Purpose This study investigated the relationship between allergic diseases, general anxiety disorder, and depressive symptoms among Korean adolescents.
Methods A secondary analysis was conducted on the findings of the 18th Korea Youth Risk Behavior Survey (2022). The study included 51,850 adolescents and analyzed the relationships among allergic diseases, general anxiety disorder, and depressive symptoms using complex samples logistic regression analysis.
Results Among the Korean adolescents, 12.7% experienced general anxiety disorder, while 28.7% experienced depressive symptoms. The prevalence of allergic diseases was 5.7% for asthma, 36.3% for allergic rhinitis, and 22.2% for atopic dermatitis. General anxiety disorder was associated with asthma and allergic rhinitis but not atopic dermatitis. Depressive symptoms were associated asthma, allergic rhinitis, and atopic dermatitis.
Conclusion Examining the correlation among allergic diseases, general anxiety disorder, and depressive symptoms in adolescents underscores the need for implementing suitable strategies. Moreover, when addressing general anxiety disorder and depressive symptoms in adolescents, it becomes crucial to consider the presence of allergic diseases.
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Purpose This study aimed to analyze the concept of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards.
Methods The hybrid model by Schwarz-Barcott and Kim was used to analyze the characteristics of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards.
Results Transfer anxiety was defined by the following attributes: 1) stress concerning the adaptation process, 2) concern about the child’s condition worsening due to the parent’s caregiving, and 3) involuntary changes in daily life due to the treatment. Transfer anxiety has the following antecedents: 1) uncertainty; 2) a lack of knowledge about the illness, medical devices, and caregiving; and 3) a lack of social support. It resulted in 1) caregiver burden, 2) a decrease in the capacity for coping with caregiving, 3) delays in the child’s physical and psychological recovery, and 4) decreased quality of life.
Conclusion It is necessary to develop an assessment scale that considers the attributes of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Furthermore, an effective nursing intervention should be developed to reduce transfer anxiety.
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Purpose This study aimed to evaluate the effects of a rational emotive behavior therapy (REBT)-based emotional regulation program for mothers of premature infants in the neonatal intensive care unit (NICU).
Methods The study utilized a nonequivalent control group pretest-posttest design. Seventeen mothers were recruited for the experimental group and 21 mothers for the control group. Data were collected from July 9, 2018, to Oct 12, 2018 from mothers of premature infants in the NICU regarding parental stress, state anxiety, depression, and maladaptive cognitive emotion regulation. The experimental group received eight sessions of the REBT-based emotional regulation program for 3-4 weeks, and the control group only received standard nursing care.
Results Significant differences were found between the two groups in maladaptive cognitive emotion regulation (Z=-3.88, p<.001), stress (Z=-2.76, p=.006), state anxiety (Z=-3.72, p<.001), and postpartum depression(Z=-2.62, p=.009) after the intervention in the experimental group.
Conclusion The REBT-based emotional regulation program for mothers of premature infants was effective for reducing maladaptive cognitive emotion regulation, stress, anxiety, and postpartum depression. Therefore, it may be necessary to provide an REBT-based emotional regulation program for mothers of premature infants in the NICU in clinical practice.
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Purpose This study aimed to evaluate the effects of an empowerment program on maternal stress, anxiety, depression and parenting confidence.
Methods A total of 44 mothers of preterm infants were assigned into an experimental or a control group (n=22 each). The experimental group received the usual nursing care and 7 sessions of an empowerment program. The control group only received the usual care. The program was implemented from June to December, 2016 in the neonatal intensive care unit of K university-affiliated hospital in Daegu, Korea. The outcome variables measured were parental stress (PSS: NICU), anxiety (STAI), depression (CES-D) and parenting confidence. Data were analyzed using t-test or repeated measures ANOVA.
Results Scores for both parental stress (t=3.07 p=.004) and depression (F=3.76, p=.26) were significantly lower in the experimental group than in the control group. However, there were no significant differences in anxiety between the groups (F=0.79, p=.505). Parenting confidence scores (F=9.05, p=.001) were significantly higher in the experimental group than in the control group.
