This study was designed to assess the body fat distribution, and also to investigate the effects of body fat on glucose tolerance and on insulin secretion pattern by body mass in offspring of parents with NIDDM. The subjects consisted of twenty parents with NIDDM who had been admitted to the Department of Internal Medicine or had been seen in the outpatient clinic at Kangnam St. Mary's Hospital, Catholic University between February to March, 1995. Twenty offspring were randomly selected from forty six offspring of twenty healthy people without a family history of diabetes mellitus were matched by sex, age and body mass index(BMI). The results are as follows : 1. mean fasting serum glucose and insulin levels and insulin/glucose ratio were significantly greater in offspring than in the control subjects with BMI>or=25kg/m2 in the offspring and in the BMI<25kg/m2(P<0.05). 2. The total glucose area and insulin area were significantly greater in both the offsping and the control subjects with BMI>or=25kg/m2 than in both the offspring and the control subjects with BMI<25kg/m2(P<0.05). 3. Upper body skinfold thickness, Waist hip ratio(WHR), serum levels of total cholesterol and triglyceride(TG), total dietary calorie intake and protein intake in both the offspring and the control subjects with BMI>or=25kg/m2 were greater than those with BMI<25kg/m2(P<0.05). On the other hand, HDL-cholesterol in both the offspring and the control subjects with BMI 25kg/m2 was lower than those with BMI<25kg/m2(P<0.05). 4. The major variables influencing the total glucose area were subscapular skinfolds thickness and WHR and the major variables influencing the total insulin area were suprailiac skinfolds thickness, WHR, TG and free fatty acid. In the light of the results, glucose intolerance and insulin resistance were affected by body mass index, Upper body fat, WHR, and lipids(TG, Free fatty acid), it is implied that these are influencing factors on total glucose area and total insulin area. The identification of these factors might provide a useful tool to identify individuals at high risk of diabetes mellitus. Therefore, various nursing intervention programs to reduce obesity could be given to both the offspring of parents with NIDDM and to the obese healthy controls before diabetes mellitus develops.

The purpose of this study was to contribute to family nursing in the areas of reducing stress and improving coping for parents of mentally retarded children. Data were collected through self-report questionnaires during a period of 2 months between November 1994 and January 1995 in the Kyoung-in area. The subjects consist of 176 parents (88 mothers and 88 fathers) of mentally retarded children attending schools for the handicapped. The levels of general stress and of parental role stress were measured with the General stress scale and the Parental role stress scale, respectively. The coping scale developed by Folkman and Lazarus was adopted to measure the level of coping, and the patterns of adaptation scale developed by Damrosch and Perry was adopted to measure the patterns of adaptation. The data were analyzed by a SAS program using Fisher's exact test, paired t-test, and oneway ANOVA. The results are as follows: 1. The level of general stress was significantly higher in mothers than in fathers. Mothers experienced a significantly greater level of parental role stress than fathers did. No significant difference in the level of coping was observed between mothers and fathers. There were differences in maternal and paternal patterns of adaptation. 2. The adaptation pattern of fathers was different according to their level of general stress, parental role stress and coping. The adaptation pattern of mothers was not different according to their level of general stress and parental role stress, but was according to their level of coping. 3. General stress experienced by fathers was different according to education, health status and support from their spouses. Satisfaction with family life, satisfaction with spouse and the support from spouse influenced coping used by fathers. Their level of parental role stress was not associated with any of their general characteristics. 4. In mothers, the level of general stress was different according to their health status, the level of parental role stress was related to satisfaction with family life and satisfaction with spouse. Their level of coping was associated with the support from spouse. The above findings indicate that mothers did not have more coping strategies than fathers did, despite the results which showed that mothers experienced greater stress than fathers did. Especially, the adaptation pattern of mothers was different according to their level of coping. Hence, nursing interventions directed at managing stress and improving coping should be used with mothers who use adaptation pattern 1. In particular, fathers should actively participate in parenting, and support their spouses.

The purpose of this study was to contribute to family nursing aimed at reducing stress and improving the coping abilities of parents with kindergarten or early primary school aged children. Data were col lected through self-reported questionnaires over a period of one month between November 1994 and December 1994 in the Kyoung-in area. The subjects consisted of 198 parents(99 mothers and 99 fathers) of children attending 1 elementary school and 2 kindergartens. The levels of general stress and of parental role stress were measured with the General stress scale and the Parental role stress scale, respectively, while the Coping scale was used to measure the level of coping. The data were analyzed by a SAS program using paired t-test and oneway ANOVA. The results were as follows; 1. The level of general stress was significantly higher in mothers than in fathers. Mothers experienced significantly greater level of parental role stress than fathers did. In contrast, fathers revealed significantly greater scores in coping than mothers. 2. General stress experienced by fathers was dif-ferent according to education, occupation, health status, satisfaction with family life and support from spouse. Occupation, health status, satisfaction with family life, satisfaction with spouse and support from spouse influenced parental role stress experienced by fathers. There was no correlation between level of coping and general characteristics. 3. In mothers, the level of general stress was different according to their health status, family type, and number of children, while parental role stress was related to satisfaction with family life, satisfaction with spouse and family type. There was no correlation between level of coping and general characteristics. The above findings indicate that the mothers did not develop more coping strategies than the fathers, despite their experience of greater stress than the fathers. Hence, nursing intervention for managing stress and improving coping abilities should be provided for mothers. In particular, fathers should actively participate in parenting, and support their spouse.

