Purpose
This study was conducted to describe parenting stress in mothers of preschoolers who were born prematurely and to determine factors affecting parenting stress in child’s problem behavior, mother-child interaction and parenting alliance.
Methods
An exploratory survey study was conducted with 66 mothers of preschool children (5~6 years) with preterm births (PTB). Data were collected using Parenting Stress Index (PSI), Child Behavior Checklist (CBCL), Mother-Preschool Child Interaction Scale (MPIS), and Parenting Alliance Inventory (PAI).
Results
Of the 66 mothers, 8(12.1%) showed high scores that were more than borderline for the PSI total score. In the multiple linear regression analysis, lower scores on the PAI (β=-.41, p<.001), higher scores on the externalizing problem behavior of the CBCL (β=.40, p=.001), and lower scores on the MPIS (β=-.21, p=.043) were statistically significant contributors to maternal parenting stress.
Conclusion
Findings indicate that mothers of PTB preschool children are at risk for parenting stress. Child’s externalizing problem behavior, poor maternal- child interaction and parenting alliance were independent factors raising maternal parenting stress. More attention is needed on paternal parenting support, child’s behavioral development, interaction with children for effective prevention and management of maternal parenting stress of PTB young children.

Citations

• Spousal support, parent–nurse partnership and caregiver burden among parents of children with chronic diseases: A cross‐sectional study
  Jihye Kim, Heemin Chae, Yoonjung Kim
  Journal of Clinical Nursing.2024; 33(7): 2649.     CrossRef
• Structural Equation Modeling of the Interaction between Mothers and Preschool-Age Children
  Hyun-Yi Chai, Mi-Young Choi
  Journal of Korean Academy of Nursing.2021; 51(5): 630.     CrossRef
• Parenting Stress in Preterm and Full-term Infant Mothers by Their Children’s Developmental Stages
  Kieun Kim, Hyejung Lee
  Journal of The Korean Society of Maternal and Chil.2020; 24(3): 162.     CrossRef

PURPOSE
The purpose of this study was to explore recognition of mother-child interaction by preschoolers' mothers.
METHODS
Data were collected through in-depth interviews with mothers of 12 preschoolers. The data were analyzed following Downe-Wamboldt's content analysis methodology.
RESULTS
From the data, 170 significant statements were selected and were classified into 7 categories and three domains (maternal, child, dyadic). First, the maternal domain consisted of maternal sensitivity, acceptable responsiveness, and child developmental encouragement. Second, the child domain consisted of child's sensitivity, responsiveness, and initiative. Third, the dyadic domain consisted of mutuality.
CONCLUSION
These results suggest that preschoolers' mothers recognize the significant qualitative aspects of interaction with their children. Based on these results, instruments for preschooler-mother interaction need to be developed.

Citations

• Structural Equation Modeling of the Interaction between Mothers and Preschool-Age Children
  Hyun-Yi Chai, Mi-Young Choi
  Journal of Korean Academy of Nursing.2021; 51(5): 630.     CrossRef
• The Relationship Between Mother’s Child-Rearing Attitude, Language Control Styles, and Preschool Child’s Social Competence
  Sunghee Park
  Child Health Nursing Research.2016; 22(2): 97.     CrossRef
• Relationship between Preschool Child-Mother Interaction, Child's Health Status, Health-Related Quality of Life, and Social Development.
  Sunghee Park
  Child Health Nursing Research.2014; 20(4): 255.     CrossRef

PURPOSE
This study was done to test the reliability and validity of the Korean parent as a teacher (KPAAT) inventory for a group of parents of preschoolers. METHODS: For this methodological study with 187 parents were recruited from October to December, 2004 using convenience sampling. Self-report questionnaires measured level of child-rearing attitude. Internal consistency reliability was assessed with Cronbach's alpha coefficients. Construct validity of KPAAT inventory was analyzed using item analyses and factor analysis. Statistical analysis was done using SPSS Program Version 14.0. RESULTS: The Cronbach's alpha coefficient for the KPAAT inventory was 0.881. For item analyses, inter-item correlation coefficients were -0.029~0.781. Corrected item-total correlation coefficients were 0.012-0.737. Item-to-subscale correlation coefficients ranged from 0.509 to 0.817. Subscale-to-total correlation coefficients were 0.965, 0.711, respectively. Orthogonal varimax rotation of the 85 items in 16 areas of the KPAAT inventory, showed two factors, positive parenting attitude and negative parenting attitude. These two factors explained 48.2% of the total variance. CONCLUSION: In the original KPAAT inventory six factors were identified through factor analysis, however, in this study only two factors were extracted. Whereas, internal consistency reliability was within an acceptable range, these results suggest additional studies are needed to improve the validity of the KPAAT inventory.

