rd trimester and infant waking times was significant. CONCLUSION The results of this study indicate that maternal sleep/activity during pregnancy influences infant sleep/activity at 3-4 weeks, and that nursing interventions to regulate maternal sleep/activity provided to primiparas can be beneficial to the regularity of infant sleep/activity patterns.
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PURPOSE This study was done to provide a basis for future theory development by analyzing the phenomenon of parent-child relationships based on the 4 areas described by Kim (2000). METHODS A descriptive research design was used to identify research trends in nursing related to the phenomenon of parent-child relationships. RESULTS Before 1990, the trend in research design was quantitative designs, but since 1990, qualitative research has also been done. Mothers were the most popular research target for these studies followed by mothers and children together. In analyzing the 4 areas outlined by Kim (2000), it was found that most of the research was done on client domain and parents. The research concepts relevant to the essentialistic concept of research target, were 'child rearing', 'breast-feeding' and 'attachment'. For problematic concepts, the concept of 'stress' was continuously dealt with over the period and for the health-care experiential concept, 'adjustment' and 'coping' by parents were the main focus of research. CONCLUSION The results show that parent-child relationship research was mainly concentrated on research participants and concepts. In the future, improvements should be made in research development of nursing practice programs and development of theory, to address the complete phenomenon of parent-child relationships.
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PURPOSE This study was conducted to identify late school-aged children's knowledge, and practical will in the practice of cancer prevention lifestyle, and to examine the relations between these variables and factors that influence practice. METHODS The participants included 525 fifth and sixth grade students from 8 elementary schools in J and S cities. Data were collected in December 2008 using self-report questionnaires developed by the authors and were analyzed using the SPSS program. RESULTS Mean scores were, for knowledge of cancer prevention lifestyle, 0.76+/-0.11 out of a possible 1, practical will, 4.05+/-0.55 out of a possible 5, and practice, 3.66+/-0.41 also out of 5. There were differences in knowledge (F=4.39, p=.013), practical will (F=18.35, p<.001), and practice (F=29.13, p<.001) according to academic achievement and in practical will (F=3.68, p<.001) and practice (F=3.01, p=.003) according to grade. There were positive correlations between knowledge and practical will (r=.205, p<.001), knowledge and practice (r=.181, p<.001), practical will and practice (r=.628, p<.001). Practice will and knowledge of cancer prevention lifestyle showed a significant influence on practice. CONCLUSION Results of this study indicate that effective strategies should be developed to motivate the practical will for the practice of cancer prevention lifestyle during childhood.
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PURPOSE The purpose of this study was to provide basic data to improve coping abilities of elementary school students in emergency situations. METHOD The data were collected from 1633 3-6th grade elementary school students using a self-report questionnaire. RESULTS 1) The mean score for the coping ability of the students was low at .38 (+/-.36). 2) The mean scores for the 8 categories were, [Care for common symptoms], .54 (+/-.48), [Call for help & check], .47 (+/-.43), [Care for injury by heat.cold & foreign body], .39 (+/-.45), [Care for tissue damage], .36 (+/-.44), [Offering help], .36 (+/-.42), [Rescue & escape], .31 (+/-.51), [Evacuation], .28 (+/-.49), and [Appropriate response for the situation], .27 (+/-.43).
The mean scores for 2 areas were, 'Acting tips', .35 (+/-.36) and 'First aid', .42 (+/-.40). There were significant differences in coping ability according to students' gender (t=4.964, p<.001), and family type (t=-2.484, p=.013). 4) Among the categories, there were significant correlations between all 8 categories and significant correlation between 'Acting tips' and 'First aid' (r=.808, p<.001), 'Acting tips' and 'Coping ability' (r=.956, p<.001), and 'First aid' and 'Coping ability' (r=.946, p<.001). CONCLUSION The findings indicate a need for programs to improve the coping ability of elementary school students in emergency situations.
