Purpose
The purpose of this study was to identify predictors of eating disorders in adolescents with type 1 diabetes, with the goal of providing data in support of nursing interventions to improve their health.
Methods
A total of 136 adolescents aged 13-18 years with type 1 diabetes completed the Diabetes Eating Problem Survey-Revised, Rosenberg Self-Esteem Scale, and the Beck Depression Inventory-II, using structured self-reported questionnaires. The collected data were analyzed using the t-test, x² test, and binominal logistic regression with SPSS version 23.0 for Windows.
Results
The prevalence of eating disorders in adolescents with type 1 diabetes was 39%. Four significant predictors of eating disorders were identified; absence of body satisfaction (odds ratio [OR]=3.87, 95% confidence interval [CI]=1.55~9.65), depression (OR=2.87, 95% CI=1.13~7.28), female gender (OR=2.67, 95% CI=1.09~6.54), and glycosylated hemoglobin type A1c levels (OR=1.47, 95% CI=1.10~1.97).
Conclusion
In order to prevent eating disorders among adolescents with type 1 diabetes, programs for managing adolescents’ depression and improving their body satisfaction should be developed. Futhermore, more attention should be directed towards programs aiming to prevent eating disorders in female adolescents.

Citations

• Validity and Reliability of a Korean Diabetes Eating Problem Survey–Revised
  Hye-Ryeon Park, So Yeon Park, Jaeyoung Lee, Hyeon Ok Ju
  Asian Nursing Research.2025; 19(3): 220.     CrossRef
• Diabetes-specific eating disorder and social exclusion in adolescents with type 1 diabetes
  Harun Özbey, Meral Bayat, İrem Kalkan, Nihal Hatipoğlu
  International Journal of Diabetes in Developing Co.2024; 44(1): 122.     CrossRef
• Eating disorders between male and female adolescents with type 1 diabetes mellitus in Korea
  Hye-Ryeon Park, Na-Geong Kim
  Belitung Nursing Journal.2022; 8(6): 505.     CrossRef
• Impact of Body Mass Index on Eating Disorders in Adolescents with Type 1 Diabetes: Focusing on Mediating Effect of Body Dissatisfaction, Self-esteem, and Depression
  Hye-Ryeon Park, Hyeon Ok Ju
  Journal of The Korean Society of Maternal and Chil.2021; 25(2): 121.     CrossRef

Purpose
The aim of this study was to explore how characteristics of ADHD children affect social support for mothers, parenting stress, parenting sense of competence, coping, and quality of life. The conceptual model was based on the Lazarus and Folkman’s stress-evaluation- coping theory.
Methods
Data were collected 208 mothers of children with ADHD. Data were analysed using SPSS 18.0 and AMOS 18.0 programs.
Results
The proposed model was good fit for the data based on the model fit indices. Parenting stress, parenting sense of competence and coping directly affected quality of life but characteristics of the children and social support had only an indirect effect. The explanatory power of these variables was 52.1%.
Conclusion
The results of this study indicate that nursing strategies to increase social support for mothers with ADHD children, lowers parenting stress, improves parenting sense of competence, and guides the parents to choose appropriate coping. In particular, as social support has the strongest influence on the quality of life, it is necessary to develop nursing intervention programs that utilize social support for parents with ADHD children.

Citations

• Structural Equation Modeling for Quality of Life of Mothers of Children with Developmental Disabilities: Focusing on the Self-Help Model
  Mi Ran Yang, Mi Yu
  Journal of Korean Academy of Nursing.2022; 52(3): 308.     CrossRef

