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안영미,손민,김남희,강나래,강승연,정은미,Ahn, Youngmee,Sohn, Min,Kim, Namhee,Kang, Narae,Kang, Seungyeon,Jung, Eunmi 한국아동간호학회 2017 Child Health Nursing Research Vol.23 No.4
Purpose: Maintaining body temperature is a key vital function of human beings, but little is known about how body temperature of highrisk infants is sustained during early life after birth. The aim of this study was to describe hypothermia in high-risk infants during their first week of life and examine demographic, environmental, and clinical attributors of hypothermia. Methods: A retrospective longitudinal study was done from January 1, 2013 to December 31, 2015. Medical records of 570 high-risk infants hospitalized at Neonatal Intensive Care Units (NICU) of a university affiliated hospital were examined. Body temperature and related factors were assessed for seven days after birth. Results: A total of 336 events of hypothermia (212 mild and 124 moderate) occurred in 280 neonates (49.1%) and most events (84.5%) occurred within 24 hours after birth. Logistic regression analysis revealed that phototherapy (aOR=0.28, 95% CI=0.10-0.78), Apgar score at 5 minute (aOR=2.20, 95% CI=1.17-4.12), and intra-uterine growth retardation or small for gestational age (aOR=3.58, 95% CI=1.69-7.58) were statistically significant contributors to hypothermia. Conclusion: Findings indicate that high-risk infants are at risk for hypothermia even when in the NICU. More advanced nursing interventions are necessary to prevent hypothermia of high-risk infants.
미숙아로 출생한 학령전기 아동의 비만도 측정과 관련 특성
안영미,손민,이상미,Ahn, Youngmee,Sohn, Min,Lee, Sangmi 한국아동간호학회 2018 Child Health Nursing Research Vol.24 No.2
Purpose: This study was conducted to measure adiposity and to investigate related factors in preschoolers born prematurely. Methods: A longitudinal follow-up study was conducted with 52 preschoolers at 5 years of corrected age among 343 preterm infants. Their adiposity status was evaluated based on measurements of body mass index, subscapular and triceps skin fold thickness (SFT), waist circumference, waist-to-height ratio, and mid-arm circumference at a home visit. Results: The findings showed that SFT measurements, particularly at the triceps, reflected the degree of adiposity more accurately than other conventional measures. A shorter gestation, older maternal age, and the mother having more years of formal education were associated with higher levels of adiposity in the preschoolers. Conclusion: The adiposity of children born prematurely needs to be thoroughly monitored with additional SFT measurements, considering the risk of accelerated growth patterns overriding regular catch-up growth in children born prematurely.
학령기 아동의 가족환경 건강문제 및 건강위험행위 간의 관계
최선하(Sun-Ha Choi),손민(Min Sohn),안영미(Young-Mee Ahn) 한국생활환경학회 2011 한국생활환경학회지 Vol.18 No.5
This is a cross sectional descriptive study to explore family environment (family structure and family function) health problems and health risk behaviors and to determine the relationships among them in school aged children. A structured questionnaire was used to collect the data from children in four elementary schools and their parents. The data of 1,882 children and same number of their parents were included in data analysis. The majority of their family type was a nuclear family (79.7%); 71% of fathers and 28% of mothers were regularly employed; parents were well educated; and the average number of householder was four. Their mean Family APGAR score was 7.4 (±2.04) which refers highly functional families. In children 32% had any kind of health problems and the most common health problem was atophy/allergy (15.7%). Their most common health risk behavior was alcohol drinking (42%) followed by being attacked with sexual verbalism (32.2%). Being highly functional family was associated with a nuclear family (F=5.750 p<.001) having regularly employed fathers (F=54.306 p<.001) not employed mothers (F=13.191 p<.001) well educated parents (father F=55.970 p<.001; mother F=55.103 p<.001) and absence of children's health problems (t= 7.753 p=.005). Trying health risk behaviors seems associated with lower Family APGAR score but the results were not statistically significant. In conclusion family environment health problems and health risk behaviors in school age children were all associated with each other. It is highly recommended to consider family environment to assess and intervene health problems and health risk behaviors in school age children.