PURPOSE
This descriptive study was conducted to examine the status of the health examination in child care centers.
METHOD
The participants in this study were 631 child care centers. A self report questionnaire on health examination which has been examined for content validity, was distributed by mail to 2,000 child care centers using randomized sampling.
RESULT
Of the sample, 76.2% child care centers had done health examination for children. Height & weight, urinalysis, dental check, anemia test and visual acuity were the most frequently performed items. The rate for maintaining a health record was highest in the national/public child care centers. Child care centers more closely related to community health centers, showed higher rates of health examination. CONCLUSION: Health care personnel and financial aids should be provided for child care centers to enhance the level of health management of children.

PURPOSE
This comparative descriptive study was conducted to determine the effects of maternal employment on the maternal child-rearing attitude, child-rearing burden, and temperament and health related variables of their preschool children.
METHOD
Samples were recruited in child care centers in Seoul, Daejeon, and Suwon. 209 mothers with children age of three to six participated.
RESULT
Employed mothers showed more positive child-rearing attitude, but there was no significant difference in child-rearing burden, Also, maternal attitude and child-rearing burden were influenced by satisfaction on the employment state. Children's temperament subscales were not different in two groups. Breast feeding and compliance on vaccination were done better by unemployed mothers. However, home safety, experience of accident and hospitalization of children were not affected by maternal employment.
CONCLUSION
Maternal employment has positive influence in some aspects. This study provides basic data for parent counseling and anticipatory guidance for employed mothers.

PURPOSE
The purpose of this study were to develop a respiratory communicable disease prevention program for preschoolers and measure it's effects.
METHOD
The respiratory communicable disease prevention program for preschoolers consisted of texts, cartoons, photographs, discussions, demonstrations, puzzle games, die games, compensation/reinforcement, and token economy which were directed under the systematic design of instruction by Dick & Carey. This study was a quasi experimental study under the nonequivalent control group with pretest-posttest design. The subjects of this study were 45 preschool children who are attending 3 different district nursery schools and they were matched by the age, pretest knowledge, and pretest behavior. The instrument used in this study was criterion referenced test items that were developed by a researcher for evaluating the subject's knowledge, attitude, and behavior about respiratory communicable disease prevention. A pretest was administered a week before treatment. Experimental group I was administered by the treatment of respiratory communicable disease prevention program. Experimental group II was administered by above program with token economy program. The posttest was conducted on the eighth day. The third test for behavior was completed 15th day. To determine the effect of the program, the data were analyzed by the SAS 6.12 program with Kruskal Wallis test, ANCOVA, ANOVA, Duncan's test and paired t-test.
RESULT
1) There was a significant difference in knowledge between the experimental groups and control group(F=5.89, P=0.0197). 2) There was a significant difference in attitude between the experimental groups and control group(F=3.29, P=0.0469). 3) There was a non-significant difference in behavior between the experimental groups and control group(F=0.00, P=0.9512). 4) In the experimental group II, there was highly significant increase in behavior after token economy(t=4.5252, P=0.0005).
CONCLUSION
It was found that the respiratory communicable disease prevention program for preschool children was effective in changing the preschoolers' knowledge and attitude on the respiratory communicable disease prevention, but not enough for changing the preschoolers' behavior. Token economy was improved as an effective and strong method for inducing desirable changes of preschoolers' behavior.

The purpose of this study was to develop a nutrition education program for preschoolers, and to measure it's effects. This program consisted of text. pictures (cartoons), games and topics of discussion. This study was an experimental study undertaken by one pretest-posttest design group. The subjects were 17 preschoolers who were aged 5 and attending an educare center in Seoul. These were the effects of this program: The hypothesis of this study was that "the preschooler's score will be improved after education" was supported (t=5.177, p=.000). Several correlates were examined. There weren't significant differences between pretest and posttest in the importance of balanced nutrition; in the result of under-nutrition; that the black food-group precipitated dental carries and obesity; or the reaction of foods after meals. It is recommended that the nutrition education program not only contain content about the prevent of obesity, but also about the knowledge of various foods and their effects on the human body.

