장애아동의 건강관련 행동문제 및 건강에 대한 어머니의 인식과 돌봄 행위
Mothers' Perception about the Health State of Disabled Children and Caring Behaviors for their Children
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives : This study was performed to investigate the mothers' perception about the health state of disabled children and mothers' caring behaviors for their children. Methods : Mothers (N=364) with disabled children from day-care centers completed a structured questionnaires from January to March, 2007. Descriptive statistics, ANOVA, t-test, Turkey, Dunnett's T3 and multiple logistic regression with SPSS/WIN program were used to analyze the data. Results : About 91.3% of the disabled children had behavioral problems on eating, activity, sleep, elimination and communication. Nevertheless, 81.9% of the mothers perceived that their disabled children were healthy because they don't have common cold (30.8%) and could eat, play, sleep well (26.4%) and didn't also have any activity limitations (4.1%). These mothers' perception about their children's health state was affected by types of disability (p=0.001), behavioral problems (p<0.001) and mothers' educational level (p=0.013). In mothers' caring behaviors, there were significant differences according to children's age, mothers' educational levels, family income and mothers' perceptions about their children's health state. Conclusion : These results may contribute to a better understanding of mothers' perceptions about the health state of disabled children and caring behaviors for their children. Therefore health programs for helping mothers and promoting disabled children's health may need to be considered factors such as types of disability, behavioral problems and mothers' educational level.
Abstract
Objectives : This study was performed to investigate the mothers' perception about the health state of disabled children and mothers' caring behaviors for their children. Methods : Mothers (N=364) with disabled children from day-care centers completed a structured questionnaires from January to March, 2007. Descriptive statistics, ANOVA, t-test, Turkey, Dunnett's T3 and multiple logistic regression with SPSS/WIN program were used to analyze the data. Results : About 91.3% of the disabled children had behavioral problems on eating, activity, sleep, elimination and communication. Nevertheless, 81.9% of the mothers perceived that their disabled children were healthy because they don't have common cold (30.8%) and could eat, play, sleep well (26.4%) and didn't also have any activity limitations (4.1%). These mothers' perception about their children's health state was affected by types of disability (p=0.001), behavioral problems (p<0.001) and mothers' educational level (p=0.013). In mothers' caring behaviors, there were significant differences according to children's age, mothers' educational levels, family income and mothers' perceptions about their children's health state. Conclusion : These results may contribute to a better understanding of mothers' perceptions about the health state of disabled children and caring behaviors for their children. Therefore health programs for helping mothers and promoting disabled children's health may need to be considered factors such as types of disability, behavioral problems and mothers' educational level.
참고문헌 (30)
- 김혜영, "발달장애 아동 어머니의 자녀 건강요구 경험 -포커스 그룹 인터뷰를 활용한-", 간호과학, 16(1), pp.44~50 (2004)
- "장애인 실태 조사보고"[URL]
- 양숙자, "신체적 장애아 가족의 스트레스와 적응 과정에 관한 고찰", 대한간호학회지, 29(2), pp.238~247 (1999)
- 이경희, "정신지체아 가족의 스트레스와 적응과의 관계", 대한간호학회지, 24(4), pp.666~677 (1994)
- 이애란, "학령전기 장애아동의 건강증진을 위한 어머니의 행위 측정도구 개발", Journal of Korean Academy of Child Health Nursing, 13(4), pp.444~453 (2007), 아동간호학회
- "경제활동인구조사"[URL]
- Ayyangar R, "Health maintenance and management in childhood disability", Phys Med Rehabil Clin N Am, 13, pp.793~821 (2002)
- Baker BL, "Pre-school children with and without developmental delay: behavioral problems and parenting stress over time", J Intellect Disabil Res, 47(4), pp.217~230 (2003)
- Bandura A, "Self-efficacy: The exercise of control (9th ed.)" (1997), Freeman and Company
- Bor W, "Correlates of self-reported coercive parenting of preschool-aged children at high risk for the development of conduct problems", Aust N Z J Psychiatry, 38(9), pp.738~745 (2004)
- Edelman CL, "Health promotion throughout the lifespan(5th ed.)" (2002), Mosby
- Emerson E, "Socio-economic position, household composition, health status and indicator of well- being of mothers of children with and without intellectual disabilities", J Intellect Disabil Res, 50(12), pp.862~873 (2006)
- Glidden LM, "Personality, coping style and well-being of parents rearing children with developmental disabilities", J Intellect Disabil Res, 50(12), pp.949~962 (2006)
- Green SE, ""We're tired, not sad": benefits and burdens of mothering a child with disability", Soc Sci Med, 64(1), pp.150~163 (2007)
- Hassall R, "Parenting stress in mothers of children with an intellectual disability: the effects of parental cognitions in relation to child characteristics and family support", J Intellect Disabil Res, 49(6), pp.405~418 (2005)
- Hastings RP, "Early intensive behavioral intervention for children with autism: parental therapeutic self-efficacy", Res Dev Disabil, 23(5), pp.332~341 (2002)
- Harty M, "Maternal self-efficacy and maternalperception of child language competence in pre-school children with a communication disability", Child Care Health Dev, 33(2), pp.144~154 (2006)
- Johnson BS, "Mothers' perceptions of parenting children with disabilities", MCN Am J Matern Child Nurs, 25(3), pp.127~132 (2000)
- King GA, "A qualitative investigation of changes in the belief system of families of children with autism or Down syndrome", Child Care Health Dev, 32(3), pp.353~369 (2006)
- Kramer MK, "Self-characterizations of adult female informal caregivers: gender identity and the bearing of burden", Res Theory Nurs Pract, 19(2), pp.137~161 (2005)
- Landsman G, "Emplotting children's lives: developmental delay vs. disability", Soc Sci Med, 56(9), pp.1947~1960 (2003)
- Mash EJ, "Determinants of parenting stress: illustrations from families of hyperactive children and families of physically abused children", J clinl child psychol, 19(4), pp.313~328 (1990)
- McKeever P, "Mothering children who have disabilities: a Bourdieusian interpretation of maternal practices", Soc Sci Med, 59(6), pp.1177~1191 (2004)
- Mercer TR, "Becoming a mother versus maternal role attainment", J Nurs Scholarsh, 36(3), pp.226~233 (2004)
- Nelson AM, "A metasynthesis: mothering other- than-normal children", Qual Health Res, 12(4), pp.515~530 (2002)
- Raina P, "The health and well-being of caregivers of children with cerebral palsy", Pediatrics, 115(6), pp.626~636 (2005)
- Trapolini T, "The effect of maternal depression and marital adjustment on young children's internalizing and externalizing behavior problems", Child, Care, Health Dev, 33(6), pp.794~803 (2007)
- Woolfson L, "Family well-being and disabled children: a psychosocial model of disability-related child behavior problems", Br J Psychol, 9(1), pp.1~13 (2004)
- Woolfson L, "Authoritative parenting and parental stress in parents of pre-school and older children with developmental disabilities", Child, Care, Health Dev, 29(2), pp.177~144 (2006)
- Zajicek-Farber ML, "Promoting good health in adolescent with disabilities", Health & Social Work, 23(3), pp.203~213 (1998)