When children are admitted to hospital, they have to adapt to new and unfamiliar stimuli. Children may respond with fear to stimuli such as pain or unfamiliar experiences. One goal of nursing is to help hospitalized children to adapt effectively to their hospital experience. Accordingly, nurses need to assess childrens' fears of their hospital experience to contribute to the planning of care to alleviate these fears. The problem addressed by this study was to identify and measure hospital-related fears (hereafter called HRF) in hospitalized school-aged children. The study was conceptualized with Roy's model. A descriptive qualitative approach was used first, followed by a quantitative approach. This study was conducted from November 30, 1989 to January 12, 1991. The sample consisted of 395 hospitalized school-aged children selected through an allocated sampling technique in nine general hospitals. The HRF questionnaire (three point likert scale) was developed by a delphi technique. The data were analyzed by an SAS program. Factor analysis was used for the examination of component factors. Differences in the HRF related to demographic variables were examined by t-test, analysis of variance and the Scheffe test. The crude scores of the HRF scale were transformed into T-scores to calculate the standard scores. The results included the following: 1. Forty-four items were derived from 188 statements identifying the childrens' hospital-related fears. These items clustered into 14 factors, fear of injections, operations, bodily harm, others' pain, medical rounds, physical examinations, medical staff, disease process, blood and X-rays, drugs and cochroaches, tests, harsh discipline from parents or staff, being absent from school, and separation from family. The 14 factors was classified into four categories, 'pain', 'the unfamiliar', 'the unknown' and 'separation'. 2. The reliability of the HRF instruments was .92 (Cronbach's alpha). In the factor analysis, Cronbach's alpha coefficients for the 14 factors ranged from .84 to .86 and Cronbach's alpha coefficients for the four categories ranged from .70 to .84. Pearson correlation coefficient scores for relationships among the 14 factors ranged from .11 to .50, and among the four categories, from .44 to .63, indicating their relative independence. 3. The total group HRF score ranged from 45 to 130 in a possible range of 44 to 132, with a mean of 74.51. The fears identified by the children were, in order, injections, harsh discipline by parents or staff, bodily harm, operations, medical staff, disease process, and medical rounds; the least feared was others' pain. The fear item with the highest mean score was surgery and the lowest was examination by a doctor. HRF scores were higher for girls than for boys, and for grade 1 students than for grade 6 students. HRF scores were lower for children whose fathers were over 40 than for those whose fathers were in the 30 to 39 age group, and whose mothers were over 35 than for those whose mothers were in the 20 to 34 age group. HRF scores were lower when the mother rather than any other person stayed with the child. The expressed fear of pain, the unfamiliar, the unknown and of separation directs nurses' concern to the threat felt by hospitalized children to their concept of self. This study contributes to the assessment of fears of hospitalized children and of stimuli impinging on those fears. Accordingly, nursing practice will be directed to the alleviation of pain, pre-admission orientation to the hospital setting and routines, initiation of information about procedures and experiences and arrangments for mothers to stay with their children. Recommendations were made for further research in different settings and for development and testing of the instrument.

The purpose of this study was to contribute to neonatal nursing and maternal nursing to reduce parental role stress in mothers of preterm babies and to improve perception of the newborn to by the parents. Data were collected through self-report questionnaires which were consisted of a parental role stress scale and a neonatal perception inventory. The subjects were 100 mothers of fullterm babies and 50 mothers of preterm babies, all in the early postpartum stage and admitted to three hospitals I the Kyoung-In area between November 8 1997 and May 30, 1998. The data were analyzed by a SPSS program and the results are as follows : 1. There were no significantly differences in the means for parental role stress between mothers of fullterm babies and preterm babies. The mean for perception of the newborn was significantly lower in mothers of preterm babies than in mothers of fullterm babies. 2. In mothers of preterm babies, the level of parental role stress was correlated to the one minute Apgar score. The level of perception of the newborn was correlated to gestational age and birth weight. 3. The mothers of preterm babies whose education level was above graduation from college had lower parental role stress than those who had a lowers level of education. The mothers who had experienced cesarean section had higher parental role stress than those who gave birth to their baby prematurely. The above findings indicate that mothers of preterm babies had lower perception of the newborn than mothers of fullterm babies. Therefore, nursing intervention should be provided for mothers of preterm babies to manage parental role stress and improve perception of the newborn.

