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"Ho Ran Park"

Original Articles

Posttraumatic Growth of Adolescents with Childhood Leukemia and their Parents
Sungsil Hong, Ho Ran Park, Sun Hee Choi
Child Health Nurs Res 2019;25(1):9-16.   Published online January 29, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.1.9
Purpose
Childhood leukemia is a serious trauma affecting both adolescents and their parents, who experience painful process. However, adolescents with leukemia and their parents also experience positive changes, which is referred to as posttraumatic growth. We examined posttraumatic growth, core beliefs, impact of event, and event-related rumination in adolescents within 5 years of a diagnosis of childhood leukemia and their parents.
Methods
The participants were 68 adolescents with childhood leukemia (aged 13~18 years) and their parents, who were recruited from C university hospital in Korea from May to September 2016. The Posttraumatic Growth Inventory, Core Belief Inventory, Impact of Event Scale-Revised, and Event-related Rumination Inventory were completed by the adolescents and their parents. The mean scores and correlations between variables were investigated for both set of participants.
Results
Parents showed significantly higher levels of posttraumatic growth, disruption of core beliefs, impact of event, and invasive rumination than adolescents. Disruption of core beliefs and deliberate rumination were positively correlated with posttraumatic growth in both groups.
Conclusion
Nursing intervention programs that involve modifying core beliefs and inducing a positive thought can help adolescents with leukemia and their parents grow after traumatic events.

Citations

Citations to this article as recorded by  
  • Testing a model of benefit-finding and growth in youths with chronic health conditions
    Roman E. von Rezori, Harald Baumeister, Reinhard W. Holl, Kirsten Minden, Annabel S. Müller-Stierlin, Christina Reinauer, Svenja Temming, Petra Warschburger
    BMC Pediatrics.2024;[Epub]     CrossRef
  • Predictors of Moderate-High Posttraumatic Growth in Parents of Children With Cancer
    Buket Meral, Hacer Kobya Bulut
    Cancer Nursing.2024;[Epub]     CrossRef
  • The Effect of Mindfulness-Based Psychoeducation on Parental Psychology After Leukemia Diagnosis
    Oya Sevcan Orak, Ercan Tunç, Canan Albayrak
    Journal of Loss and Trauma.2024; : 1.     CrossRef
  • Post-traumatic growth among childhood cancer survivors: A qualitative meta-synthesis
    Shuo Zhang, Chun-Yan Liu, Fang Wang, Zhi-Hong Ni
    European Journal of Oncology Nursing.2023; 63: 102289.     CrossRef
  • Posttraumatic Growth in Youth, Young Adults, and Caregivers Who Experienced Solid Organ Transplant
    Kelli N Triplett, Gillian S Mayersohn, Saba S Masood, Kristine Pickwith, Hayden Mbroh, Michael Killian
    Journal of Pediatric Psychology.2022; 47(9): 965.     CrossRef
  • Posttraumatic growth among childhood cancer survivors and their caregivers: associations with rumination and beliefs challenge
    Franciele Cristiane Peloso, Tonantzin Gonçalves, Maria Júlia Armiliato, Lauro Gregianin, Catarina Ramos, Elisa Kern De Castro
    Psicooncología.2022; 19(2): 203.     CrossRef
  • The relationship between post‐traumatic stress and post‐traumatic growth in cancer patients and survivors: A systematic review and meta‐analysis
    Allison Marziliano, Malwina Tuman, Anne Moyer
    Psycho-Oncology.2020; 29(4): 604.     CrossRef
  • 9,806 View
  • 314 Download
  • 7 Crossref
Nursing Frequency, Nursing Time, and Nursing Intervention Priorities depending on Neonatal Therapeutic Hypothermia Methods
Dong Yeon Kim, Kyung A Jo, Bo Ram Yi, Ho Ran Park
Child Health Nurs Res 2018;24(4):517-526.   Published online October 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.4.517
Purpose
This study compared nursing frequency, nursing time, and nursing intervention priorities depending on the method of neonatal induced hypothermia.
Methods
We observed 15 neonatal subjects receiving therapeutic hypothermia for 3 days each. Forty-five nurses experienced with nursing neonatal patients under therapeutic hypothermia provided responses about nursing intervention priorities. Analyses with the chi-square, the Fisher exact test, the paired t-test, the Wilcoxon signed rank test, and the Wilcoxon rank-sum test were performed on the data using SAS version 9.4.
Results
The frequency of nursing activities was higher for selective head therapeutic hypothermia (SHTH) than for systemic therapeutic hypothermia (STH), and nursing time was also significantly longer. In terms of nursing intervention priorities, there were priority differences in "risk for ineffective thermoregulation" and "risks for impaired skin integrity" for SHTH compared to STH.
Conclusion
Since SHTH for neonatal therapeutic hypothermia requires more nursing time and frequent nursing activities than STH, STH is therefore recommended if the therapeutic efficacy is similar. Appropriate nursing personnel should be allocated for neonatal SHTH nursing. Nurses should be aware of nursing interventions for therapeutic hypothermia as the priorities are different for different methods of neonatal therapeutic hypothermia.
  • 11,987 View
  • 774 Download
The Knowledge & Attitude on Tuberculosis by Parents of North Korean Refugee Children
In Sook Lee, Ho Ran Park
Child Health Nurs Res 2015;21(3):216-226.   Published online July 31, 2015
DOI: https://doi.org/10.4094/chnr.2015.21.3.216
Purpose
The purpose of this study was to investigate the knowledge and attitude on tuberculosis by parents of North Korean refugees’ children.
Methods
A descriptive study was conducted. Data were collected from July to November, 2014 in Hanawon and 74 North Korean refugee parents participated in the study. Data were analyzed using the SPSS 21.0.
Results
The score for knowledge was 17.72 out of 30 points, for awareness in attitude, 49.34 out of 60 points and for prevention behavior in attitude, 48.39 out of 60 points. There were positive significant correlations among knowledge, attitude and health interest. There was also a significant positive correlation between awareness and prevention behavior in attitude, and between prevention behavior and health interest.
Conclusion
North Korean refugee parents showed a low level of knowledge and a negative attitude. The implication of these results is an awareness of the need for education on the causes, transmission and importance of treatment for tuberculosis. This kind of education can guide North Korean refugee parents to obtain correct information and positive attitudes and therefore, be able to effectively practice appropriate health behaviors in tuberculosis management for their children.

