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1 ORIGINAL ARTICLE Child Health Nurs Res, Vol.23,.3, July 2017: ISSN(Print) ISSN(Online) 이수영 1, 김가은 2 1 한국의료선교회튼튼소아청소년병원, 2 계명대학교간호대학 Factors Influencing the Quality of Life in Mothers of Children with Precocious Puberty Suyoung Lee 1, Gaeun Kim 2 1 Korean Medical Mission, Teunteun Pediatrics Hospital, Gyeongju; 2 College of Nursing, Keimyung University, Daegu, Korea Purpose: In this study factors affecting quality of life in mothers who have children with precocious puberty were identified. Methods: The participants were 102 mothers of children with precocious puberty. From September 12 to September 30, 2016, data were collected using a structured questionnaire and analyzed using SPSS/WIN Results: Regression analysis showed that the model s explanatory power was 45%(F=28.71, p<.001). Role stress (t=-4.83, p<.001), objective burden (t=-2.71, p<.001), and average monthly income (t=4.12, p<.001) were factors affecting quality of life among these mothers. The most influential factor was role stress (β=-.41), which showed a negative correlation. Conclusion: Role stress and objective burden were major factors that decreased the quality of life in these. The findings indicate that effective strategy programs for reducing role stress and objective burden are necessary to improve the quality of life in mothers of children with precocious puberty. Key words: Precocious puberty, Quality of life, Child, Mothers 서 론 연구의필요성, [1]., , , , Corresponding author Gaeun Kim College of Nursing, Keimyung University, 1095 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea TEL FAX eun0325@kmu.ac.kr * 이논문은제1저자이수영의석사학위논문일부를발췌한것임. * This manuscript is a condensed form of the first author s master s thesis from Keimyung University. Key words 성조숙증, 삶의질, 아동, 어머니 Received 17 April 2017 Received in revised form 26 May 2017 Accepted 28 May 2017 This is an Open Access article distributed under the terms of the Creative Commons Attribution n- Commercial License ( which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited [2].,, 2 8, 9 [1]. 2,,,, [3].,,,,, [3-5].,, 2~3 [5,6],,,, [6-8]., 312 Copyright 2017 Korean Academy of Child Health Nursing

2 [9]. [7,8].,,,,, [7-11]. Moon Koo[12],, [13]., [10]. Park [14]. Kwon [11],,, [10].,, [7,8,11].,, [6], [15,16].,,,.,. 연구목적,,,,.,.,,,.,. 연구방법 연구설계. 연구대상 P. 1), 2), 3), 4). G*Power 3.1.2,.05,.15,.80, 4 85, (85%). 연구도구 59,,,,. 삶의질 (World Health Organization Quality of Life, WHO- QOL-Bref )[17] Min [18] (Korean version of WHOQOL-Bref, K-WHO- QOL-Bref).,,,, 26, 5 Likert. Cronbach s α.90 [18], Cronbach s α 이수영, 김가은 313

3 Child Health Nurs Res, Vol.23,.3, July 2017: 어머니의역할스트레스 Pearlin Schooler [19] Jun[20] (Parental Stress Inventory, PSI) Jun[19]. 7 4 Likert, Pearlin Schooler[19] Cronbach s α.75, Jun[20] Cronbach s α.85, Cronbach s α.86. 부담감 Montgomery [21] Oh[22] Likert. Montgomery [21] Cronbach s α.85, Cronbach s α.86, Cronbach s α.71, Cronbach s α.80, Cronbach s α.79. 죄책감 Kwon [11],,,, 4 5 Likert. Kwon [11] Cronbach s α.87, Cronbach s α.76. 자료수집방법 K (IRB : *** HR-63-02),, , 10~15. 자료분석방법 SPSS/WIN 22.0,,, t-test, ANOVA.,,, Pearson s correlation coefficients,,, stepwise multiple regression analysis. (Variance Inflation Factor, VIF) Durbin-Watson. 연구결과 성조숙증아동어머니의삶의질및일반적특성 ± 3.94, 6.7. (43.1%) 300~400 (42.2%), 300 (39.2%), 400 (18.6%). 59.8%, 60.8% (Table 1) ± ± 0.67, 3.22 ± 0.67, 3.20 ± 0.79 (Table 2). 성조숙증아동어머니의일반적특성에따른삶의질 ± 0.20, Table 1. Frequency according to General Characteristics Characteristics Categories Age (year) 30~39 40~49 Education Monthly income (10,000 won/month) Job Religion High school graduation Diploma graduation Bachelor graduation < ~400 >400 n (%) or M±SD 53 (52.0) 49 (48.0) 39.17± (32.4) 44 (43.1) 25 (24.5) 40 (39.2) 43 (42.2) 19 (18.6) 41 (40.2) 61 (59.8) 40 (39.2) 62 (60.8) Role stress 2.54 ± 0.42 Guilt 3.31 ± 0.44 Objective burden 3.45 ±