Purpose
The purpose of this study was to understand and explore the essences of Korean mothers‘ experiences of caring for visually impaired children.
Methods
Data were collected through individual in-depth interviews using open-ended questions. Five mothers of children with visual impairments participated in the interviews. Verbatim transcripts were analyzed using phenomenological analysis.
Results
Analysis with Colaizzi’s method showed two categories which included 14 themes in 4 theme clusters. The first category was ‘surviving in the dark reality’ included 2 theme clusters, of ‘outcrying in the darkness’ and ‘enduring the darkness while caring for my child alone’. The second category was ‘living as the light of maternal affection’ including 2 theme clusters of ‘preparing the light to shine in the darkness’ and ‘going through the darkness with the lights of love’.
Conclusion
The findings from this study provide deep understanding of mothers‘ experiences of caring for visually impaired children. Based on the results of the study, health professionals can develop effective family nursing interventions to improve the quality of life for these families including the visually impaired children and their mothers.

Purpose
To investigate the perception and barriers of Kangaroo-Mother Care (KMC) among nurses in Neonatal Intensive Care Units (NICU).
Methods
Participants were 131 nurses working in NICU who completed self-report questionnaires which included information regarding perception, barriers, and practice of KMC. Collected data were analyzed using SPSS 18.0 program for descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients.
Results
Of the participants, 33.6% reported the practice of KMC in their NICU, with 75.6% wanting to receive training in KMC and 31.3% having received KMC education. Most of the participants agreed that KMC enhances attachment, parental confidence, and effective breast feeding but they reported a negative perception in providing KMC for premature infants weighing less than 1,000 grams or intubated premature infants. Major barriers to practicing KMC were safety of infants, possible work overload for nurses, as well as absence of consistent guidelines. Barriers to KMC among nurses who received the KMC training were lower than nurses who did not receive the KMC training (t=-2.11, p=.037).
Conclusion
Education program and standardized clinical practice protocol should be developed to foster the positive perception and to reduce nurse barriers to KMC.

Citations

• Developmentally Supportive Care Among Neonatal Intensive Care Unit Nurses in South Korea
  Han Na Lee, Ji Hyeon Park, Haeryun Cho
  Advances in Neonatal Care.2023; 23(3): E60.     CrossRef
• Barriers to and enablers of kangaroo mother care
  Soon Min Lee
  Clinical and Experimental Pediatrics.2020; 63(11): 431.     CrossRef
• Effects of Positioning Education Program through Oral Explanations or Brochures for Parents of Premature Infants with Brain Lesions and the Satisfaction Level of Physical Therapy at Discharge
  Hye-Young Lee, Dong-Yeon Kang
  The Journal of Korean Physical Therapy.2017; 29(5): 259.     CrossRef

Purpose
Purpose of this study was to investigate factors influencing wellness, and provide basic data for development of intervention programs to improve wellness in mothers of children with disabilities.
Methods
Participants were 147 mothers of children with disabilities from an elementary school and kindergarten for children with disabilities located in J and C cities in G province. Data were collected from February 24 to April 24, 2015 using questionnaires.
Results
Mean scores were 3.24±0.38 of 5 for wellness, 2.40±0.41 of 4 for self-esteem, and 2.87±0.36 of 4 for family function. There were significant differences in wellness according to religion, education, and type of education program for the children. There were positive correlations between self-esteem, family function, social support, and wellness. Factors influencing wellness were self-esteem (β = .450), family function (β = .313), type of education program for the children (β = .140), and religion (β = .127). These factors explained 42.7% of the variance in wellness.
Conclusion
Findings show that levels of wellness in these mothers are not sufficient to allow them to care for their children and to maintain their own overall health. Therefore to increase wellness of mothers of children with disabilities, intervention strategies that focus on improving self-esteem and family functioning need to be developed.