Citations

Citations to this article as recorded by  
  • Systematic review of evidence on public health in the Democratic People’s Republic of Korea
    John J Park, Ah-Young Lim, Hyung-Soon Ahn, Andrew I Kim, Soyoung Choi, David HW Oh, Owen Lee-Park, Sharon Y Kim, Sun Jae Jung, Jesse B Bump, Rifat Atun, Hee Young Shin, Kee B Park
    BMJ Global Health.2019; 4(2): e001133.     CrossRef
  • Army Soldiers’ Knowledge of, Attitude Towards, and Preventive Behavior Towards Tuberculosis in Korea
    Yun Choi, Geum Hee Jeong
    Osong Public Health and Research Perspectives.2018; 9(5): 269.     CrossRef
  • Relationships between Knowledge, Attitude and Preventive Behavior about Tuberculosis in Service Workers
    Seung-Rang Kang, Eun-Young Kim
    Journal of the Korea Academia-Industrial cooperati.2016; 17(5): 354.     CrossRef
  • A Study on Continuity of Knowledge, Attitude, and Preventive Behavior among Elementary School Students after Tuberculosis Prevention Education
    Gyeong Mi Kim, Heejin Kim, Chung Mo Nam, Sun Ha Jee
    Journal of the Korean Society of School Health.2016; 29(3): 209.     CrossRef
  • 10,815 View
  • 138 Download
  • 4 Crossref
A Study on the Very Low Birth Weight Infants
Ho Ran Park, Young Im Moon
Korean J Child Health Nurs 1996;2(2):58-65.
This study examined characteristics among 131 infants who were born at three hospitals affiliated with Catholic University. Those infants were very low birth weight infants (VLBWI ). Data were gathered through review of medical records between 1990 to 1993. The results were as follows : 1. Regarding the birth weight, 72.6% were between 1000 gm to 1500 gm and 27.4% were below 1000gm. Of the VLBWI, 27.5% had gestational age of 29-30 weeks and 22. lof had gestational age of 26 weeks and below. The birth weight of them was significantly correlated with their gestational age. 2. Most of VLBWI had been hospitalized for more than 30 days and particulaly those who were between 1100-1400gm had been hospitalized more than 60 days. And the number of clinical problem was the most influencing factor on their discharge. 3. Of the VLBWI, 28.2% were given gavage feeding. 4. Jaundice appeared predominantly on the 3rd day after birth ,with 64.1% of incidence rate. Of those infants developed jaundice, 92.9% received phototherapy 5. The most common problem after birth was respiratory conditions. And oxygen therapy was administered for 93.9% of the VLBWI while they were in the hospital.
  • 2,017 View
  • 15 Download
A Study on Mother's Anxiety Level of Hospitalized School-Aged Children
Young Im Moon, Ho Ran Park
Korean J Child Health Nurs 1996;2(2):28-34.
This study was designed to investigate the level of mother's anxiety and to exent knowledge about critical factors of mothers who has hospitalized school aged children. The subject of this study were 395 mothers who have hospitalized school-aged children in 9 different general hospital in Seoul. This outcome measures of mothers' anxiety were tested by Spielberger' STAI. The findings from this study were as follows : 1. The mean score of mother's anxiety was 46.7. 2. The level of mother's anxiety by mother's age, educational level, relegion and experience of loss of children showed significantly difference. Also level of mother's anxiety by the type of disease, hospital days and birth order of children showed significantly difference.
  • 1,982 View
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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.

Citations

Citations to this article as recorded by  
  • Timing of Post-bath Skin Moisturizer Application to Newborn Infants: A Randomized Controlled Study
    Duygu Gözen, Özlem Akarsu, Şadiye Dur, Burcu Akça
    Advances in Skin & Wound Care.2023; 36(1): 1.     CrossRef
  • Effect of Two Bathing Methods on Physiologic Parameters in Pediatric Intensive Care
    Özgül Öz, Gülzade Uysal, Duygu Sönmez Düzkaya
    Clinical Nursing Research.2022; 31(5): 858.     CrossRef
  • First bathing time of newborn infants after birth: A comparative analysis
    Duygu Gözen, Sinem Y. Çaka, Selda A. Beşirik, Yıldız Perk
    Journal for Specialists in Pediatric Nursing.2019;[Epub]     CrossRef
  • Effects of Underrunning Water Bathing and Immersion Tub Bathing on Vital Signs of Newborn Infants
    Işıl Ar, Duygu Gözen
    Advances in Neonatal Care.2018; 18(6): E3.     CrossRef
  • 7,481 View
  • 104 Download
  • 4 Crossref
Physical and Psychological Health Status of North Korean Defector Children.
In Sook Lee, Ho Ran Park, Yun Soo Kim, Hyun Jeong Park
J Korean Acad Child Health Nurs 2011;17(4):256-263.
DOI: https://doi.org/10.4094/jkachn.2011.17.4.256
PURPOSE
The purpose of the study was to evaluate the physical and psychological health status of North Korean defector children and identify associated factors.
METHODS
The participants in the study were 103 children ranging in age from 7 to 14 years old. Physical health status was evaluated through height and weight measurements as well as clinical laboratory results. Psychological health status was assessed using structured survey interviews. Data were analyzed utilizing Pearson correlation coefficients, t-test, ANOVA, and descriptive statistics.
RESULTS
On arrival in South Korea, 19% of the children did not meet the child growth standards of South Koreans for height and 15% for weight. However, twelve weeks after, these percentages had decreased significantly. It found that 38.5% of children presented mild posttraumatic reaction and 40.4% presented moderate reaction. Scores for externalizing and internalizing behavior problems were 0.38+/-0.30 and 0.59+/-0.36 respectively. Posttraumatic reaction was higher in girls (t=0.41, p=.03), and boys showed higher externalizing problems (t=2.04, p=.04). Externalizing problems were correlated with gender and internalizing problems were associated with posttraumatic reactions and externalizing problems.
CONCLUSION
The findings indicate that North Korean defector children need timely developmental assessments and tailored intervention programs to meet child growth standards need to be developed.

Citations

Citations to this article as recorded by  
  • Changes in the Prevalence of Malnutrition and Obesity of Children from North Korean Refugee Families in South Korea: Three Repeated Surveys from 2017 to 2023
    Seong-Woo Choi, So-Yeong Kim
    Journal of Health Informatics and Statistics.2024; 49(3): 224.     CrossRef
  • The growth status of North Korean refugee adolescents in South Korea: comparison with South Korean adolescents
    So-Yeong Kim, Hye-Min Ku, Seong-Woo Choi
    Annals of Human Biology.2023; 50(1): 148.     CrossRef
  • Changes in the Nutritional Status of Children from North Korean Refugee Families Following Resettlement in South Korea
    So-Yeong Kim, Hyae-Min Gu, Seong-Woo Choi
    Journal of The Korean Society of Maternal and Chil.2023; 27(2): 102.     CrossRef
  • North Korean Children's Health and the Role of Maternal and Child Health Experts
    Seong-Woo Choi
    Journal of The Korean Society of Maternal and Chil.2022; 26(3): 140.     CrossRef
  • Reciprocal Prediction between Impulsivity and Problematic Internet Use among North Korean Refugee Youths in South Korea by Gender and Adverse Childhood Experience
    Eun-Sun Lee, Minji Lee, Jin Yong Jun, Subin Park
    Psychiatry Investigation.2021; 18(3): 225.     CrossRef
  • Changes in health status of North Korean children and emerging health challenges of North Korean refugee children
    Seong-Woo Choi
    Clinical and Experimental Pediatrics.2021; 64(11): 552.     CrossRef
  • Comparing the nutritional status of children and adolescents from North Korean defector families and South Korean families
    So-Yeong Kim, Seong-Woo Choi, Jong Park, So-Yeon Ryu, Mi-Ah Han, Sun-Young Park
    BMJ Open.2021; 11(10): e052059.     CrossRef
  • Growth and Nutritional Status of Children in North Korean Refugee Families
    Seong-Woo Choi
    Journal of The Korean Society of Maternal and Chil.2020; 24(2): 96.     CrossRef
  • Double burden of malnutrition and obesity in children and adolescents from North Korean refugee families
    So-Young Kim, Seong-Woo Choi, Madhavi Bhargava
    PLOS ONE.2020; 15(11): e0241963.     CrossRef
  • Low Estimated Glomerular Filtration Rate Is Prevalent among North Korean Refugees in South Korea
    Young-Soo Song, Seong-Woo Choi
    Korean Journal of Family Medicine.2018; 39(3): 161.     CrossRef
  • Mental health status of North Korean refugees in South Korea and risk and protective factors: a 10-year review of the literature
    Yeeun Lee, Minji Lee, Subin Park
    European Journal of Psychotraumatology.2017;[Epub]     CrossRef
  • Factors Affecting Depressive Symptoms among North Korean Adolescent Refugees Residing in South Korea
    Subin Park, Minji Lee, Jin Jeon
    International Journal of Environmental Research an.2017; 14(8): 912.     CrossRef
  • Health Behavior and Factors Associated with Depression in North Korean Adolescent Defectors in South Korea: The Korea Youth Risk Behavior Web-Based Survey, 2011–2014
    Min Joung Kim, Seon Yeong Yu, Sunyoung Kim, Chang Won Won, Hyunrim Choi, Byung Sung Kim
    Korean Journal of Family Medicine.2017; 38(5): 256.     CrossRef
  • Awareness of Korean Unification and Health Care in Healthcare Professional Students
    Kyung Jin Jang, Yoon Ki Seoung, Su Hyun Yoon, Hye Seung Chumg, Soo Hyang Kim, You Lee Yang, Sang Hui Chu
    Journal of Korean Public Health Nursing.2016; 30(3): 456.     CrossRef
  • Children's Mental Health in Multicultural Family and North Korean Defectors in South Korea
    So Hee Lee, Sun Hea Lee
    Journal of korean Academy of Child and Adolescent .2013; 24(3): 124.     CrossRef
  • Development and Effects of a Health Education Program for North Korean Preschool Defectors
    In Sook Lee, Ho Ran Park
    Journal of Korean Academy of Nursing.2013; 43(4): 478.     CrossRef
  • Influencing Factors on the Health Promotion Behaviors of North Korean Refugee Adolescent in a Specialization School
    Eunkyoung Jun, Jinhwa Lee, Soon-Lae Kim, Min-Jeoung Kang, InSook Kwon
    Korean Journal of Health Education and Promotion.2013; 30(3): 13.     CrossRef
  • 4,600 View
  • 55 Download
  • 17 Crossref
PURPOSE
This study was done to identify sexual knowledge and perception and current status of sex education among parents of first and second grade elementary school age children.
METHODS
Participants in the study were recruited from parents with a child in the lower grades and who resided in Seoul. From January 1 to February 28, 2011, data were collected using a self-report questionnaire. Data were analyzed using McNemer test, paired t-test, ANONA, and Scheffe test.
RESULTS
Mean sexual knowledge scores for fathers and mothers were 27.74+/-4.94, and 28.62+/-4.70 respectively. Parent's sexual knowledge correlated with their occupation, education level, and family's monthly income.
CONCLUSION
Study results showed that both parents are aware of the need for sex education. However, at home, mothers have a more active attitude towards sex education and conduct the education more often than fathers.