The purpose of this study was to investigate the experiences of accident and visiting emergency center, and the experiences of education about emergency care for parents. The subjects of this study were 117 mothers whose children are attending 9 different nursery schools or kindergartens. The instrument used in this study was developed by researchers and validated by nursing professor, first aid doctor and the president of nursery school, and consisted of 'most important thing in child rearing' ,'experiences of accident and visiting emergency center', 'type of trauma' and 'need for parent education program' the result of this study were as followed ; 1.There were 70.09% of the experience of visiting emergency center among the subjects. The cause of visiting emergency center were high fever and convulsion (42.86%), and trauma by accident (28.04%) 2. The most common type of the indoor accident were fall down and slipping(76.92%), the common type of trauma were contusion (76.92%), abrasion (47.01%), laceration (29.06%), dislocation or fracture (12.82%), burn (10.26%), piercing (8.55%). 3.47.01% of subjects had the experience of education about emergency care for parents. They were educated by child rearing journals (32.72%), small books which were published by hospitals or community health center (25.45%), mass media(21.8%), parent seminar (12.72%), nursery school or kindergarten (5.45%). In conclusion, the need of emergency care for children was strongly found. Therefore, on the basis of above results, the parent education program which fits their cognitive level and their health care needs So, it must be directed on the further study of parents' knowledge about emergency care for children. To enhance the effectiveness of program and accomplish the children's health promotion, advanced instructional media and demonstration must be included.

The purpose of this study was to measure the effect of safety education program in preschool children for accident prevention and improve their health through more systematic method. Data were collected from 584 preschoolers(247 preschooler are assigned to experimental group and 337 preschoolers are assinged to control group) from 4 to 6 years old using APP paper test which consists of questions and drawings. To experimental group, safety education were done 4 times within the time of 30 minutes per 1 time using education books, drawings, OHP. The findings of this study are as follows: 1.There were significant difference in movement( X2=18.732, p=.0000), behavioral character( X2=27.785, p=.000), synthetic judgement( X2=12.02, p=0.002). So, safety education program have effect on preschooler. 2.In the accident proneness on preschooler between experimental group and control group according to general characteristics, it proved significant difference in the case of accident prevention education were done, reasoning power( X2=10.48, p=.005), movement speed( X2=7.341, p=.025) and behavioral character( X2=18.86, p=.000), in the case of housing pattern is private house(individual house, yard?), reasoning power( X2=6.683, p=.035), movement speed( X2=12.76, p= .002) and behavioral character( X2=12.24, p=.002), in the case of housing pattern is mixed-type, movement speed( X2=6.935, p= .031) and behavioral character( X2=10.816, p=.004), in the case of housing pattern is over six stories, movement speed( X2=7.543, p=.023), in the case of subjects' age is 4 years old, movement speed( X2=16.5, p= .000) and behavioral character( X2=12.18, p=.002), in the case of subjects' age is 5 years old, movement speed( X2=7.519, p= .023), watchfulness( X2=6.372, p=.041), behavioral character( X2=14.74, p=0.001) and synthetic judgement( X2=14.5, p=.001), in the case of subjects' sex is male, life safety( X2=6.406, p=.041), movment speed( X2=22.86, p= .000), behavioral character( X2=13.72, p= .001) and synthetic judgement( X2=13.82, p=.001), in the case of subjects' sex is female, reasoning power( X2=12.57, p=.002) and behavioral character( X2=13.16, p= .001), in the case of childrens have past accidental experience, traffic safety( X2= 6.683, p=.035), in the case of childrens have no past accidental experience, reasoning power( X2=8.384, p=.015), movement speed( X2=20.6, p=.000), behavioral character( X2 =25.1, p=.000) and synthetic judgement( X2 =10.79, p=.005), in the case of children's order is first, reasoning power( X2=11.15, p=.004), movement speed( X2=11.92, p= .003) and behavioral character( X2=7.003, p=.030), in the case of children's order is second, movement speed( X2=6.694, p= .035), behavioral character( X2=26.9, p= .000) and synthetic judgement( X2=14.3, p= .001), in the case of nuclear family, reasoning power( X2=8.777, p=.012), movement speed( X2=19.0, p=.000), behavioral character ( X2=26.4, p=0.000) and synthetic judgement ( X2=9.999, p=.007), in the case of mothers' school career is under high school graduate, life safety( X2=8.023, p=.018), movement speed( X2=10.99, p=.004) and behavioral character( X2=6.777, p=.034), in the case of mothers' school career is beyond college graduate, reasoning power( X2=6.717, p= .035), movement speed( X2=8.963, p=.011), behavioral character( X2=25.03, p=.000) and synthetic judgement( X2=15.19, p=.001), in the case of mothers' age ranged 31-34, movement speed( X2=12.29, p=.002) and behavioral character( X2=14.17, p=.001), in the case of mothers' age ranged 35-39, movement speed( X2=9.859, p=.007), behavioral character( X2=9.095, p=.011) and synthetic judgement( X2=7.810, p=.020), in the case of mothers' age is over 40, life safety( X2 =5.593, p=.025), in the case of mothers' job is full-time, traffic safety( X2=6.032, p=.049) and reasoning power( X2=8.502, p= .014), in the case of mothers' job is part- time., movement speed( X2=10.99, p=.004) and behavioral character( X2=7.895, p= .019), in the case of mothers have no job, movement speed( X2=6.410, p=.041), movement stability( X2=6.879, p=.032), behavioral character( X2=27.72, p=.000) and synthetic judgement( X2=18.11, p=.000). The difference of accident proneness between experimental group and control group according to general characterists, it also showed that there were significant difference in behaviorl character compared to other area.. From this findings, we can guess that safety education program change and guide preschoolers' behavioral character to desirable direction.