Citations

• A Predictive Model of Resilience in Mothers of Children with Developmental Disabilities
  Youyoung Cho, Hyeonok Kim
  Journal of Korean Academy of Nursing.2022; 52(4): 407.     CrossRef
• Mediating and Moderating Effects of Family Cohesion between Positive Psychological Capital and Health Behavior among Early Childhood Parents in Dual Working Families: A Focus on the COVID-19 Pandemic
  In Young Cho, Sun-Hee Moon, Ji Yeong Yun
  International Journal of Environmental Research an.2021; 18(9): 4781.     CrossRef
• Effects of a Parent Empowerment Program Applying MBTI for Mothers of Elementary School Students
  Hee-Sook Kim, Pan-Hee Kim
  Journal of Korean Academy of Psychiatric and Menta.2017; 26(4): 353.     CrossRef

PURPOSE
The purpose of this study was to investigate the factors affecting depression in mothers of children with disabilities and to identify the relationships between the depression, parenting-stress and self-esteem.
METHODS
The participants were 100 mothers of children with disabilities lving in G city. Data were collected using a structured questionnaire and analyzed using descriptive statistics, t-test, ANOVA and Pearson Correlation Coefficients with SPSS/PC+ 21.0.
RESULTS
There was a significant relationship between depression and parenting stress (p<.001). Depression was negatively correlated with self-esteem (p<.001). Variables affecting depression were parenting-stress, self-esteem and family income. The three factors accounted for 38.7% of the depression.
CONCLUSION
The results of the study show that parenting-stress and selfesteem are the most significant factors affecting depression. There is an urgent need to develop nursing interventions to reduce levels of depression in mothers of children with disabilities and to help them lead a healthier life.

Citations

• A Study on the Effects of Self-esteem of Fathers with Young Children on Parenting Stress: Focused on the Mediating Effect of Marital Satisfaction and Depression
  Sung-Ryung Kim, Chung-Sun Park
  Korean Journal of family welfare.2018; 23(2): 215.     CrossRef
• A study on the factors influencing the satisfaction of life of disabled children parents
  Hyun-Suk Lee, Kyu-Soo Ha
  Journal of the Korea Academia-Industrial cooperati.2015; 16(11): 8046.     CrossRef

PURPOSE
This study was done to test a hypothesized model, the Biobehavioral Family Model (BBFM), on the relationship of family emotional climate, security of parent-child relationship, depression symptoms and eating problems in adolescent girls, to further understanding of eating problems in this population.
METHODS
With a convenience sample of 647 girls, aged 15 to 18, a self-report survey was conducted which included the Korean form of the Eating Attitude Test (EAT-26) to assess eating problems.
RESULTS
The estimated results of the structural equation modeling indicated a good fit of data to the hypothesized model proposing that family emotional climate and security of parent-child relationship were associated with the risk of eating problems by way of depression symptoms. That is, negative family emotional climate and insecure parent-child relationship increased the risk of eating problems indirectly by way of depression symptoms.
CONCLUSION
The findings are consistent with the BBFM, which suggests a psychobiologic influence of specific family processes on children's stress-sensitive physical disease activity by way of depression symptoms. Therefore, the applicability of the BBFM for understanding adolescent girls' eating problems is supported. The psychobiologic pathways from depression to eating pathology should be addressed in future studies.

Citations

• Family Structure and Family Climate in Relation to Health and Socioeconomic Status for Older Adults: A Longitudinal Moderated Mediation Analysis
  Enrique Alonso-Perez, Paul Gellert, Michaela Kreyenfeld, Julie Lorraine O’Sullivan
  International Journal of Environmental Research an.2022; 19(18): 11840.     CrossRef
• Factors related to Eating Attitudes of Female High School Students
  Young-Ju Jee, Kyoung-Nam Kim
  Journal of the Korean Society of School Health.2017; 30(1): 40.     CrossRef
• A path analysis of factors influencing eating problem among young female adults
  Bo-Kyoung Cha
  Journal of Nutrition and Health.2017; 50(6): 615.     CrossRef
• Influence of Appearance Stress, Ego-Resilience, Interpersonal Relations and Depression on Eating Attitude in Women Undergraduates
  Hae Kyung Chang, Jung Nam Sohn
  Journal of Korean Academy of Fundamentals of Nursi.2014; 21(3): 235.     CrossRef