Research in Community and Public Health Nursing

Original Articles

The Relation among Uncertainty, Social Support, Care Burden of Mothers having Children with Developmental Disabilities: Kyoung Eun Jeong, Min Hyun Suk; Res Community Public Health Nurs. 2023;34(2):117-126. Published online June 30, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00346

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Purpose
This descriptive correlation study aimed to confirm the relation among uncertainty, social support, care burden of mothers having children with developmental disabilities.
Methods
The participants were 111 mothers having children with autistic spectrum disorder or intellectual disability. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient and multiple regression using IBM SPSS 23.0 in the study.
Results
Uncertainty and social support were significantly correlated to caregiver burden. As a result of multiple regression analysis, the factors affecting caregiver burden were children’s age, the expense for caring, the period suspected child disabilities, and uncertainty. These factors accounted for 40.8% of caregiver burden.
Conclusion
In order to reduce the burden of caring for mothers with children with developmental disabilities, it is necessary to establish a system that can detect children with developmental disabilities early and to develop and provide an integrated guide suitable for the growth and development stage of children with developmental disabilities.

Citations

Citations to this article as recorded by

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

The Burden of Aged Parents Caring for Adult Children with Disabilities: Min Hyun Suk, Eun Hye Kim; J Korean Acad Community Health Nurs. 2010;21(4):439-447. Published online December 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.4.439

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Abstract PDF: PURPOSE
This study was to describe the burden of aged parents caring for adult children with disabilities and related factors.
METHODS
The subjects were 123 caregivers aged over 65 who were caring for 18-year-old or older children with disabilities. The research tool of this study was a structured questionnaire on family burden. Data were collected from June 3 to 25, 2010, and analyzed by Cronbach's alpha, mean, standard deviation, t-test, and ANOVA using SAS 9.2 program.
RESULTS
The major findings of this study were as follows. Elderly parents caring for adult children with disabilities perceived a moderate level of burden. The burden from concern over their children's future was highest, and economic and physical burdens were higher when the parents were younger. Burden was significantly different according to parents' characteristics such as gender, perceived health status, disease, the costs of caring for disabled children, and children's characteristics such as disability rating, health status, and ADL.
CONCLUSION
In order to reduce the burden of elderly parents caring for adult children with disabilities, we need to improve their health status and assess comprehensive policies.

A Preliminary Study on the Classification of Visiting Nursing Service Recipients and the Development of Standardized Visiting Nursing Service Pathways Based on Public Health Center: Ho Shin Ryu, Min Hyun Suk, Rah Il Hwang, Dal Lae Chin; J Korean Acad Community Health Nurs. 2005;16(4):381-391. Published online December 31, 2005

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Abstract PDF: PURPOSE
The purpose of this research is to develop and classify district visiting nursing standards and to standardize visiting nursing service pathways.
METHOD
This research was conducted as a focus group study and analyzed visiting nursing records. We surveyed 201 recipients at urban health centers, who were selected through convenient sampling, from April 2003 to November 2003.
RESULT
First, visiting nursing service recipients were classified into four groups according to household and financial characteristics, existence of disease, ability of self-care, and existence of home care service needs. Standardized pathways of the selected items were assessment. nursing care plan, disease management and promotion of self-care ability for Level I (mean=12.2 visits). For Level II (7.3 visits) were offered assessment. disease management. health education. and health promotion services. For Level III (5.2 visits) were offered assessment. disease management. health education and health promotion services, and for Level IV (2.7 visits) were offered thorough assessment, education for self-care and health promotion.
CONCLUSION
The visiting nursing service pathways identified in this research need to be developed further as basic materials applicable to quality assurance and agency evaluation. For this, we suggest repeated research and test to apply the derived standardized visiting nursing services pathways in visiting nursing programs.

A Study on Evaluation of District Visiting Nursing Services of Urban Health Center: Ho Shin Ryu, Rah Il Hwang, Min Hyun Suk, Dal Lae Chin; J Korean Acad Community Health Nurs. 2005;16(2):127-136. Published online June 30, 2005

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Abstract PDF: PURPOSE
The purpose of this study was to present the outcomes of the district visiting nursing services.
METHOD
We analyzed nursing records and inspected public health center data for evaluating nursing tasks. and conducted a telephone survey of 651 district inhabitants.
RESULTS
According to the result, the coverage of the district population, the rate of new registration and overall program activities increased. Meanwhile, accessibility of visiting health care, the level of health problem management, personal cognition and satisfaction concerning visiting nursing care increased, but there was little change in personal perception of health improvement. Furthermore, the status of client management was improved. In the analysis of participation in national cancer screening program, we found that there was twice higher participation in the district than others.
CONCLUSION
We suggest that this district visiting nursing system takes responsibility for district inhabitant health management. Based on the study, we also suggest that the government and local autonomous entities should increase administrative and financial supports to execute the district-based visiting nursing system in wider areas.

An Evaluation of the Visiting Nursing Service Model Based on the District Management System: focused on stroke patients: Ho Shin Ryu, Min Hyun Suk, Rah Il Hwang, Dal Rae Jin; J Korean Acad Community Health Nurs. 2005;16(1):5-12. Published online March 31, 2005

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Abstract PDF: No abstract available.