Conclusion A maternal empowerment program can be an effective means of reducing parental stress and depression as well as enhancing parenting confidence, for mothers of preterm infants.
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Purpose The purpose of this study was to evaluate levels and correlations of epilepsy specific knowledge, attitude and anxiety in mothers of children with epilepsy.
Methods Participants were 176 mothers of children with epilepsy living in B and Y cities. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients with the SPSS 21.0 program.
Results Participants scored 57.2 (±1.7) out of 100 points on epilepsy-related knowledge; 35.6 (±5.0) out of 48 points on attitude toward epilepsy; 58.1 (±15.3) out of 85 on anxiety related to a child’s epileptic condition. The participants had higher levels of epilepsy-related knowledge if their family monthly income was three million KRW or higher (t = -2.92, p = .004); if there was no side effect from the medication (t = -2.91, p = .004); and if the mothers’ perception of the child’s health was good (F = 6.181, p = .001). There was a positive correlation between knowledge and attitude related to epilepsy (r = .321, p < .001), and a negative correlation between knowledge and anxiety (r = -.257, p = .001).
Conclusion Findings indicate that interventions which reduce mothers’ anxiety by providing epilepsy specific knowledge and help to achieve more positive attitudes to better ways of coping with child’s disease.
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Purpose The purpose of this study was to identify whether individualized distraction intervention using a smart phone affected pre-op anxiety of children.
Methods This was a nonequivalent control group pre-post test quasi-experimental design. The participants were 30 children in the experimental group and 30 in the control group. In experimental group, a smart phone individualized distraction intervention was given to children from the reception area to the operation room.
Results For heart rate, there were no statistically significant differences between the experimental group and control group. In the behavioral anxiety response, there were statistically significant differences between the experimental group and control group (t = -3.11, p = .003).
Conclusion The finding suggest that, for pre-op children, the individualized distraction intervention using a smart phone had some significance as a nursing intervention having a positive impact. Such interventions can help pediatric nurses to relieve pre-op anxiety and improve health of children in their care.
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PURPOSE The purpose of this study was to examine gender differences in self-competence, social anxiety and depression in upper level primary school children. METHODS In this cross-sectional study, data were collected from 180 students in grades 5 or 6 (83 boys and 97 girls).
The instruments used for this study were a self-report questionnaire, the Self-Perception Profile for Children, the Revised Social Anxiety Scales for Children (SASC-R) and a Depression Instrument. For data analysis, descriptive statistics, t-test, Pearson correlation coefficients, and stepwise multiple regression were used with the SPSS/PC ver 12.0 program. RESULTS The only gender difference was in depression and girls reported more depression than boys. Social competence showed significantly negative correlations with depression and social anxiety. Gender differences were found in self competence in the prediction of depression and social anxiety. CONCLUSION The results of this study indicate that there are gender differences in self competence which influence depression and social anxiety. Thus, enhancing self-competence could prevent social anxiety and depression in children but, differences in gender should be considered when developing programs to enhance self-competence.
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PURPOSE This descriptive correlational study was designed to examine the relationship of attachment security to social anxiety and depression. In addition, the mediating effect of self competency in relation to attachment security and the other variables was investigated. METHODS Data were collected from 194 students in grade 5 or 6, and descriptive statistics, Pearson correlation coefficient, and hierachical multiple regression were used with SPSS/PC 12.0 program to analyze the data. The instruments used were Kerns, Klepac and Cole's Security Scale, La Greca & Stones' Revised Social Anxiety Scales for children (SASC-R), Cho and Lee's Korean form of Kovacs' children's Depression Inventory (CDI) and Harter' Self-perception Profile for Children. RESULTS There were significantly negative effects between attachment security and the variables, social anxiety and depression. Also, self competency was negatively correlated with social anxiety and depression. Self competency had a significant mediating effect on the relation of social anxiety and depression to attachment security. CONCLUSION For the effective management and prevention of social anxiety and depression in school-aged children, programs including strategies to increase self competency should be developed. These programs can increase self competency which has a mediator role between attachment security and the other variables (social anxiety and depression).
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PURPOSE This study was done to develop and test a home-based discharge program. METHODS The study design was a pretest-posttest nonequivalent nonsynchronized quasi-experimental design.