Citations

Citations to this article as recorded by  
  • Analysis for internet health counseling about precocious puberty using text mining and topic modeling
    Susan Park, Young-Kyoon Suh, Jaesung Kim, Jin-Won Kwon
    Korean Journal of Health Education and Promotion.2020; 37(3): 71.     CrossRef
  • Development and Effects of a Children's Sex Education Program for the Parents of Lower Elementary Grade Students
    Eun Mi Lee, Hyunlye Kim
    Journal of Korean Academy of Nursing.2017; 47(2): 222.     CrossRef
  • Sexual Knowledge and Sexual Attitude and Parent Efficacy among Parents of Preschool Child
    Eun Mi Lee, Yun Jeong Oh
    Journal of the Korea Convergence Society.2016; 7(6): 141.     CrossRef
  • Effects of a Maternal Sexuality Education Program for Mothers of Preschoolers
    Eun Mi Lee, Young-Ran Kweon
    Journal of Korean Academy of Nursing.2013; 43(3): 370.     CrossRef
  • 5,548 View
  • 121 Download
  • 4 Crossref
Analysis of Research Trends in Papers Published in the Journal of Korean Academy of Child Health Nursing (2005-2009).
Jin Sun Kim, Ji Young Lim, In Soo Kwon, Tae Im Kim, Ho Ran Park, Hae Young Ahn, Soo Yeon Lee, Hyang Mi Jung
J Korean Acad Child Health Nurs 2011;17(2):100-110.
DOI: https://doi.org/10.4094/jkachn.2011.17.2.100
PURPOSE
The purpose of this study was to analyze papers published in the Journal of Korean Academy of Child Health Nursing (JKACHN) to identify the current state of child health nursing research and recommend directions for future research.
METHODS
Using analysis criteria developed by the researchers, 233 papers published in JKACHN between 2005 and 2009 were reviewed.
RESULTS
Both quantity and quality of these papers showed significant improvement compared to before 2005. The number of published papers, the proportion of intervention studies, and studies that involved children directly as participants had increased. However, published papers still leave much to be desired. Quantitative studies were dominant (91.4%) and many of these studies were survey designs (65.7%). Children, especially young children were still less likely to be direct participants. All experimental studies were quasi or pre-experimental studies. There were few qualitative research studies.
CONCLUSION
Findings of this study indicate that strengthening peer review according to review guidelines will improve the quality of published papers and promote JKACHN as an international journal. Instead of proxy accounts from parents or nurses, research involving direct accounts by children is needed. Child-friendly data collection methods need to be developed and used by child health nurse researchers.

Citations

Citations to this article as recorded by  
  • Analysis of Research Articles Published in the Journal of Korean Academy of Nursing Administration for 3 Years (2013~2015): The Application of Text Network Analysis
    Tae Wha Lee, Kwang-Ok Park, GyeongAe Seomun, Miyoung Kim, Jee-In Hwang, Soyoung Yu, Seok Hee Jeong, Min Jung, Mikyung Moon
    Journal of Korean Academy of Nursing Administratio.2017; 23(1): 101.     CrossRef
  • The Trends in Research on the Health of North Korean Refugees
    Hyun-Ju Lim, Guna Lee, Sook-Ja Yang
    Journal of Korean Academy of Community Health Nurs.2017; 28(2): 144.     CrossRef
  • Analysis of Studies on High-Risk Infants and Quality Assessment of Intervention Studies
    Hyejung Lee, Anna Kim, Anna Maeng, Gayeong Kim
    Child Health Nursing Research.2016; 22(2): 153.     CrossRef
  • Comparison of Domestic and International Research (1992-2011): Intensive Care Nursing Studies
    Eun Hee Choi, Eun Hee Jang, Ji Youn Choi, So Jung Lee, Hyo Kuyng Seo, Kyung Sook Park
    Korean Journal of Adult Nursing.2015; 27(4): 384.     CrossRef
  • Trend Analysis of Research Articles Published in Child Health Nursing Research 2014
    Kap-Chul Cho, Young-Eun Lee, Sang-Eun Oh, Young Ran Tak, Sun-Mi Chae, Eun-Joo Kim, Jina Oh, Sunghee Kim, Namhee Kim, Youngmee Ahn
    Child Health Nursing Research.2015; 21(4): 347.     CrossRef
  • Trends in Nursing Research in Korea: Research Trends for Studies Published from the Inaugural Issue to 2010 in the Journal of Korean Academy of Nursing and the Journals Published by Member Societies under Korean Academy of Nursing Science
    Myoung-Ae Choe, Nam Cho Kim, Kyung Mi Kim, Sung Jae Kim, Kyung Sook Park, Young Soon Byeon, Sung Rae Shin, Soo Yang, Kyung Sook Lee, Eun Hyun Lee, In Sook Lee, Tae Wha Lee, Myung Ok Cho, Jin Hak Kim
    Journal of Korean Academy of Nursing.2014; 44(5): 484.     CrossRef
  • Trend Analysis of Articles Published in the Journal of East-West Nursing Research
    Hyun Ji Kim, Hanna Lee, Hyun Su Oh, Yu Jeong Yang, Sung Hee Shin
    Journal of East-West Nursing Research.2014; 20(2): 167.     CrossRef
  • An Analysis of Nursing Research on Child Rearing in Korea.
    Dong Won Lee, In Soo Kwon
    Child Health Nursing Research.2014; 20(4): 264.     CrossRef
  • The Analysis of Research Trend on Pediatric Nursing Intervention Studies in Korea, 2000-2011
    Kyung-Sook Bang, Hyunju Kang, Miyoung Kim, Sujung Min, Sujin Lee, Haein Lee, Jihee Lim
    The Journal of Korean Academic Society of Nursing .2013; 19(1): 24.     CrossRef
  • Trends in Research on Caregivers Hospitalized Children in Korea-Focus on Knowledge Type
    In-soo Kwon, Yeong-mi Seo, Ji-youn Kim
    Journal of Korean Academy of Child Health Nursing.2012; 18(3): 101.     CrossRef
  • Analysis of Quantitative Research Published by Korean Journal of Adult Nursing (1989~2011)
    Young-Kyeong Kim, Sun-Kyung Hwang, In-Ja Kim, Ju-Sung Kim, Hee-Young Oh, Jong-Kyung Lee, Eun-Sook Jung, Gui-Yun Choi, Ja-Yun Choi
    Korean Journal of Adult Nursing.2012; 24(1): 85.     CrossRef
  • 4,228 View
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  • 11 Crossref
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.