A Study on Health Promotion Behavior, Perceived Stress and Constipation of Female University Students: Suk Yong Kil, Won Oak Oh, Min Hyun Suk; J Korean Acad Community Health Nurs. 2004;15(4):600-607. Published online December 31, 2004

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Abstract PDF: PURPOSE
This study was conducted to examine the relationship among health promotion behavior, perceived stress and constipation.
METHOD
The subjects of this study consisted of 212 female university students. The data was collected using questionnaires from October to December, 2003 and analyzed t-test, ANOVA, Pearson Correlation Coefficients using SAS.
RESULT
The subjects with difficulties in bowel elimination were 57.6% and there was a significant negative correlation between health promotion behavior and constipation.
CONCLUSION
Data from this study suggest that constipation is an important health problem among female university students and needs further research to understand factors related to constipation.

Factors Influencing Osteoporosis: Jin Kyung Lee, Eun Ju Kim, Min Hyun Suk, Eun Young Kim, La Il Hwang; J Korean Acad Community Health Nurs. 2003;14(2):253-262. Published online June 30, 2003

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Abstract PDF: PURPOSE
This study was carried out to identify factors influencing osteoporosis in women at pre- and post-menopausal state.
METHODS
The subjects of this study were 52 pre-menopausal and 125 post-menopausal women who were assessed of bone density in one general hospital. The data were collected through review of clinical records and telephone interviews using a questionnaire.
RESULTS
In the pre-menopausal women, the factors influencing osteoporosis were regular exercise (protective factor) and age (risk factor). Regression analysis showed that the factors attributable to osteoporosis included educational level, weight, age and number of pregnancy, accounted for 41.89% of the total variance. In the post-menopausal women, the factors influencing osteoporosis were age (risk factor), low educational level (risk factor), low economical state (risk factor), high parity (risk factor), and intake of coffee (protective factor). Regression analysis also showed that factors attributable to their osteoporosis included age, educational level, number of delivery, intake of the coffee, regular exercise, number of pregnancy and duration of oral pill intake, accounted for 37.41% of the total variance.
CONCLUSION
In pre-menopausal women, regular exercise was one of the most powerful determinant of their bone mass. Therefore, it is necessary to participate in a regular exercise program to maintain peak bone mass density prior to the onset of menopause. In post-menopausal women, increased age was the most influencing factor of their bone mass. Therefore, it is essential to establish early diagnosis and management of osteoporosis after menopause.

Determinants of Health Status in Adolescents: Min Hyun Suk, Won Oak Oh; J Korean Acad Community Health Nurs. 2002;13(3):493-502. Published online September 30, 2002

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Abstract PDF: PURPOSE
This study was conducted to measure the levels of Health status, perceived stress, self-esteem, and achievement motivation and assertive behavior of adolescents. The relationships among these variables as well as predictors of health status were examined.
METHOD
The sample was composed of 496 students (male: 195, female: 301) from 3 high schools in Seoul and Kyunggi-Do regions. The instruments used in this study were as follows: health status scale developed by Noh (1991), perceived stress scale developed by Park(1996), self-esteem scale developed by Rosenberg (1965), achievement motivation scale developed by Park(1986) and assertive behavior scale developed by Kim(1982). The reliability of the five instruments were examined using Chronbachs' alpha that ranged from .63 to .90 in this study. The data were analyzed with the SAS program using descriptive statistics, t-test, ANOVA, Duncan multiple comparison, Pearson correlation coefficients, and stepwise multiple regression.
RESULTS
The results were as follows: 1. The mean score of health status was 3.1, which was higher than the median of the instrument. 2. There were significant correlations of health status with self-esteem (r=.381, p=.0001), assertive behavior (r=.503, p=.0001), and perceived stress (r=-.352, p=.0001). 3. Stepwise multiple regression analysis showed that 34% of health status was affected by the level of assertive behavior (25%), self-esteem (7%), and perceived stress (2%).
CONCLUSION
Based on these findings, assertive behavior and self-esteem appear to be specific important areas of future research as to better understand the health status of adolescents, and to develop health status-related interventions for them.

A Study of the Relationship between Perceived Stress, Self Respect & Stress Response in High School Students: Min Hyun Suk, Jeoung Weon Park; J Korean Acad Community Health Nurs. 2000;11(2):556-565. Published online December 31, 2000

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Abstract PDF: The purpose of this study was to investigate the relationship between perceived stress. self respect & stress response of high school students to provide the basic data for nursing intervention programs in order to manage stress in students. The subject of this study was 279 students (male; 179. female; 100) in high school. Seoul. Korea. during the period from July. 2000. The instruments for this study was a stress management scale developed by Park Young Ae(l996), a self respect scale by Coopersmith (1967) and a physical. emotional response scale to stress by Ro, Jae Hak(1991). The data was analyzed by descriptive statistics, t-test. Pearson correlation coefficient. The results of analysis were as follows: 1) Total perceived stress between males & females didn't show a significant difference but subgroups of stress, 'parent' & 'friend' showed significant differences. Male students were experienced in 'parent' stress than females and female students were more experienced in 'friend' stress than males. 2) A significant negative correlation was revealed between perceived stress & self respect. 3) A significant positive correlation was revealed between self respect & stress response. The result of this study lead us to the suggestion that for high school students. the development of stress management methods for improving self respect should be expanded.

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