Translation and Validation of a Health‐Related Quality of Life Instrument for 18‐60‐Month‐Old Children in Korea

방경숙,박성희,강현주 한국아동간호학회 2015 Child Health Nursing Research Vol.21 No.2

Purpose: The purpose of this study was to validate the Korean version of the TNO-AZL Preschool Children Quality of Life (TAPQOL) questionnaire for children aged 18–60 months. Methods: The participants were 223 mothers of healthy children from nurseries and kindergartens, and 54 mothers of hospitalized children from a university children’s hospital in Korea. Data were collected in 2011. Principal component factor analysis and known-groups method were used to confirm construct validity, and internal consistency was used to determine reliability. Results: According to the factor analysis, 11 factors with an eigenvalue over 1 were extracted, and these factors explained 73.5% of the variance. All dimensions except two had Cronbach’s alpha coefficients greater than .7. The mean TAPQOL scores of the hospitalized group were significantly lower than those of the healthy group (p=.001) for all four functions (physical, emotional, social, and cognitive). Conclusions: The TAPQOL showed acceptable validity and reliability, and can be used to measure children’s health-related quality of life in Korea, and can be considered for use in other Asian countries.

미취학아동 어머니의 모자보건관련 특성, 양육부담감, 사회적지지에 대한 사회계층별 비교

방경숙 한국아동간호학회 2007 Child Health Nursing Research Vol.13 No.4

본 연구에서 빈곤계층인 기초생활 수급자나 차상위 계층은 학력이 낮고 결혼상태가 불안정하며 , 주양육자가 어머니가 아닌 경우가 많았다 . 또한 산전관리가 소홀하고 다수가 임신, 출산 관련 건강문제를 경험하며 , 모성건강과 사회적 지지체계가 미약한 편인 것으로 나타났다 . 이들은 보건소에 대한 접근성이 떨어져 이용경험이 저조하나 건강관리 및 부모교육에 대한 요구도는 높았다 .따라서 향후 보건소 사업에 대한 적극적인 홍보를 실시하며, 접근성이 떨어지는 빈곤계층에 대해서는 건강 서비스의 불평등을 해소하기 위해 보건소를 찾아오는 주민대상 서비스에서 찾아가는 서비스로의 일부 전환을 고려해야만 하겠다 . 미취학아동 어머니의 모자보건관련 특성, 양육부담감, 사회적지지에 대한 사회계층별 비교아동간호학회지 13(4), 2007년 10월 397또한 접근성도 향상시키면서 가정마다 일일이 방문하는 시간과 인력을 감소시킬 수 있는 효율적인 방안으로 근거리 지역 중심의 소규모 집단 교육을 고려해 볼 수 있을 것이다. 본 연구에서 빈곤계층의 모자보건 변인이 취약한 것으로 나타났는데, 이는 자녀에게도 영향을 미치므로 향후 빈곤계층의 자녀양육에 대한 기초조사 연구가 필요할 것으로 생각된다 .

Effects of a Community Outreach Program for Maternal Health and Family Planning in Tigray, Ethiopia

방경숙,채선미,이인숙,유주연,김잔디 한국간호과학회 2018 Asian Nursing Research Vol.12 No.3

Purpose: We examined the effects of a community outreach program for maternal health in Tigray, Ethiopia, on women’s knowledge about pregnancy, childbirth, postpartum care, and family planning, and assessed their participation in antenatal care, postpartum checkups, institutional childbirth, and contraceptive use. Methods: We recruited Ethiopian women of reproductive age (15 to 49 years) in Tigray, Ethiopia. Two villages in Tigray, Kihen and Mesanu, which have similar population sizes and living environments, were chosen as the intervention and comparison groups, respectively. A two-group pretest-posttest design with cluster sampling was employed. We conducted self-report questionnaire surveys using face-to-face interviews. The 2.5-year community outreach program was developed based on Rogers’ diffusion of innovation theory. It consisted of mass media use and health education for lay women in the community, along with training of health care providers, including nurses, midwives, and health extension workers, in maternal health care. Results: The intervention group showed significant increases in knowledge and behaviors regarding maternal health and family planning compared to the comparison group (p < .001). In particular, there was a dramatic increase from 10.8% to 93.5% in the institutional birth rate in the intervention group. Conclusion: The community outreach program and health care professional training effectively improved knowledge and behaviors regarding maternal health in Ethiopian women. Mass media and interpersonal communication channels for health education may be useful health interventions in developing countries.