The purpose of this study was to evaluate maternal perception of the newborn, confidence and gratification of mothering role, and contribute to maternal nursing and neonatal nursing. The questionnaire, maternal perception of the newborn(I) was completed by 47 mothers at three hospitals in the Kyoung-In area during the first to third day after birth. the questionnaire, maternal perception of the newborn(II), confidence and gratification of mothering role were completed at fourth to sixth week after birth. the data were analyzed by a SPSS program. The results were as follows; 1) The means of perception of the newborn(I) and (II) were 2.28+/-4.81 and 3.83+/-4.84. The means of confidence and gratification of mothering role were 40.38+/-5.51 and 39.30+/-6.70. 2) Half of the mothers(48.9%) rated their newborn as better than average newborn at first to third day after birth, and 74.5% of mothers did at fourth to sixth week after birth. 3) The score of maternal perception of the newborn(I) was significantly correlated with the score of confidence and gratification of mothering role. The score of maternal perception of the newborn(II) was correlated with the score of confidence and gratification of mothering role. The score of confidence and gratification of mothering role was related. 4) Maternal gratification of mothering role was significantly different by maternal perception of the newborn(I), and maternal confidence was different by maternal perception of the newborn(II). 5) Mothers who had religions and who wanted the pregnancy had higher perception of the new-born(I) than those who did not. Mothers whose newborn(II) than those whose newborns were girls. Mothers who wanted the pregnancy had higher confidence of mothering role than those who did not. Mothers who planed cow's milk had lower gratification of mothering role than those who did not. The above findings indicate that mothers who have a different level of perception of the newborn, confidence and gratification of mothering role. Therefore, it is important maternal perception of the newborn, confidence and gratification of mothering role were precisely evaluated, and nursing intervention for improving perception of the newborn should be provided of for mothers.

The purpose of this study was to contribute to maternal nursing in early postpartum stage and to neonatal nursing. Data were collected through self-report questionnaires which were constructed to include parental role stress scale, state- trait anxiety scale, and perception of the newborn scale. The subjects consisted of 100 mothers in the early postpartum stage at three hospitals in the Kyoung-In area, from November 8 to December 26, 1997. The data were analyzed by an SPSS program. The results are follows: 1. The mean of parental role stress of mothers in the early postpartum stage was 10.70+/-2.63. The means of stage anxiety and trait anxiety of mothers were 36.29+/-8.45 and 38.53+/-8.36. The mean of perception of the newborn was 2.65+/-5.05, and 59% of mothers rated their newborn as better than the average newborn. 2. The level of parental role stress correlated to the level of state anxiety and trait anxiety. The level of state anxiety and trait anxiety were also related. The level of perception of the newborn was related to the level of state anxiety and trait anxiety. 3. Mothers who did not want the pregnancy, whose newborn were girls, and who already had one child had higher state anxiety than those who did not. Mothers who already had one child, and whose newborn had no specific signs had higher trait anxiety than those who did not. Mothers who professed a religions had a higher perception of the newborn than those who did not. The above findings indicate that the levels of parental role stress, state anxiety, trait anxiety and perception of the newborn of mothers in early postpartum stage were correlated. Therefore nursing intervention for reducing stress and anxiety, and improving perception of the newborn should be provided for mothers in early postpartum stage.

This study was designed to identify the relationship between perceived pain, family support and quality of life in patients with ankylosing spondylitis. The purpose of this study was to contribute to the theoretical understanding of the relationship of these three variables and eventually to more effective adaptation of patients to their situation. The subjects for this study were the 68 patients who had been diagnosed with ankylsing spondylitis and registered as out-patients in the Rheumatism Center of one university hospital in Seoul. The data were collected during the period from October 10, 1997 to December 20, 1997. Pain was measured using the perceived pain scale(VAS: Visual Analog Scale)developed by Calin(1993), family support using the scale developed by Kang Hyun Suk(1985) and Quality of Life using the scale developed by Ro Yoo Ja(1988). The data were analyzed by descriptive statistics, Frequencies, Pearson correlation, using the SPSS program. The results of this can be summarized as followings. 1. The mean perceived pain score was 5.13 with a range of 2 to 10. 2. The mean perceived family support score was 41.08+/-5.34 with a range of 20 to 50. 3. The mean perceived quality of life score was 134.07+/-19.82 with a range of 83 to 176. 4. Significant statistical difference was found between family support and quality of life(r=.331, p<0.001). A significant negative statistical difference was found between the family support and quality of life and pain(r=-.250, p<0.05, r=-.460, p<0.001). 5. General characteristics related to pain were exercise(t=4.72, p<0.0006). 6. General characteristics related to family support were age(F=2.65, p<0.0246), educational level(F=2.84, p<0.0282) and exercise(t=3.24, p<0.0452). 7. General characteristics related to quality of life were educational level(F=3.03, p<0.0392) and exercise(t=3.12, p<0.0465). It was found that the higher the level perceived pain, the lower the degree of perceived family support and the quality of life. It was also fund that the higher the degree of perceived family support the higher the degree of perceived quality of life. Accordingly, the conclusions from this study are that reduction of pain is achieved through the family support. Therefore, it is proposed that family support is an appropriate nursing intervention to improve the quality of life of patients with anklosing spondylitis.