Citations

Citations to this article as recorded by  
  • A Qualitative Case Study on Influencing Factors of Parents’ Child Abuse of North Korean Refugees in South Korea
    Wonjung Ryu, Hyerin Yang
    Healthcare.2021; 9(1): 49.     CrossRef
  • The Early Childhood Caring Experience of North Korean Refugee Mothers.
    Yae Young Kim
    Child Health Nursing Research.2013; 19(2): 102.     CrossRef
  • 3,341 View
  • 29 Download
  • 2 Crossref
PURPOSE
The purpose of this study was to investigate the relationships between parenting behavior, parenting efficacy, adaptation stress and PTSD (Post Traumatic Stress Disorder) among mothers who have defected from North Korean.
METHODS
A descriptive study was conducted to illustrate the parenting behavior, parenting efficacy, adaptation stress and PTSD and report the relationships among them. Data were collected between August and November of 2009 in Hanawon and 105 mothers who met eligibility criteria participated in the study.
RESULTS
Ignorant/controlling parenting behavior of parenting showed the highest score in our study. The level of parenting efficacy was 2.72+/-0.36 and adaptation stress level was 3.35+/-0.47 showing perceived hostility the highest and homesickness the lowest. Participants with moderate to severe PTSD accounted for 79.5% of the mothers, and 75% of them reported symptoms for 3 months or more. 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.

Citations

Citations to this article as recorded by  
  • Factors influencing children’s emotional and behavioral problems perceived by North Korean refugee mothers: a descriptive study
    In-Sook Lee, Jeong-Hee Jeon
    Child Health Nursing Research.2024; 30(2): 129.     CrossRef
  • Research Trends on the Parenting Behavior of North Korean Defectors: A Scoping Review
    Ocksim Kim, Seongmi Choi, JiYeon Choi, Sang Hui Chu
    Journal of Korean Public Health Nursing.2024; 38(1): 55.     CrossRef
  • Knowledge, confidence, and educational needs of newborn care among North Korean refugee women: a descriptive study
    In-Sook Lee
    Child Health Nursing Research.2023; 29(1): 72.     CrossRef
  • Properties of Patient-Reported Outcome Measures for Post-Traumatic Stress Disorder in North Korean Defectors: A Scoping Review
    Ocksim Kim, Kyoung-A Kim, Sang Hui Chu
    Psychiatry Investigation.2023; 20(7): 593.     CrossRef
  • Effects of parenting education programs for refugee and migrant parents: a systematic review and meta-analysis
    In-Sook Lee, Eunjung Kim
    Child Health Nursing Research.2022; 28(1): 23.     CrossRef
  • Influence of hardiness, mother-child interactions, and social support on parenting stress among North Korean refugee mothers: a cross-sectional study
    In-Sook Lee, Jung-Hee Jeon
    Child Health Nursing Research.2022; 28(4): 269.     CrossRef
  • A Qualitative Case Study on Influencing Factors of Parents’ Child Abuse of North Korean Refugees in South Korea
    Wonjung Ryu, Hyerin Yang
    Healthcare.2021; 9(1): 49.     CrossRef
  • Influence of parenting efficacy, parenting stress, and acculturation stress on parent-child relations among North Korean refugee mothers
    In-Sook Lee, Jung-Hee Jeon
    Child Health Nursing Research.2021; 27(2): 171.     CrossRef
  • Effects of Parenting Stress in North Korean Refugee Fathers on Their Parenting Behavior
    In-Sook Lee, Jung-Hee Jeon
    Child Health Nursing Research.2016; 22(3): 182.     CrossRef
  • Grounded Theory Approach to Transition Process of Parenting Experience among Mothers Defecting from North Korean
    Hyun-Jeong Park, Yun-Soo Kim, Ho-Ran Park
    Journal of Korean Academy of Child Health Nursing.2011; 17(1): 48.     CrossRef
  • Social Network Effects on Post-Traumatic Stress Disorder (PTSD) in Female North Korean Immigrants
    Byungkyu Lee, Yoosik Youm
    Journal of Preventive Medicine and Public Health.2011; 44(5): 191.     CrossRef
  • 4,089 View
  • 28 Download
  • 11 Crossref
Fatigue in Pediatric Patients with Cancer.
Jung Won Lee, Ho Ran Park
J Korean Acad Child Health Nurs 2010;16(1):66-72.
DOI: https://doi.org/10.4094/jkachn.2010.16.1.66
PURPOSE
This study was done to identify factors associated with fatigue in pediatric patients with cancer in order to develop nursing interventions for this population.
METHODS
The participants were 95 pediatric cancer patients admitted to a university medical center in Seoul, Korea, and 95 parents. The PedsQL(TM), Multidimensional Fatigue Scale developed by Varni (2002) was used to measure fatigue. Data were analyzed with the SAS program and t-test, analysis of variance (ANOVA), Pearson correlation coefficients, and multiple regression were used to identify the association of factors with fatigue.
RESULTS
The mean score for fatigue was 30.42 in the pediatric cancer patients and 34.77 in the parents. Fatigue was higher in patients living with a single parent, in patients whose father had a lower education and those patients with a fever. Pain, frequency and intensity of nausea and vomiting, depression, anxiety, and disruption of usual activity were positively associated with fatigue. The predictive factors for fatigue were disruption of usual activity, depression and living with or without parents.
CONCLUSION
Pediatric patients with cancer experienced fatigue during their diagnosis and treatment. Of the multiple factors associated with fatigue, the association between disruption of usual activity and fatigue was the highest indicating a need to be concerned with this factor when providing interventions to alleviate fatigue.