Participants were mothers of premature infants on oxygen therapy at home. The participants, 49 mothers, were assigned to either the experimental group (24) or control group (25).
Data collection was conducted from September, 2008 through February, 2009. Maternal confidence and anxiety were measured using a questionnaire. Chi-square test, t-test and Repeated Measures ANOVA were used to analysis the data. RESULTS Two hypotheses, "Maternal confidence in the experimental group will be higher than that of the control group" and "Perceived anxiety level in the experimental group will be lower than that of the control group", were set up and both hypotheses were supported as there was a statistically significant difference between the two groups. CONCLUSION It suggests that the discharge program developed in this study is an efficient intervention method to boost maternal confidence of the mothers with premature infants and to decrease their anxiety; therefore, this program is expected to be of use in nursing interventions.
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PURPOSE The purpose of this study was to examine the relationship between the behavioral responses of children with burns, and anxiety and depression in their parents. METHODS Ninety-three parents of children with burns, ages 4 to 15 years who were admitted to hospital for an acute burn agreed to participate in this study. The Child Behavior Checklist, Beck Anxiety Inventory and Korean Version of Beck Depression Inventory were used for data collection. RESULTS The mean scores for acute traumatic disorder, post traumatic disorder, anxiety and depression were 9.05+/-3.04, 39.59+/-8.75, 11.89+/-11.53, and 10.16+/-8.22, respectively.
There were significant relationships between depression and gender of children, education of parents, and number of family members. Child's behavioral responses were positively correlated with parents' anxiety and depression. CONCLUSION The study found that the greater the behavioral responses of the children with burns, the more anxiety and depression experienced by the parents. The results indicate that psychological support must be provided for both the children with burns and their parents in conjunction with treatment of the burns.
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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.
PURPOSE This study was to identify and to search the related disposition of the pattern of anxiety and coping in mothers of children with nephrotic syndrome through the use of Q-methodology. METHOD 34 Q-samples were finally selected in the concept of anxiety and coping. A P-sample of 35 was selected the mothers of children with nephortic syndrome. The result of the Q-sorting was coded and analyzed using QUANL PC program. RESULT There were 3 types of special opinion. The first type is called " Pursuit of hope type." Members of this type were cope with the anxiety by spiritual behavior like a pray, positive thinking. The second type is called "Worry about reality type." Members of this type were to be filled with apprehension like an indigestion, insomnia. The third type is called " Solving problem type." Members of this type were cope with the humanity effort by conversation. CONCLUSION The mothers of children with nephrotic syndrome were used various coping patterns to cope with the anxiety conditions that their child were result from admission to hospital and treatment of the disease. Therefore, nursing assessment and nursing intervention skills have to develop in consideration of the subjectivity of coping about anxiety in each individual.
The purpose of this study was to investigate the level of uncertainty and anxiety in families of hospitalized children. Data were collected through self-report questionnaires which were constructed to include parent's perception of uncertainty and state anxiety. The subjects consisted of 126 families of hospitalized children in one university-affiliated hospital in Daegu. The data were analyzed by the SPSS program. The results were as follows; 1. The mean score of uncertainty was 64.70 (Range=31-95).
The mean scores of subsets of the uncertainty were followed as: lack of clarity (2.59), unpredictability (2.46), lack of information (2.22) and ambiguity (2.14). 2. The mean score of state anxiety was 47.93 (Range=20-67). 3.The level of uncertainty was positively correlated to the level of state anxiety.
4. The level of anxiety was different depending on their religion and monthly income. The above findings indicated that the level of uncertainty and the state anxiety in families of hospitalized children were positively correlated. Therefore, nursing intervention for reducing uncertainty and anxiety and improving coping method should be provided for families of hospitalized children.