4 300~ ± 0.31, ± 0.31 (F =11.55, p<.001) (Table 3). (Table 2). 성조숙증아동어머니의역할스트레스, 부담감, 죄챔감, 삶의질간의상관관계, (r = -.59, p<.001), (r = -.48, p<.001), (r = -.48, p<.001), (r =.02, p>.05)(table 3). 성조숙증아동어머니의삶의질에미치는영향요인,,, (stepwise multiple regression analysis). (Variance Inflation Factor, VIF) 10, (tolerance) 0.1, Durbin Watson 1.80., (F =28.71, p<.001). (β=-.41, p<.001), (β=.26, p=.001), (β=-.22, p=.008) (Table 4).,,,, 45 %. 논의.. Table 2. Quality of Life according to General Characteristics Characteristics Categories M±SD Quality of life p Scheffé test Age (year) 30~39 40~ ± ± Education High school graduation Diploma graduation Bachelor graduation 3.20± ± ± Monthly income (10,000 won/month) <300 a 300~400 b >400 c 3.17± ± ±0.31 <.001 c>b>a Job 3.33± ± Religion 3.32± ± Table 3. Correlations of Factors Influencing Quality of Life Variables Role stress Quality of life Role stress Guilt Objective burden r (p) r (p) r (p) r (p) -.59 (<.001) Guilt -.48 (<.001).70 (<.001) Objective burden -.48 (<.001).48 (<.001).40 (<.001) Subjective burden.02 (.813).33 (<.001).35 (<.001).40 (<.001) 이수영, 김가은 315

5 Child Health Nurs Res, Vol.23,.3, July 2017: Table 4. Factors Influencing Quality of Life Variables Unstandardized coefficients Standardized coefficients t p Multicollinearity B SE β Tolerance VIF Role stress < Monthly income Guilt Objective burden R 2 =.47, Adjusted R 2 =.45, F=28.71, p<.001. VIF=Variance influence factor.., Kim[23] Cho Moon[24]. 6.78, 2,, Park [14], Lee [25],., , Nam Yang[9], Moon Koo[12]., [6] [26], [27],., Montgomery [21],., Kwon [11]. [11,15],..., [26,28],,.,,. [7,8],,