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  • Health Impaired Children's Participation Experience of Hospital School Programs as Perceived by Mothers
    Hyun Jung Yun
    Journal of Korean Public Health Nursing.2015; 29(3): 515.     CrossRef
  • Quality of Life in Children and Adolescents with Cancer
    Jung-Won Lee, Ji-Eun Han, Ho-Ran Park
    Child Health Nursing Research.2013; 19(1): 21.     CrossRef
  • 3,940 View
  • 32 Download
  • 2 Crossref
Cognition and Needs for Hospice Care among Parents of Children with Cancer.
Hyun Young Koo, Sun Hee Choi, Ho Ran Park
J Korean Acad Child Health Nurs 2009;15(3):325-333.
DOI: https://doi.org/10.4094/jkachn.2009.15.3.325
PURPOSE
This study was done to investigate the cognition and needs for hospice care among parents of children with cancer. METHOD: The participants were 73 parents of children with cancer. Data were collected through self-report questionnaires and analyzed using the SPSS/WIN Program.
RESULTS
Less than half of parents (49.3%) told the child about the disease. If the child could not be treated medically, 39.5% of the parents answered that they would have the child treated in a hospital until his/her last days, while 62.8% of the parents replied that it would be appropriate for the child to get hospice care when all medical treatments for the child failed, or when the end of the child's life was near. Needs for hospice care for the parents were high, and the physical care of the child ranked as the most important. CONCLUSION: The above findings indicate that the parents were not cognitive enough about hospice care, but needed hospice care, especially as it is related to the physical care of the children. Therefore hospice care, based on cognition and needs of parents, should be provided for children and their families.

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  • Needs for Pediatric Palliative Care among Parents of Children with Complex Chronic Conditions
    Hyeseon Yun, Ae Ran Hwang, Sanghee Kim, Eun Kyoung Choi
    Child Health Nursing Research.2018; 24(4): 527.     CrossRef
  • Relationship Among Nurses’ Knowledge, Attitude Towards Palliative Care and Perception of Death in Neonatal Intensive Care Units
    Da Hee Wi, Sook Jung Kang
    Child Health Nursing Research.2016; 22(4): 257.     CrossRef
  • Nursing Need and Satisfaction of Patients in Hospice Ward
    Jung Ah Kim, Kyunghee Kim, Hee Sun Kang, Ji-su Kim
    The Korean Journal of Hospice and Palliative Care.2014; 17(4): 248.     CrossRef
  • Experience in Acceptance of Hospice by Patients with Terminal Cancer : A Phenomenological Research
    Su Young Kwak, Byoung Sook Lee
    Journal of Korean Academy of Nursing.2013; 43(6): 781.     CrossRef
  • Needs for Hospice Care among Families of Children with Cancer for Outpatients
    Young-Soon Chung, Sang-Youn Park
    Journal of the Korea Academia-Industrial cooperati.2012; 13(4): 1706.     CrossRef
  • Effects of Depression Scale, Interaction Anxiety and School Adjustment on Cellular Phone Addiction of Teenagers
    Sung-Hwa Jang, Kyung-Duk Cho
    The Journal of the Korea Contents Association.2010; 10(11): 285.     CrossRef
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Educational Needs of Families of Children Undergoing Hematopoietic Stem Cell Transplantation.
Hyun Young Koo, Gwang Sung Kim, Ho Ran Park
J Korean Acad Child Health Nurs 2009;15(2):190-200.
DOI: https://doi.org/10.4094/jkachn.2009.15.2.190
PURPOSE
This study was done to investigate the educational needs of families of children who underwent hematopoietic stem cell transplantation and to compare these needs with the educational importance as perceived by nurses.
METHODS
The participants were 44 families of children who underwent hematopoietic stem cell transplantation and 50 nurses who cared for these children. Data was collected through self-report questionnaires which included items on educational needs and the degree of educational importance. The data was analyzed using the SPSS/WIN program.
RESULTS
The educational needs of families before and after transplantation were high, with items on disease and treatment, and direct care ranked as most important, respectively. The degree of educational importance as perceived by nurses was different from that of families.
CONCLUSION
The findings indicate that the educational needs of families before hematopoietic stem cell transplantation were different from those after the procedure. Also, the perception of educational importance was different for families compared to nurses. Therefore nursing education programs based on the educational needs of families should be provided.
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Predictors of Meaning in Life in Adolescents with Leukemia.
Sung Sil Hong, Ho Ran Park
Child Health Nurs Res 2015;21(1):74-81.
DOI: https://doi.org/10.4094/CHNR.2015.21.1.74
PURPOSE
The purpose of this study was to identify predictors of spiritual well-being and meaning in life for adolescents with leukemia.
METHODS
Participants were 102 adolescents (11-21 years) recruited at C university hospital from June to August in 2014. The eligible participants were diagnosed with leukemia and are on follow-up care at the outpatient clinic. Participants were assessed for spiritual well-being, meaning in life, self-esteem, and social support.
RESULTS
Levels of spiritual well-being and meaning in life for these adolescents with leukemia were 3.69 out of 6 and 3.10 out of 4, respectively. Self-esteem and social support from family were factors affecting spiritual well-being. Self-esteem, existential well-being and social support from family and friends were predictive for meaning in life and accounted for 68% of total variance.
CONCLUSION
The results show that there are several factors affecting spiritual well-being and meaning in life in adolescents with leukemia. Therefore, nursing intervention programs for adolescents with leukemia should include strengthening self-esteem and social support as well as considering the spiritual aspect of life in order to find meaning in life beyond leukemia.

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  • Identification of Evidence for Key Positive Psychological Constructs in Pediatric and Adolescent/Young Adult Patients with Cancer: A Scoping Review
    Cole Wayant, Jack Manquen, Hannah Wendelbo, Natalie Kerr, Matt Crow, Jon Goodell, Andrea C. Tricco, Jennifer W. Mack, Chan Hellman, Matt Vassar
    Journal of Adolescent and Young Adult Oncology.2021; 10(3): 247.     CrossRef
  • Difficulty in returning to school among adolescent leukemia survivors: A qualitative descriptive study
    Hyeran An, Sunhee Lee
    European Journal of Oncology Nursing.2019; 38: 70.     CrossRef
  • 6,681 View
  • 139 Download
  • 2 Crossref
PURPOSE
This study was done to evaluate the effectiveness of EMLA cream on pain related to venipuncture among children.
METHODS
In this study, 48 children were evaluated using a sequential measurement for level of pain by Skin Conductance Level (SCL) based on Galvanic Skin Response (GSR), heart rate, and the Visual Analogue Scale (VAS) at four times.
RESULTS
The maximum and mean of the SCL were each significantly different between the experimental and control groups and furthermore, the two were also significantly different among observed times. In addition there was a significant interaction between group and time. The children's perceived pain using VAS was not significantly different between the experimental and control groups. There was no significant difference in the heart rate between the experimental and control groups; however, the interaction between group and time was significant.
CONCLUSION
In conclusion, applying topical anesthetic cream to the venipuncture site to reduce pain was effective among the children and therefore it is highly recommended that topical anesthetic cream be applied at the venipuncture site as a nursing intervention to reduce pain when a child has to undergo a venipuncture.