The object of this study is to provide the basic data for the caring of parents by understanding emotional status, physical status, and family support of parents with cardiac disease children. The subjects of this study were consisted of 105 parents of cardiac disease children admitted at 'G' hospital in Inchon, and 'S' hospital in Puchon. The data were collected from November 6 to December 21, 2000. Four instruments were used to collect the data : Spielberger's STIS, Cornell Medical Index(CMI), Yang's stress scale, and Moos's Family Environment Scale Form R, the latter 3 are modified by researcher. The collected data were tested using frequencies, percentiles, means, t-test, ANOVA, and Pearson correlation coefficient with SPSSWIN program. The results of this study were as follows: 1. There were statistically significant differences in degree of anxiety on age, number of children, and children's order of birth. 2. There was a statistically significant difference in degree of physical status on presence of the other patient in family. 3.There were not statistically significant differences in degree of stress and family support on demographic factors. 4.There were positive correlations between physical status and family support, and between anxiety and stress, but negative correlations between family support and stress, between anxiety and family support, between anxiety and physical status, and between stress and physical status.
This study was performed to investigate the effect of kangaroo care on anxiety and confidence and gratification of mothering role in mothers of low birth weight infants. The subjects were 30 mothers of low birth weight infants, sixteen for the kangaroo care group and fourteen for the control group, whose infants hospitalized in two neonatal intensive care unit at two university-affiliated hospital.
The kangaroo care was applied 9 times during the twenty six days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a low birth weight infant wearing a diaper and a hat is placed on its mother's chest. The questionnaire, state anxiety was completed before beginning the first intervention. The questionnaire, state anxiety and confidence and gratification of mothering role were completed at 2 weeks after discharge. The data were analyzed by a SPSS program.
The results were as follows : 1. There were no significant differences in the state anxiety between the kangaroo care and the control group before beginning the first intervention. The state anxiety was significantly lower in kangaroo care group than in control group. 2.The confidence of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge.
3.The gratification of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 4. In mothers of low birth weight infants, the state anxiety was negatively correlated to the confidence of mothering role and the gratification of mothering role at 2 weeks after discharge. And the confidence of mothering role in mothers of low birth weight infants was positively correlated to the gratification of mothering role at 2 weeks after discharge. These results suggest that kangaroo care is an effective nursing intervention for mothers of low birth weight infants in reducing the state anxiety, improving the confidence and gratification of mothering role.
The purpose of this study is to assess the effect of progressive muscle relaxation therapy on nausea, vomiting and anxiety experienced by children who were histologically diagnosed as malignancy and have received cancer chemotherapy. Twenty subjects with 10 in experimental group and 10 in control group, between the age of 7 to 12 years participated in this study. All subjects were admitted for inpatients chemotherapy at the S hospital between April to August 1998. The methods used for interventional muscle relaxation were both the 16 items of the progressive muscle relaxation therapy developed by Jacobson and the 4 items of the muscle relaxation therapy by Wolpe. The method for assessing nausea, vomiting was the Index of Nausea and Vomiting by Rhodes et al and that for anxiety was State-Trait Anxiety Inventory for Children by Spielberger.
The data was analysed by repeated measures ANOVA and Scheffe test using SAS program. The results were as follows : 1. On measurement of nausea, vomiting, in the experimental group, the mean values of the second and the third measurements showed tendency to slightly decrease compared with the first measurement, but there was no statistically significance. And in the control group, there were no significant differences among first measurement, second measurement and third measurement. Also there was no significant difference in the mean values assessing nausea, vomiting between experimental and control group (F=1.33, p=0.2645). 2. The results assessing state anxiety showed, in the experimental group, progressive decrease in mean values at each measurement, while the control group showed no significant differences between the mean values of each measurement. Also there was statistically significant difference in state anxiety measurements between experimental and control group(F=4.36, p=0.05). In conclusion, muscle relaxation therapy for school-aged children with chemotherapy could not be effective to decrease nausea, vomiting, but it could be effective to decrease anxiety.
The purpose of this study was to investigate the level of anxiety for the mothers of leukemic children and to provide the fundamental data for the better performance of caring to them.
The subject were 292 mothers : 100 mothers whose children had a leukemia, 80 mothers whose children had taken a tonsillectomy, 112 mothers whose children with medical disease except cancer.
The data were collected through the state-Trait Anxiety Inventory of Spilberger and analyzed by t-test, ANOVA, Scheffe test.