6 결론.,,,,,,.. Conflict of Interest potential or any existing conflict of interest relevant to this article was reported. References 1. Berberoğlu M. Precocious puberty and normal variant puberty: definition, etiology, diagnosis and current management-review. Journal of Clinical Research Pediatric Endocrinology. 2009;1(4): / /jcrpe.v1i Health Insurance Review & Assessment Service. Healthcare bigdata hub [Internet]. Wonju: Health Insurance Review & Assessment Service; 2015 [cited 2015 August 19]. Available from: IlnsInfo.do. 3. Golub MS, Collman GW, Foster PMD, Kimmel CA, Rajpert-De Meyts E, Reiter EO, et al. Public health implications of altered puberty timing. Pediatrics. 2008;121(3): Park HJ, Kim NH. A study on the body image and the levels of anxiety in children with precocious puberty. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2016;6(5): Mendle J, Turkheimer E, Emery RE. Detrimental psychological outcomes associated with early pubertal timing in adolescent girls. Developmental Review. 2007;27(2): Lim JH, Kim JH. Mother s experience of having a girl with precocious puberty. Keimyung University Research Institute of Nursing Science. 2013;17(2): Park ES, Lee GH, Oh WO, Im YJ, Cho EJ. Parenting experience of parents with chronically ill children. Child Health Nursing Research. 2015;21(3): Chei MA, Lee HS, Kim DH, Park MH, Yoon SY, Cho YH, et al. The study on the quality of life for the mothers of hospitalized chronic pediatric patients. Korean Journal of Child Health Nursing. 2000;6 (2): Nam HA, Yang S. Parenting stress and parenting role stress in parents of primary school students. Journal Korean Academy Psychiatric Mental Health Nursing. 2005;14(3): Kwon IS, Seo YM. Home nursing and quality of life in parents of children with atopic dermatitis. Journal of Korean Academy of Child Health Nursing. 2009;15(4): Kwon EK, Choi MH, Kim SK. Parenting stress and guilty feeling for mothers having children with rare genetic metabolic diseases. Journal of Korean Clinical Nursing Research. 2008;14(3): Moon YI, Koo HY. A comparison study of stress, coping and adaptation between fathers and mothers of mentally retarded children. Journal of Korean Academy of Nursing. 1996;26(1): Choi YJ, Cho KJ. A study of perception of the newborn, parental role stress and anxiety of preterm birth mothers. Korean Journal of Women Health Nursing. 2000;6(4): Park BK, Lee SJ, Kim HJ, Lee KA, Park NY, Yoo JH, et al. Factors affecting the quality of life of parents who have children with diabetes. Journal of the Korean Society of Maternal and Child Health. 2015;19 (1): Park MJ. Guilt, worry, and anxiety in mothers of children with precocious puberty [master s thesis]. Busan: Dong Ah University; Cho HH, Yoon YM, Moon SH. Research trends on children with precocious puberty and their families in Korea. Journal of the Korean Society of Maternal and Child Health. 2014;18(1): Harper A, Power M. Development of the world health organization WHOQOL-BREF quality of life assessment. Psychological Medicine. 1998;28(3): Min SK, Lee CI, Kin KI, Suh SY, Kim DK. Development of Korean version of WHO quality of life scale abbreviated version (WHOQOL- BREF). Journal Korean Neuropsychiatric Association. 2000;39(3): 이수영, 김가은 317

7 Child Health Nurs Res, Vol.23,.3, July 2017: Pearlin LI, Schooler C. The structure of coping. Journal of Health and Social Behavior. 1978;19(1): Jun SY. The relationship between the stress level of mothers with disabilities and the child s daily life behavior [master s thesis]. Seoul: Sookmyung Women s National University; Montgomery RJV, Gonyea JG, Hooyman NR. Caregiving and the experience of subjective and objective burden. Family Relations. 1985;34(1): Oh SH. A relationship between burden and stress of family members of intensive care unit patient[master s thesis]. Seoul: Ewha Womans National University; Kim NE. The factors affecting quality of life among mothers with epileptic child. Mental Health & Social Work. 2011;37: Cho IS, Moon KI. Factors affecting the life quality in mothers of children with disabilities. Journal of the Korean Society of Maternal and Child Health. 2016;20(2): Lee JH, Kim HY, Lee JH. A study on maternal stress in rearing children with disabilities and maternal quality of life. Journal of Korean Academy of Child Health. 2007;13(1): Sung MH. A study burden, social support and quality of life in mothers of a child with nephrotic syndrome. Journal of Korean Academy of Nursing. 2000;30(3): Lee MS. A study of burden in mothers of children with congenital metabolic disorders. Korean Journal of Child Health Nursing. 1995;1 (1): Suh MH, Oh KS. A study of well-being in caregivers caring for chronically ill family members. Journal of Korean Academy of Nursing. 1993;23(3):

Journal of Educational Innovation Research 2018, Vol. 28, No. 4, pp DOI: * A Research Trend

Journal of Educational Innovation Research 2018, Vol. 28, No. 4, pp.295-318 DOI: http://dx.doi.org/10.21024/pnuedi.28.4.201812.295 * A Research Trend on the Studies related to Parents of Adults with Disabilities