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    Journal of Korean Biological Nursing Science.2024; 26(4): 323.     CrossRef
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    Farhad Heydari, Sanaz Khalilian, Keihan Golshani, Saeed Majidinejad, Babak Masoumi, Abaris Massoumi
    The American Journal of Emergency Medicine.2021; 48: 48.     CrossRef
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  • Assessment of the Influence of Application Time of Lidocaine Patch on Pain Intensity after Venipuncture
    In Sun No, Se Young Kim
    Journal of Korean Academy of Fundamentals of Nursi.2018; 25(4): 250.     CrossRef
  • Comparison of Effects of Local Anesthesia and Two-Point Acupressure on the Severity of Venipuncture Pain Among Hospitalized 6–12-Year-Old Children
    Parisa Shahmohammadi Pour, Golnaz Foroogh Ameri, Majid Kazemi, Yones Jahani
    Journal of Acupuncture and Meridian Studies.2017; 10(3): 187.     CrossRef
  • Effects of Lidocaine Patch Application to Decrease Pain and Fear during Blood Sugar Test in Elderly Patients with DM*
    Se Young Kim, Jin Kim, In Sun No
    Journal of Korean Academy of Fundamentals of Nursi.2016; 23(1): 12.     CrossRef
  • 7,188 View
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  • 7 Crossref
Quality of Life in Children and Adolescents with Cancer.
Jung Won Lee, Ji Eun Han, Ho Ran Park
Child Health Nurs Res 2013;19(1):21-28.
DOI: https://doi.org/10.4094/chnr.2013.19.1.21
PURPOSE
This study was done to provide basic data for developing nursing interventions to enhance quality of life of pediatric patients with cancer (children and adolescents) by examining the quality of life and related factors.
METHODS
Participants were 134; 67 pediatric patients and 67 parents. The PedsQL(TM) 3.0 Cancer Module was employed to measure quality of life in the participants. The related factors included general and clinical characteristics of the participants.
RESULTS
Mean score for quality of life in the patients was 75.07, and mean score for patient quality of life as perceived by their parents was 64.40. Among the quality of life subscales, treatment anxiety had the highest score whereas nausea had the lowest score. Mean score in adolescent patients (13-18 years of age) was 71.62, lower than the 78.04 for child patients (8-12 years of age). Regarding general and clinical characteristics of the participants, there were no significant differences in the scores.
CONCLUSION
The results indicate that there is difference in perception of quality of life between patients and their parents, and between children and adolescents and these differences should be taken into account when planning and providing nursing care.