영유아 어머니와 간호학 전공 대학원생의 영유아 건강증진행위 중요도에 대한 인식

방경숙,권미경,최미영,허보윤,정소피아지혜 한국아동간호학회 2012 Child Health Nursing Research Vol.18 No.2

Purpose: This study was done to examine the importance of health promotion behavior for infants and toddlers as perceived by mothers of children in early childhood, and graduate students in nursing and to provide information for health promotion in early childhood. Methods: This study was a cross-sectional survey research study. The participants were 91 mothers of children in early childhood, and 115 graduate students in nursing. Results: The comparisons showed that graduate students in nursing reported higher perception of the importance health promotion behavior for infants and toddlers than did the mothers. In health promotion behavior, the highest score was in the category of safety. Conclusion: Providing information by nurses is necessary to promote health promotion behavior for mothers of children in early childhood. Therefore, it is important for healthcare professionals to develop effective programs for these mothers who want to promote good health promotion behavior in their children.

미숙아의 12개월, 24개월 발달 영향요인에 대한 전향적 연구

방경숙,강현주 한국아동간호학회 2018 Child Health Nursing Research Vol.24 No.1

Purpose: This prospective study aimed to examine the development of premature infants at 12 and 24 months and to explore the factors related to their development. Methods: Of the 80 premature infants who were recruited, 52 participants at 12 months and 31 participants at 24 months were included in this study. The development of the infants was examined using the Korean Bayley scale of infant development-II. Postnatal depression, husband’s support, social support, mother-infant attachment, and the home environment were assessed using self-report questionnaires completed by the mothers and through the researcher’s observations. Results: There was significant difference between normal and delay group at psychomotor development at 12 months depending on social support at 6 months (t=2.03, p=.049). Mother-infant attachment at 6 months (r=.71, p<.001), 12 months (r=.37, p=.043), and 24 months (r=.40, p=.026), as well as social support (r=.38, p=.034) and the home environment (r=.41, p=.022) at 24 months, were correlated to mental development at 24 months. There was a significant positive correlation between mother-infant attachment at 6 months and psychomotor development at 24 months (r=.40, p=.046). Conclusion: To reduce the risk of developmental delay and to promote healthy development in premature infants, early nursing interventions targeting mother-infant attachment, the home environment, and the mother’s social support structure are needed.

미숙아와 어머니의 인구사회학적, 임상적 특성과 산후우울과의 관련성

방경숙,강현주,권미경 한국아동간호학회 2015 Child Health Nursing Research Vol.21 No.1

목적본 연구의 목적은 미숙아의 퇴원 시점에 미숙아 어머니의 산후우울정도를 확인하고 미숙아와 어머니의 인구사회학적, 임상적 특성과 산후우울과의 관련성을 조사하는 것이다. 방법본 연구는 자가 보고식 설문조사 방법과 의무기록 조사 방법을 사용하여 자료를 수집하였으며 연구 대상자는 서울시 2개 대학병원과시립병원, 강릉시 1개 종합병원에서 미숙아로 출생하여 신생아중환자실에 입원한 환아 중에서 퇴원이 예정된 환아와 그 어머니 80명이다. 결과미숙아 어머니의 산후우울 점수의 평균은 9.75±5.06점이었고 산후우울의 위험이 있다고 판단되는 12점 이상군은 전체의 30.0%였다. 산후우울과 관련된 변수는 어머니의 교육 수준(F =3.493, p =.035)과 가정 내 월 소득(F=5.828, p =.004), 다태아 여부(t=2.141, p =.037), 융모양막염(t=2.349, p =.021), 양수과소증(t=-2.226, p =.029), 기관지폐이형성증(t=2.085, p =.040), 배기질출혈(t=2.259, p =.027) 여부, 개정판 NBRS점수(t=-2.772, p =.007)였다. 그리고 산후우울과 미숙아의 입원 시 주요 건강문제의 개수의 합(r=.252, p =.024)과 개정판 NBRS 점수(r=.316, p =.004)와는 유의한 정적 상관관계를 보였다. 결론미숙아 어머니들의 산후우울의 위험에 대한 관심이 요구되며 미숙아의 객관적 건강 상태뿐 아니라 사회경제적 수준 등 산후우울에 영향을 미칠 수 있는 다양한 변인을 고려하여 미숙아 어머니의 산후우울 정도를 감소시키기 위한 중재 전략이 마련되어야 할 것이다.

