건강사정에 근거한 보육시설 영유아의 건강상태 및 건강관리 요구 -서울시 일개 구의 구립어린이집을 중심으로-
Assessment of Health Status in Children and Healthcare Needs in the Day Care Centers
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Purpose : To investigate the children's health status such as growth and development, current health problems, past medical history, health behaviors and parents' need for child health in day care centers. Methods : A cross-sectional descriptive study was conducted on 244 children at 6 day care centers in Seoul. Parents completed a structured questionnaire and research assistants conducted growth and development assessment, physical exam and surveyed children's health behaviors for a month, Feb 2007. Data analysis was conducted using SPSS Win, and analyzed through descriptive statistics. Results : For 26.6% of the children were chronic illness such as cold, atopy, asthma, respiratory disease, chronic renal failure, attention-deficit hyperactivity disorder. And 4.1% of them had acute disease. About eleven percent of children missed standard vaccination in partially. Failure of growth was found in 3.3% of subjects and there was 8.6% of them who were under weight and 7.8% were obese. The result of Korean Denver II developmental screening test showed 8.6% of subjects were classified as questionable or untestable. On the physical exam, 6.2% of the children had hypertension and about 8% did the other health problems. Many parents was unsatisfied with child health care and needed revision of facilities, health care provider for their children in child day care centers. Conclusion : As a result, quite a number of children in child day care centers had health problems. These results represent there is a need to develop and make provisions for health service programs for children in day care centers by health experts.
Abstract
Purpose : To investigate the children's health status such as growth and development, current health problems, past medical history, health behaviors and parents' need for child health in day care centers. Methods : A cross-sectional descriptive study was conducted on 244 children at 6 day care centers in Seoul. Parents completed a structured questionnaire and research assistants conducted growth and development assessment, physical exam and surveyed children's health behaviors for a month, Feb 2007. Data analysis was conducted using SPSS Win, and analyzed through descriptive statistics. Results : For 26.6% of the children were chronic illness such as cold, atopy, asthma, respiratory disease, chronic renal failure, attention-deficit hyperactivity disorder. And 4.1% of them had acute disease. About eleven percent of children missed standard vaccination in partially. Failure of growth was found in 3.3% of subjects and there was 8.6% of them who were under weight and 7.8% were obese. The result of Korean Denver II developmental screening test showed 8.6% of subjects were classified as questionable or untestable. On the physical exam, 6.2% of the children had hypertension and about 8% did the other health problems. Many parents was unsatisfied with child health care and needed revision of facilities, health care provider for their children in child day care centers. Conclusion : As a result, quite a number of children in child day care centers had health problems. These results represent there is a need to develop and make provisions for health service programs for children in day care centers by health experts.
참고문헌 (29)
- 김일옥, "보육시설의 건강검진 현황에 관한 조사연구", Journal of Korean Academy of Child Health Nursing, 11(3), pp.308~315 (2005), 아동간호학회
- 김지수, "서울시 1개구 구립 보육시설의 영유아 건강관리 실태", Journal of Korean Academy of Child Health Nursing, 12(1), pp.25~33 (2006), 아동간호학회
- 김지수, "보육시설 영유아의 건강상태 현황", 부모·자녀건강학회지, 10(1), pp.13~24 (2007)
- 김혜련, "보육아동의 건강·영양관리를 위한 보육서비스 개선과제", 보건복지포럼, 통권 : 85, pp.65~76 (2003)
- 김희순, "어린이집 보건교육과 건강관리 현황 분석", 보건교육건강증진학회지, 23(1), pp.109~123 (2006), 한국보건교육건강증진학회
- 김희순, "학령전기 아동의 건강문제 및 건강행위실태", Journal of Korean Academy of Nursing, 34(1), pp.182~190 (2004), 한국간호과학회
- 박기수, "일개 농촌 지역 유아의 성장발달 과정과 건강 상태", 한국모자보건학회지, 6(1), pp.107~122 (2002), 한국모자보건학회
- 방경숙, "일개 시 보건소의 영유아 성장발달 스크리닝 결과 분석", Journal of Korean Academy of Child Health Nursing, 8(3), pp.302~312 (2002), 아동간호학회
- "보육통계"[URL]
- "영유아보육법"[URL]
- 2005국민건강영양조사, "보건복지부", 보건복지부, ~ (2006)
- 신희선, "한국형 Denver 검사지침서" (2002), 현문사
- 정주미, "전라북도 아동의 예방접종 실태에 관한 조사연구", 석사, pp.2002
- "장래인구추계"[URL]
- 한경자, "보육시설 영유아의 건강관리를 위한 특수교육 요구조사Ⅰ-부모의 요구를 중심으로-", Journal of Korean Academy of Child Health Nursing, 13(1), pp.43~50 (2007), 아동간호학회
- 한경자, "보육시설 영유아의 건강관리를 위한 특수보육 요구조사 Ⅱ - 보육교사의 요구를 중심으로 -", Journal of Korean Academy of Child Health Nursing, 13(2), pp.128~135 (2007), 아동간호학회
- 홍창의, "소아과학" (2004), 대한교과서주식회사
- Alkon A, "Health assessment in child care centers: parent and staff perceptions", Pediatr Nurs, 25(4), pp.439~442 (1999)
- American Academy of Pediatrics, "Developmental surveillance and screening of infants and young children", Pediatrics, 108(1), pp.192~196 (2001)
- Ball JW, "Pediatric nursing: caring for children(4th ed)" (2008), Pearson Education Inc, Pearson Prentice Hall
- Ball TM, "Wright AL. Influences of attendance at day care on the common cold from birth through 13 years of age", Arch Pediatr Adolesc Med, 156(2), pp.121~126 (2002)
- Crowley AA, "Conneticut's new comprehensive and universal early childhood health assessment form", J Sch Health, 75(8), pp.281~285 (2005)
- Frankenburg WK, "The Denver developmental screening test", J Pediatr, 71(2), pp.181~191 (1967)
- Kashiwagi Y, "Cytomegalovirus DNA among children attending two day-care centers in Tokyo", Pediatr Int, 43(5), pp.493~495 (2001)
- Lu N, "Child day care risks off common infectious diseases revisited", Child Care Health Dev, 30(4), pp.361~368 (2004)
- Masuda K, "Incidences of nasopharyngeal colonization of respiratory bacterial pathogens in Japanese children attending day-care centers", Pediatr Int, 44(4), pp.376~380 (2002)
- Pender NJ, "Health promotion in nursing practice 5th ed" (2006), Pearson Prentice Hall
- Thacker SB, "Infectious diseases and injuries in child day care", JAMA, 268(13), pp.1720~1726 (1992)
- Whaley LF, "Essentials of pediatric nursing 4th ed" (2007), Mosby Co