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  • The Effects of Illness Cognition on Resilience and Quality of Life in Korean Adolescents and Young Adults with Leukemia
    Ju-Young Lee, Dae-Chul Jeong, Nack-Gyun Chung, Sunhee Lee
    Journal of Adolescent and Young Adult Oncology.2019; 8(5): 610.     CrossRef
  • A Validation Study of Child Health-6 Dimension (CH-6D), a Generic Preference-Based Health-Related Quality of Life Measure
    강은정, 한겨레
    JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHIL.2018; 22(1): 53.     CrossRef
  • Health-Related Quality of Life in the Early Childhood of Premature Children.
    Eun Hee Lim, Hyeon Ok Ju
    Child Health Nursing Research.2015; 21(1): 37.     CrossRef
  • The Effect of Perceived Parental Rearing Behaviors on Health-Related Quality of Life in Adolescents with Leukemia
    Dong Hee Kim, Nack-Gyun Chung, Sunhee Lee
    Journal of Pediatric Oncology Nursing.2015; 32(5): 295.     CrossRef
  • 6,198 View
  • 95 Download
  • 4 Crossref
Effect of Hand Massage on Nausea, Vomiting and Anxiety in Childhood with Leukemia on Chemotherapy.
Ji Eun Han, Young Im Moon, Ho Ran Park
Korean J Child Health Nurs 2005;11(4):456-464.
PURPOSE
To determine the effects of hand massage on nausea and vomiting, and anxiety in children with lymphocytic leukemia receiving high dose chemotherapy.
METHOD
The children were assigned to an experimental group(15) or a control group(15). All of the children were diagnosed with acute lymphocytic leukemia and admitted for high dose chemotherapy at C University Medical Center in Seoul. The hand massage was performed for 10 minutes twice a day over three days. To measure the effects of hand massage, the Index of Nausea and Vomiting by Rhodes et al. and the State-Trait Anxiety Inventory for children by Spielberger were used. The level of anxiety was measured by systolic blood pressure, diastolic blood pressure, and pulse rate.
RESULTS
The score for nausea and vomiting decreased in the experimental group. State anxiety for the experimental group was significantly more positive than for the control group at the 2nd measurement. There was a significant difference in systolic blood pressure between the two groups. The level of diastolic blood pressure in the two groups decreased significantly over time.
CONCLUSION
Hand massage could be effective in decreasing nausea and vomiting, state anxiety, pulse rate and blood pressure in children with acute leukemia receiving high dose chemotherapy.
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The Effects of Warm Water-Filled Bag on Body Temperature, FiO2, Respiration Rate, and Blood Sugar in High Risk Neonates.
Hee Young Kim, Ho Ran Park, Young Im Moon, Jin Hee Park
Korean J Child Health Nurs 2005;11(4):390-395.
PURPOSE
To investigate the effects of a warm water-filled bag on body temperature, Oxygen demand, respiratory rate and blood sugar in high risk neonates.
METHOD
The infants were assigned to two groups, 16 in the experimental and 20 in the control group. Infants in the experimental group was received 40~42 degrees C warm water-filled bag therapy for 2 hours under radiant warmers. Infants in the control group were placed under the same kind of radiant warmers but without the warm water-filled bag. The following were measured every 30 minutes: rectal temperature, O2 demand (FiO2), and respiratory rate. Blood sugar was measured hourly.
RESULT
Body temperatures increased significantly in the experimental group (P=0.0138), and there was a difference according to time (P=0.0001). Significant difference were found between the two groups for FiO2 (P=0.0180). There was no difference in respiratory rates between the two groups and rates according to time for the experimental group were also not significant (P=0.3569). No significant difference between two groups was found for blood sugar(P=0.2152), but there was a significant difference according to the times (P=0.0001).
CONCLUSION
This results of this study indicate that a warm-filled bag is an effective means of resorting body temperature and reducing O2 demand in high risk neonates.
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Health Promoting Behaviors and Related Variables in Students Rewriting College Entrance Examination.
In Sook Lee, Young Im Moon, Ho Ran Park
Korean J Child Health Nurs 2005;11(3):348-355.
PURPOSE
In order to provide basic information for the development of nursing programs, health promoting behavior of students rewriting college entrance examinations was examined and factors related to health promotion were identified. METHOD: Data were collected by questionnaire from 804 examines in Seoul and Gyeonggi Province and were analyzed using the SAS program with t-test, ANOVA, Scheffe's test and Pearson correlation coefficients. RESULT: The mean score for health promoting behavior was 2.50. The highest score for the sub-areas was harmonious relationships and the lowest was, professional health maintenance. There were significant differences in health promoting behavior according to the following general characteristics; religion, frequency of rewriting college entrance examination, economic burden, parents' education level, grade, satisfaction with parents, friends and rewriting of college entrance examinations, parents' health concerns and knowledge of health, need for health education, and health condition and chronic disease over the past year. Correlations between health promoting behavior and family support and self-esteem were positive. The variables that influenced health promoting behavior were family support (24.5%), self-esteem (11.3%), anxiety (2.6%), and stress of studying (0.5%), explaining 38.9% of the total variance.
CONCLUSION
These results will help to develop a nursing program that enhances health promoting behavior of students rewriting college entrance examinations.
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Effects of Massage on Stress, Depression and Level of Milk Secretion Hormones in Mothers.
Ho Ran Park
Korean J Child Health Nurs 2005;11(3):301-307.
PURPOSE
To investigate changes in mother's stress, degree of depression and level of milk secretion hormones when the mothers provided massage to their new born babies.
METHOD
The study was conducted with 65 women who had delivered at a convalescence institute in Incheon between Sep 25, 2003 and Feb 10, 2004. The mothers were assigned to a control group or an experimental group. Infants of mothers in the experimental group received massage from their mothers twice a day for 10 days beginning on the 4th day after delivery. The data were processed using chi square-test, paired t-test and repeated measures ANOVA using the SAS program.
RESULTS
The level of cortisol, a stress hormone and depression were significantly different between the two groups (p=0.01;p=0.02). While for plasma prolactin level, a milk secretion hormone, there was no significant difference(p=0.14).
CONCLUSIONS
When massage was provided to new-born babies the cortisol level of the mothers decreased significantly compared to the control group which did not receive the massage. As the level of depression of the control group declined as time passed while the experiment group showed no difference and there was no difference in the plasma prolactin level, further study is suggested.
  • 2,166 View
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Scope of Internet Addiction and Predictors of Addiction in Korean Children in Early Elementary School.
Young Im Moon, Hyun Young Koo, Ho Ran Park
Korean J Child Health Nurs 2005;11(3):263-272.
PURPOSE
This study was done to identify the scope of internet addiction in school age children in early grades of elementary school in Korea, and to identify factors affecting internet addiction for these children. METHOD: The participants were 408 children from in grades 1 to 4 in four urban elementary schools. Data were collected through self-report questionnaires which were constructed to include a parent-child internet addiction test, a self-control rating scale, and a scale of parent control of on-line use. The data were analyzed using the SPSS program. RESULTS: Of the children, 71.6% reported being average on-line users, 27.9%, heavy on-line users, and 0.5%, internet addicted. Self control and parent control of on-line use for average on-line users were different from that of heavy on-line users. Significant predictors influencing internet addiction were time spent on-line, self control, gender, father's occupation, on-line games, on-line use alone, and conversation with parents. These predictors accounted for 42% of variance in internet addiction. CONCLUSION: The prevalence of heavy on-line use in children was higher than expected, and internet addiction was influenced by self control, time spent on-line, and related factors. Therefore nursing interventions for prevention and management of internet addiction need to be developed and provided to these children.
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The Alcohol Drinking Pattern and the Related Factors in Problem Drinking among Adolescent's Parents in Korea.
Nam Cho Kim, Ho Ran Park, So Young Lee, So Young You
Korean J Child Health Nurs 2004;10(1):37-47.
PURPOSE
This study aimed to identify the alcohol drinking pattern of parents and to analyze drinking related factors in problem drinking among adolescent's parents.
METHOD
This study was conducted through a structured questioning from November 5th to 22th in 2002. Those are 2,522 parents of the students of the 1st and 2nd grade who were selected randomly among 26 middle and high schools located in Socho-gu, Seoul. Data was analyzed using SAS program that included descriptive statistics, Chi-square test, and multiple logistic regression analysis.
RESULT
1. For frequency of drinking, 33.1% of the subjects responded to drink two-four times a month, 26.0% drink more than two times a week. 2. For the amount of drinking, 29.6% drink one or two glasses while 9.4% drink over ten glasses at a time. 3. The mean AUDIT score was 8.27+/-7.02(score of range: 0-40). 4. Based on AUDIT score, drinkers with less than eight point from AUDIT(normal group) were 55.1%, from more than eight point to less than twelve point from AUDIT(problematic drinker) were 16.3%, and more than twelve point from AUDIT(alcohol abuse and dependency) were 28.6%. 5. Based on more than twelve point from AUDIT, female(mother), high school and, have religion, housekeeper were the significantly higher score than counter parts.
CONCLUSION
Alcohol drinking pattern and level of drinking of their parents links to their children's drinking and results in family, social, and national loss. Active prevention is needed. Specially, pertinent education about drinking and public education for mothers who are housekeepers should be carried out with concentrated intervention programs for the problematic drinker so alcohol abuse and dependency can be reduced.
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Physical Stress Symptoms and Health Risk Behaviors between Adolescent Athletes and High School Students.
Sun Nam Park, Young Im Moon, Ho Ran Park
Korean J Child Health Nurs 2002;8(3):251-259.
The purpose of the study was to investigate physical stress symptoms and health risk behaviors of adolescent athletes and high school students as a basis for providing a health promotion program of adolescent athletes. The subjects consisted of 160 male students of a physical education high school(athletes) in Kyonggi and 147 male high school students(non-athletes) in Seoul. Data was obtained from the physical stress symptoms and the health risk behaviors questionnaire. The result were as follows : 1.Physical stress symptoms didn't make significant difference between groups. GI symptom, as the subscale of physical stress symptoms of non-athletes were higher then those of athletes. The highest ranked physical stress symptoms in athletes was cardiopulmonary symptom ll(upper respiratory symptoms) and in non- athletes was central-neurological symptoms. 2.Health risk behaviors didn't make significant difference between groups. Weight control, as the subscale of health risk behaviors of athletes were higher then those of non-athletes. The highest ranked health risk behaviors in athletes was alcohol and in non-athletes was smoking. 3.There were the low positive correlation between physical stress symptoms and health risk behaviors.
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We studied the effects of nonnutritive sucking(NNS) on lingual lipase activity and body weight under bottle feeding with 17 premature infants hospitalized . NNS was applied to nine infants and other eight infants comprised the control group. Pacifiers were applied to the experimental group for 5 minutes before and after bottle feeding. The treatment took approximately 20-25 minutes each time including bottle feeding time and was applied 7 times a day at intervals of 3 hours and for consecutive ten days. Lingual lipase activity and body weight were measured on the first, third, seventh and tenth day. Results and Conclusion : 1. Lingual lipase activity was low at 30 minutes after feeding and then began to increase reaching its highest level at 120 and 180 minutes after the feeding in both group. 2. Lingual lipase activity in the experimental group was not higher than that of the control group on the third, seventh and tenth day. 3. Body weight increased in experimental and control groups as days passed, while it was not significantly different between groups. These results lead to conclusion that among premature infants under bottle feeding, NNS is not effective in increasing the lingual lipase for fat digestion and NNS is not also effective for increasing body weight. The application of NNS to premature infants under bottle feeding needs considerable judgement for promoting well-being of nursing goals.
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The Effect of Self-esteem, Academic Achievement and Family Functioning of Adolescents on Hope.
Jong Eun Lee, Sun Nam Park, Ho Ran Park
Korean J Child Health Nurs 2001;7(1):74-84.
This study is the descriptive survey for the purpose of providing the basic data that establishes the strategy to promote adolescent's hope by the examining of self-esteem, academic achievement, family functioning and hope of adolescents and the investigating of the factors influencing the hope in adolescents. The subjects for this study were 456 students of the first and second year of man's senior high school that located in Seoul. The data were gathered from 16th to 31st of the October 2000. For the survey tool, it was used that the Family Assessment Device(FAD) of Epstein, Baldwin & Bishop(1983), the Self-Esteem Inventory(SEI) of Coopersmith(1975), the class record order and Hinds & Gatusso(1991)'s Hopefulness Scale for Adolescents(HSA). The collected data was analyzed by statistics methods as the descriptive and frequency analysis, t-test, ANOVA, Pearson and Spearman correlation coefficients and Stepwise multiple regression of SAS program. The results of this study were following : 1. The mean score of self-esteem of young people was 51.06 +/- 6.83 and the mean grade was 2.04. The high academic achievement was 29.2%, middle grade was 52.7%, and low grade was 18.1%. The mean score of the family functioning was 38.30 +/- 6.98 and the mean grade was 2.25. The mean score of hope was 84.26 +/- 16.45 and the mean grade was 3.51. 2. The hope in adolescents was significantly different according to their father's school career. The mean score of the group that the father's school career was below junior high school was 77.32. That was significantly lower than the mean score 84.59 of the group that the father's school career was above college and the mean score 85.18 of senior high school group(F=4.04, P= 0.0183). 3. The self-esteem was represented the positive correlation with family functioning(r=0.43) and the all of the 4 subscales(r=0.31, 0.41, 0.39, 0.30). And, it was highly ranked as much as family functioning was good. The academic achievement was represented the positive correlation with self-esteem(r= 0.15). Also, the positive correlation was shown between the affective responsiveness, role recognition and emotional support as the subscales of family functioning and academic achievement(r=0.11, 0.12). And so, academic achievement was high as much as self- esteem was high and affective responsiveness and role recognition and emotional support were good. The hope was represented positive correlation with self-esteem and academic achievement(r=0.42, 0.26), and with the whole of family functioning(r=0.15) and the 4 subscales(r=0.13, 0.16, 0.11, 0.13). So, hope was high as much as self-esteem was high, academic achievement was high and family functioning was good. 4. The influencing factors on the hope of adolescents were self-esteem(17.63%), academic achievement(3.41%), father's school career(0.84%). These factors made it possible to explain 21.88% of hope.
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The Hope, Burden, and Family Function in Mothers of Children with Cancer.
Ho Ran Park, Sun Nam Park, Kyang Hee Jung, Hae Ja Kim
Korean J Child Health Nurs 2001;7(1):51-61.
The purpose of the descriptive correlation study was to examine relations among the hope, the burden and the family function in mothers caring for children with cancer. 145 mothers completed the three questionaires of the study divided into tree sections: a) The Hope Scale, b) The Burden Scale, c) FACES-lll. The collected data was analysed with t-test, ANOVA, Scheffe test and Pearson correlation coefficients. The results were as follows: 1) The average age of mothers of children with cancer was 35.6 years old and the ages between 30 to 39 were the most abundant. 57.3% of the mothers had an education level of below high school education and 66.0% had religion. The average age of the children was 8.6 years old. Ages between 1 to 7 were the most and 60.8% were diagnosed as leukemia. 2) Regarding the section of degree of burden, mothers of children with cancer marked 2.6 out of 5, and the degree of hope 3.2 out of 4. The result for family function came out to be 3.5 out of 5, an average of family cohesion of 3.9 and family adaptation of 3.1. 3) There were significantly less burden to the mothers who were living together with a spouse compared to the mothers who were not. Also mothers who replied that they preserved good health came out to be exposed to less burden compared to the mothers who did not. In analysing hope according to the general characteristics of mothers of children with cancer, mothers who were employed marked high in the degree of hope compared to unemployed mothers. Furthermore, the degree of family cohesion marked higher with mothers who had higher education of college graduate, mothers with religion and mothers with a monthly family income of over W3,000,000, compared to the group of mothers with lower education of high school graduate, non-religious or with a monthly family income of less than W1,000,000. 4) Excluding the fact that the group sorted with children diagnosed as leukemia marked a perceivably high score regarding family cohesion, compared to groups with other cancers, the degree of burden, hope and family cohesion did not show any noticeable difference according to characteristics of children with different cancers. 5) In the correlation of the hope, the burden and the family function regarding the mothers of children with cancer, the burden did not have any manifest relationship with hope or family function. However, the degree of hope and family function cohesion had a direct proportional relationship, as family cohesion marked higher when the degree of hope were high.
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Analysis of the Hope for the Mothers with Cancer Children.
Ho Ran Park, Sun Nam Park, Jeung Hyun Choi
Korean J Child Health Nurs 2000;6(2):262-273.
The goal of this study was to develop a method to measure the degree of hope of mothers whom their children have cancer. Data collection was held on 144 mothers who had their children diagnosed as cancer, and were treated in C hospital and S hospital located in Seoul. The data was collected from January to August of the year 1999, and collected data was then computerized for T-test, factor analysis and ANOVA. The results are as follows: 1) The measurement method used to measure the degree of hope was divided into 7 categories and composed of 35 questions in total. The level of confidence was 0.90. The 7 categories were named 'gaining insight into life' , 'realizing oneself's own role in life' , 'attempting a change in life' , 'taking in destiny' , 'having trust in the treatment being held out by the medical faculty' , 'recognizing or escaping from reality''obtaining support from religion' respectively. 2) The average score of mothers with cancer children was 3.22. The 6th category 'recognizing or escaping from reality' , had the highest score and the 1st category of 'gaining insight into life' the lowest. 3) The degree of hope did not have any differences according to the general characteristics of the children with cancer and the characteristics of the disease. However there was a difference following the characteristics of the mothers with cancer children. Mothers with jobs tend to have scored higher compared with mothers without any occupation.
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Randomized Controlled Trial