The purpose of this study was to provide basic data on preschool children for accident prevention and improve their health through sound, safe living enviornment with safety education estabilished through more systematic method. Data were collected from 300 preschoolers(150 preschooler are assigned to experimental group and 150 preschoolers are assinged to control group) from 4 to 6 years old using APP paper test which consists of questions and drawings. To experimental group, safety education were done 4 times within the time of 30 minutes per 1 time using education books, video, OHP, slide. The findings of this study are as follows: 1.There were significant difference in behavioral character between experimental group and control group( chi 2=11.690, p= 0.003). So, safety education have effect on the behavioral character of preschooler. 2. In the accident proneness on preschooler between experimental group and control group according to general characteristics, it proved significant difference in the case of accident prevention education were done, movement stability( chi 2=8.844, p=0.012) and behavioral character( chi 2=6.699, p=0.035), in the case of housing pattern is mixed-type, behavioral character( chi 2=10.37, p=0.006), in the case of subjects' age is 4 years old, watchfulness( chi 2=9.525, p=0.009), in the case of subjects' age is 5 years old, behavioral character( chi 2=7.324, p=0.026), in the case of children's order is second, behavioral character( chi 2=14.31, p=0.001), in the case of children's sex is boy, living safety( chi 2=7.981, p=0.018), movement speed ( chi 2=6.661, p=0.036), bihavioral character( chi 2=8.837, p=0.012), in the case of children's sex is girl, reasoning power( chi 2 =9.78, p=0.008), in the case of childrens have no past accidental experience, behavioral character( chi 2=9.862, p=0.007), in the case of nuclear family, movement speed( chi 2=6.341, p=0.042) and behavioral character( chi 2=9.326, p=0.009), in the case of mothers' age is under thirty behavioral character( chi 2=16.40, p=0.000), in the case of mothers' school career is under high school graduate, behavioral character( chi 2 =8.375, p=0.015), in the case of mothers' school career is beyond college graduate, reasoning power( chi 2=9.803, p=0.007) and behavioral character( chi 2=6.205, p=0.045), in the case of mothers' job is part time, movement speed( chi 2=10.99, p=0.004), in the case of mothers have no job, movement stability( chi 2=8.490, p=0.014) and behavioral character( chi 2=10.11, p=0.006). The difference of accident proneness between experimental group and control group according to general characterists, it also showed that there were significant difference in behaviorl character compared to other area.. From this findings, we can guess that safety education change and guide preschoolers' behavioral character to desirable direction.

Disease prevention and health promotions are basically needed to be healthy, health education si the most useful mean to accomplish them, Preschool children are being developed, their health problem can effect their health status through their lives. This study was attempted to survey for status of health education of kindergarten for preshoolers and to provide the basic precious data for nursing intervention. The subjects were 51 kidergarten teachers. The data were collected by the questionnaires, which consists of 25 items concerning daily life habits of children and 1 item concerning the problems of health education for preschoolers. The data were analyzed by SAS program. The results of this study are as followed ; 1. The most frequently educated subjects were 'adequate and safe play' and 'hand washing', 'walking and running straightly', 'oral hygiene or tooth brushing', 'walking staires'. 2. The most frequently used teaching method was the explaining. 3. The most frequently used instructional media was the pictures. The slide films and OHP was seldomly used media. 4. The most effective teaching method which perceived by the kindergarten teachers was role play. Discussion and compensation/reinforcement were comparatively effective method also. 5. The most effective instructional media which perceived by the kindergarten teachers was a real object/model. 6. The problems of health education for preschoolers were 'deficiency of developed health educational programs' and 'inconsistency between parents' education and kindergarten teachers' education', 'deficiency of instructional media'. The other problems were ' the knowledge deficit of teachers themselves' and 'the difficulty of measure the effect of education', 'time deficit'.
Conclusion
ally, we have to realize the health of children is the future of our health, and reinforce the health education for preschoolers to accomplish the disease prevention and health promotion.