The results were as follows ; 1. The state anxiety mean score of mothers with leukemic children was 54.16.
2. The state anxiety of mothers with leukemic children was higher than that of the rest (F=8.00, P=0.0004).
3. There was no significant difference in anxiety of mothers with leukemic children in relation to leukemic children's and their mother's general characteristics.
PURPOSE To examine the effects on skin injury, pain, and anxiety when nurses and children simultaneous wash their hands before IV injections. METHOD A nonequivalent control group, non-synchronized design study was used with 61 children. For a month and a half, children in the experimental group(30) following hand-washing guidelines, washed their hands with nurses before IV insertion. Anxiety and pain were observed and recorded during IV insertion using the Anxiety Reaction Scale and FACES pain scale. After 48-72 hours on IV therapy with an arm-board, skin condition was checked by a research assistant according to guidelines for assessing skin injury developed by the researcher. t-test, chi-square-test, Pearson correlation, and Kendall's tau b were used to analyze data with the SPSS program. RESULTS Children who washed their hands with the nurse before IV insertion showed less pain (p =.021) and skin injury (p <.001) compared to the control group. CONCLUSION This finding suggests that simultaneous hand washing by nurse and child before IV injection has a strong effect on skin injury caused by arm-boards used to maintain IV therapy as well as on pain during IV insertion. This program demonstrates an effective intervention to prevent skin injuries in children on IV therapy.
PURPOSE This study was done to verify the effects of information using photographs on preoperative anxiety of children and their parents. METHODS Participants were 48 hospitalized children and their parents (48 pairs). In the experiment group (18 pairs) photographs were used with the children and parents to provide information before the child underwent an operation.
Children and parents in control group (30 pairs) received regular care. Anxiety of children and their parents was measured using both a self-report and physiologic responses (heart rate and blood pressure). The data were analyzed using the SAS program. RESULTS Compared with the control group, self-reports of the experimental group indicated a significant difference in subjective anxiety. However, there was no decrease in physiologic anxiety as shown by heart rate and blood pressure in those in the experimental group as compared to the control group. CONCLUSIONS Preoperative information using photographs were shown to be an effective method to reduce anxiety of children and their parents.
PURPOSE This study was done to verify the effects of preeducation and health contract on anxiety and adaptability of children with leukemia when undergoing a spinal puncture. METHODS Children in experimental group 1 (10) were given preeducation prior to the procedure and children in experimental group 2 (13), a health contract. Children in the control group (16) received the regular hospital preparation. Observation tools were used to evaluate adaptability and anxiety. Heart rate and oxygen saturation was also used as a measure of anxiety. The data were analyzed using the SPSS program. RESULTS Compared with the control group, experiment groups 1 and 2 showed significant difference in adaptability regarding the number of assistants and test posture.
Experiment groups 1 and 2 showed significant difference in voice tone and movement level when compared with the control group. Elevation level in heart rate showed significant differences between the three groups. Conclusions Preeducation and nursing mediation through health contracts were shown to be effective methods to reduce anxiety and increase adaptability in children with leukemia who were undergoing a spinal tap.
PURPOSE S: Venipuncture is one of the most painful and frequently performed invasive procedures for children done by nurses. The purpose of this study was to investigate the effects of EMLA cream (eutectic mixture of local anesthetics: 2.5% lidocaine and 2.5% prilocaine) to decrease venipuncture related pain and anxiety in children. METHODS A randomized, double blinded, placebo-controlled study was conducted. Sixty children scheduled for venipuncture were recruited, and randomly assigned to receive either EMLA or a placebo cream 1 hour before the venipuncture. Venipuncture was carried out by one of the nurse investigators. Pain and anxiety were measured by the parent, nurse investigator, and nurse observer. RESULTS Pain in the EMLA group was significantly lower than that of the placebo group. However, there was no significant difference in anxiety score between the EMLA and placebo groups. Local side effects of EMLA cream were negligible. CONCLUSIONS EMLA cream was found to be an effective local anesthetic for pediatric venipuncture pain. Further studies should continue to evaluate the facilitators and barriers of EMLA cream application in pediatric nursing practice.
, So Yeon Park
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