Umbilical cord care differences in the time of cord separation and the skin condition of periumbilical area.
Young Ae Park, Dong Yeon Kim, Mun Jin Choi, Ho Ran Park
Korean J Child Health Nurs 2000;6(2):158-166.
The purpose of this study was to confirm the efficient umbilical cord care of healthy newborns in nursery. In order to determine the efficient care, the time of umbilical cord separation and the skin condition of periumbilical area were evaluated. The data were collected in sample of 529 normal, healthy newborns of C hospital in Seoul, from September 1st, 1999 to January 16th, 2000. The babies were randomly selected and allocated into four groups-alcohol swab/tub bath, alcohol swab/partial bath, natural dry/tub bath, natural dry/partial bath- by the methods of care. The mothers of babies were also surveyed by questionnaire about general characteristics. The data were analyzed by SAS program. The results of this study were as follows : 1. The average gestation period of newborns was 39 + 3 weeks. The average birth weight was 3.27Kg. In gender of babies, boys were 51.7% and girls were 48.3%. The 65% of newborns were born normal vaginal delivery, 35% were C-section. The feeding methods were 55.3% of the babies fed by mixed type, 22.9% by breast, and 21.8% by bottle. There was no significance among four groups by general characteristics. 2. The average time of umbilical cord separation was 8.27 days(SD=2.3). The time was no difference significantly among four groups(F=1.68, P=0.17). 3.The prevalence of the umbilical care complication did not show differences among four groups( 2=3.93, P=0.27). In conclusion, Nurses have preferred the traditional alcohol swab/partial bath method in care of newborns. But there was no difference among the ways to take care of umbilicus according to this study. The way to naturally is more efficient due to reduce the time and expense in umbilical care for normal babies of nursery. This also matched the change in approach to healthy population from intervention to nonintervention way. This could be suggested in education for normal and healthy babies care at home and nursery as a useful way. Endly, the further study about bacterial colony and infection rate at umbilicus by ways of care is needed.
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Original Article
The Effects of Sex Education on the Knowledge and Attitude toward Sex in Sixth Grade Elementary School Students.
Young Im Moon, Eun Sook Park, Ho Ran Park
Korean J Child Health Nurs 1999;5(1):27-37.
It is very important for elementary school students in sixth grades who are reaching the age of puberty to acquire right knowledge and desirable attitude toward sex so that can overcome psychological instability caused by physical growth, be responsible for their behaviors and lead happy lives. Therefore, the purpose of this study was to find out the effects of sex educatin in the population of primary school students. The subjects of this study were 767 six-grades in one private and two public elementary school in Seoul. The research tool was a questionnaire based on a literature review. The sex education given to the subjects included 50 minutes lecture. The research methodology included data collection done before and the sex education was given to the subjects, to assess their knowledge of, and attitude toward sex, one week later after the sex education was given to assess change in knowledge of, and attitude to, sex. The data was analyzed through pc-SAS program. real numbers, percentage, t-test, and ANOVA were utilized. The results of this study are as follows : 1. After sex education, the score of sixth grade elementary students' sex knowledge was higher than before(t=11.92, p=0.0001) 2. After sex education, the score of sixth grade elementary students' sex attitude was higher than before(t=2.08, p=0.0373). From the above findings, it can be said that sex education given to the children reaching the age of puberty significantly influences their knowledge of, and attitude toward. Therefore, for children to have the sound knowledge and positive attitude of sec, it is suggested that sex education should be included in their curriculum in order that systematic sex education be practiced.
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