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PURPOSE The purpose of this study was to provide descriptive data about the characteristics of pediatric patients and nursing interventions in Regional Emergency Medical Centers (REMC). METHODS A retrospective design was used to examine the medical records of 4,310 children. The clinical data and nursing terminologies of REMC were analyzed using the Nursing Intervention Classification (NIC). RESULTS Male toddlers dominated the sample. The mean age of the children was 3.51 yr. In more than half of the visits, patients arrived between from 7 a.m. to 3 p.m., on a weekday. There were only 189 ambulance transports to REMC, (4.4% of visits). The most frequent injuries were due to falls (28.0%) and contusions (27.3%), but the most common reasons for visits were non-injury (73.4%): fever, cough/shortness of breath, seizures, and abdominal pain. Of the 4,310 visits, 27.8% spent 6-24 hr in the REMC, while 33% resulted in hospital admission and 2.1% in transfer to another hospital. Of the 17,929 nursing interventions, 17,909 elements (99.9%) were classified under NIC. All the listed NIC interventions, however, were not reflected in the level of practice demonstrated by REMC nurses. CONCLUSION These results can enhance the understanding of pediatric emergency nursing interventions and can make NIC more applicable.
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PURPOSE The purpose of this study was to explore and understand life and meaning in life of elementary school students. METHODS Data from 1,790 higher grade elementary school students were analyzed for content of meaning in life. RESULTS The students described the following: 1) Meanings of living existence included, 'living things', 'importance', 'human life', 'family', 'event', 'eternity', 'origin of life', 'disease', and, 'protection'. 2) Four categories were found for reasons why human life is important, 'solitary', 'limitation', 'valuables', and 'living'. 3) Things that one can do to protect the value of human life were, 'doing safely', 'keep things well', 'altruistic behavior', 'doing sound activity', 'preservation & development', and 'devotion of oneself'. 4) Meaning of life included 'to accomplish plans', and 'to do things' 5) Cases when students felt life had meaning were 'perform meaningful behavior', 'comfortable emotionally', and 'receiving help from others'. 6) The methods by which to live a meaningful life were 'working diligently', 'serving', and 'doing rightly'. CONCLUSION These results suggest that students recognize the meaning of life in a most positive way and with a relatively wide scope, but as a few students had a negative orientation, age-appropriate and more systematic education programs are needed.
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PURPOSE The purpose of this study was to identify the relationship of self-differentiation, family function and mental health among adolescents. METHODS The data were collected from 967 adolescents and analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson correlation coefficient and Stepwise multiple regression with the SPSS program. RESULTS Mental health differed according to grades, sibling position, father's education and mother's education.
Self-differentiation and family function had a significant negative correlation with mental health. Multiple regression analysis showed recognition.emotional function, emotional cutoff and family projection as influencing self-differentiation, Grades, affective responsiveness in family function, and sibling position explained 20.8% of the total variance in mental health. CONCLUSION The findings show that self-differentiation and family function influence mental health, indicating a need to develop nursing intervention programs to enhance adolescents' mental health and prevent negative outcomes.
For these programs, the family must be included.
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PURPOSE The study was done to explore the effect of perception of parental rearing attitude and social support on self-efficacy and stress among school-aged children, then to supply information for health promotion of children and to promote multi-cultural communication between Korea and China. METHODS The participants for this study were 180 elementary students each, from Korea and China. Data were analyzed with descriptive statistics, chi-square test, t-test, correlation analysis and AMOS. RESULTS Social support had a direct effect on self-efficacy for both Korean and Chinese children. In Korea parental rearing attitude had greater direct effect on stress than social support and self-efficacy. But in China only, parental rearing attitude had direct effect on stress. CONCLUSION These findings provide support for perception of parental rearing attitude, social support, and self-efficacy as predictive variables of stress in Korean and Chinese school-aged children.
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Authoritative parenting behavior showed negative relationships with parenting efficacy, cultural crisis and fear, adaptation stress and PTSD. CONCLUSION Mothers who have defected from showed negative parenting behaviors and high adaptation stress level and PTSD while parenting efficacy was high. These findings indicate that parenting intervention programs which can guide these mothers towards positive parenting behaviors need to be developed.
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