Purpose This study was conducted to evaluate the efficacy of a community-based follow-up program on parenting stress, parenting efficacy, and coping among parents with premature infants.
Methods A non-equivalent control group pre-post quasi-experimental design was used. This program consisted of structured home visits and self-help group meetings for 6 months. The experimental group (n=29) received visits by an experienced neonatal intensive care unit (NICU) nurse and the control group (n=27) was visited by a visiting nurse. Data were analyzed using the x2 test, t-test, and analysis of covariance.
Results Parents' coping behavior significantly differed in the experimental group compared to the control group (t=3.14, p=.003). In particular, coping subscale I, for maintaining the family situation (t=2.63, p=.011), and subscale III, for understanding the infant's medical situation (t=4.30, p<.001), showed significant differences in the experimental group. There were no significant between-group differences in parenting stress or parenting efficacy.
Conclusion The findings of this study suggest that home visits by an experienced NICU nurse provided through a community-based follow-up program were an effective intervention to improve coping behavior among parents with premature infants.
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Purpose The aim of this study was to test whether maternal uncertainty and the general characteristics of mothers and children influenced maternal coping.
Methods In this cross-sectional study, 190 mothers whose children had been admitted to the pediatric ward of a general hospital completed self-report questionnaires during their children’s hospitalization. The questionnaires assessed the general characteristics of the mothers and children, maternal uncertainty, and maternal coping. Multiple regression analysis was used to test the research model.
Results In the multivariable model, help from one’s spouse (t=3.10, p=.002), religion (t=2.68, p=.008), overall ambiguity (t=2.64, p=.009), and family income (t=2.33, p=.021) were associated with higher coping scores.
Conclusion This research model presents possible guidelines for pediatric nurses to provide comprehensive and accurate information on children's illnesses and treatments for mothers of children hospitalized in general hospitals. In particular, nurses should pay more attention to mothers who are not receiving help from their spouses, are not religious, and have a low family income.
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PURPOSE The purpose of this study was to provide basic data to improve coping abilities of elementary school students in emergency situations. METHOD The data were collected from 1633 3-6th grade elementary school students using a self-report questionnaire. RESULTS 1) The mean score for the coping ability of the students was low at .38 (+/-.36). 2) The mean scores for the 8 categories were, [Care for common symptoms], .54 (+/-.48), [Call for help & check], .47 (+/-.43), [Care for injury by heat.cold & foreign body], .39 (+/-.45), [Care for tissue damage], .36 (+/-.44), [Offering help], .36 (+/-.42), [Rescue & escape], .31 (+/-.51), [Evacuation], .28 (+/-.49), and [Appropriate response for the situation], .27 (+/-.43).
The mean scores for 2 areas were, 'Acting tips', .35 (+/-.36) and 'First aid', .42 (+/-.40). There were significant differences in coping ability according to students' gender (t=4.964, p<.001), and family type (t=-2.484, p=.013). 4) Among the categories, there were significant correlations between all 8 categories and significant correlation between 'Acting tips' and 'First aid' (r=.808, p<.001), 'Acting tips' and 'Coping ability' (r=.956, p<.001), and 'First aid' and 'Coping ability' (r=.946, p<.001). CONCLUSION The findings indicate a need for programs to improve the coping ability of elementary school students in emergency situations.
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PURPOSE This study was conducted to develop an instrument to measure coping in emergency situations. METHODS: The process included construction of a conceptual framework, generation 60 primary items, verification of construct validity and extraction of final items. The 60 preliminary items were reviewed for content validity by seven experts and were tested to evaluate inter-item correlation coefficient by three groups of elementary school students.
From November 1 to December 10, 2008, data were collected from 920 elementary school students according to residential characters (major city, small town, rural area). Item analysis, factor analysis with rotation Varimax and Cronbach's alpha were used to analyze the data. RESULTS: 1) There were 45 items in the final instrument categorized into 8 factors. 2) The factors were labeled as "Call for help and check" (8 items), "Care for common symptoms" (6 items), "Appropriate response for the situation" (5 items), "Evacuation" (6 items), "Care for tissue damage" (8 items), "Care for injury by heat, cold or foreign body" (6 items), "Offer help" (4 items) and "Rescue & escape" (2 items). 3) Cumulative percent of variance was 53.10% and eigen values ranged from 1.04 to 13.38. 4) Cronbach's alpha for the total was .943 and ranged from .527 to .869. CONCLUSION: Validity and reliability of the scale are confirmed in this study showing its utility for measuring coping in emergency situations with elementary school students. Utilization of the scale will also contribute to designing appropriate coping education programs for elementary school students.
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Elementary School Students' Coping Ability in Emergency Situations Shin Jeong Kim, Jung-Eun Lee, Kyung-Ah Kang, Sung-Hee Kim Journal of Korean Academy of Child Health Nursing.2010; 16(4): 268. CrossRef
PURPOSE The purposes of the study were to develop and test a model which explains the relationship among factors affecting behavioral problems in elementary school children. METHODS The participants for the study were 368 elementary school children and their mothers at 3 elementary schools in one city. Data analysis was done using the SPSS 17.0 program for t-test, -test, and ANOVA and the AMOS 17.0 program for theoretical model testing. RESULTS The theoretical model showed a significant goodness of fit to the empirical data (Goodness of Fit Index: .96, Adjusted Goodness of Fit Index: .93 Comparative Fit Index: .95, Root Mean Square Error of Approximation: .06, Standardized Root Mean Square Residual: .02). Six paths were found to be statistically significant including from child rearing attitude to self-esteem, stress, stress coping and behavioral problems, and from self-esteem to stress and behavioral problems. Child rearing attitude showed a significant effect to behavioral problems by total effect.
Self-esteem affected behavioral problems by total and direct effects. CONCLUSION Child rearing attitude and self-esteem of children are important factors affecting behavioral problems in elementary school children.
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PURPOSE The purpose of this study was to investigate the stress level, coping behaviors and health problems of elementary school children and to compare the level of these three variables according to size of city of residence and to identify the relationship among the three variables. METHOD Data were collected by questionnaire from 465 5th and 6th grade elementary school children living in Daegu and North Kyungsang Province. Data were collected between December 1 and 20, 2003 and analyzed using the SPSS program with means, standard deviation, t-test, and Pearson's correlation coefficients. RESULTS The stress level was significantly higher in children who lived in the big city. The coping behavior score was not significantly different according to size of city, nor was there a difference in the health problems according to size of city. There was a positive correlation among stress level, coping behaviors and health problems. CONCLUSION In general, the stress level was significantly different but coping behavior scores and health problem scores were not significantly different according to size of city. Also the elementary school children used more passive coping behavior than active coping behavior. Therefore, strategies to develop active coping behaviors for these children are needed.
, Ka Ka Shim
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