Analysis of Risk Factors in Children with Suspected Developmental Delays on the Denver Developmental Screening Test

방경숙 한국아동간호학회 2008 Child Health Nursing Research Vol.14 No.3

Purpose: This study was conducted to estimate the prevalence of questionable development according to developmental screening testing for children, and to explore biological and environmental risk factors of developmental delays. Method: The study participants were 153 children under two years of age. A questionnaire and Home Observation for measurement of the Environment (HOME) inventory were used to collect data, and Korean Denver II was administered. Results: The overall prevalence of questionable development was 11.1%. Significant differences in biological factors between the normal development group and questionable development group were the rate of prematurity, twins, the educational level of mother and father's and the presence of an illness in the mother (p<.10). Maternal acceptance in HOME was significantly different between the two groups. The factors related to questionable development that were significant in the logistic regression analysis were prematurity (OR=3.56, p=.026), and maternal acceptance in HOME score (OR=.629, p=.028). Conclusion: Early developmental screening tests seem necessary for all children, especially for prematurely born children. Also, child rearing environments were identified as significant factors in the development of all children. These findings suggest that the HOME scores might be useful in identifying children at risk for developmental delays, and that interventions for these children will probably be more effective if their mothers are helped to provide a more appropriate social environment.

일개 시 보건소의 영유아 성장발달 스크리닝 결과 분석

방경숙,김용순,박지원,이혜정 한국아동간호학회 2002 Child Health Nursing Research Vol.8 No.3

-Key concept : Developmental screening test, DDST, Developmental delay

보육교사의 안전에 대한 태도, 지식, 실천 및 관련요인

방경숙 한국아동간호학회 2005 Child Health Nursing Research Vol.11 No.1

Purpose: To investigate the attitude, knowledge, and practice of safety and related factors of teachers in child care centers. Methods: The total sample consisted of 116 teachers from child care centers in Kyunggi Province. A questionnaire and checklist were used to collect data, which was analyzed with SPSS 11.5 Win program Results: Most of the teachers were anxious about child accidents, and thought of safety as a primary concern. The mean score for knowledge on safety was 10.23, and the rate of correct answers ranged from 34.8% to 98.3%. The mean score on practice of safety was 42.01. Teachers with higher education showed significantly higher scores in safety efficacy. Teacher's knowledge on safety was significantly different depending on the experience of safety education, but this did not apply to safety practice. Safety practice was significantly related to confidence in safety performance, health beliefs on safety, stress, and social support, but not related to knowledge of safety. Conclusion: Psychosocial factors were found to be important in safety practice. Related factors found in this study should be considered when providing safety programs for child care centers.

신생아집중치료실 캥거루케어에 대한 간호사와 의사의 인식

방경숙 한국아동간호학회 2011 Child Health Nursing Research Vol.17 No.4

본 연구는 국내 대학병원을 중심으로 캥거루케어 여부를 조사하고, 캥거루케어의 인식과 장애요인을 파악하여 캥거루케어의 국내 임상적용을 위한 기초자료를 제공하고자 시도되었다. 간호사와 의사 모두 캥거루케어에 대해서는 대체로 긍정적인 편이어서 캥거루케어가 애착을 촉진시키고 신체적 건강에 효과가 있으며 부모의 자신감을 증진시킨다는 항목에 대체적으로 동의하는 것으로 나타난 반면, 삽관하고 있거나 1,000 g 이하의 미숙아, 출생 후 몇 시간 이내의 신생아에게 시행하는 캥거루케어에 대해서는 외국에서 실제 캥거루케어를 시행하고 있는 병원의 의료진보다 부정적인 평가를 하였다. 캥거루케어에 대한 주요 장애요인으로는 캥거루케어로 인해 삽관이나 혈관이 빠질 수 있다는 두려움과 안전과 관련한 두려움인 것으로 나타났으며, 결혼을 하였거나 임상경력이 많은 간호사는더 긍정적인 태도를 보였다. 특히 캥거루케어를 현재 시행하고 있는 경우 그렇지 않은 경우에 비해 캥거루케어에 대한 장애를 낮게 인식하고 있다는 것은 캥거루케어 시행 시의 현실적인 문제보다 시행도 해보기 전 우려가 많아 장애가 되고 있음을 나타내는 결과이다. 따라서 캥거루케어의 확산을 위해서는 의료진들부터 이에 대한 적절한 인식이 필요하며 향후 적용을 위해서는 적용대상 기준과 안전에 대한 지침을 마련하고 적절한 교육을 통해 준비시킬 필요가 있겠다.