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Development of Nursing Intervention for Korean Children I

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KMID : 0892720000040010055
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Abstract

This study was done to analyze research trends and to suggest future direction for research on massage intervention for growth and development of Korean children. The author reviewed 51 Korean and foriegn research papers which have been published in the literature since 1960. Seven studies were publised in Korea and 44 studies were published abroad. The number of studies done abroad have been increasing rapidly since 1995.

An analysis of the research design of the studies showed that 4 Korean studies and 22 foreign studies used quasi-experimental research design, 2 Korean studies and 18 foreign studies used literature reviews, l Korean study and 2 foreign studies used survey design, and 1 study in both home and abroad was case study. The study subjects were diverse: 7 foreign studies dealt with healthy people who were adult and elderly, 4 Korean studies and 16 foreign studies dealt with patients with various illness such as critically ill, cardiovascular disease, post operational state, dementia, inpatients, cystic fibrosis, atopic dermatitis, juvenile rheumatoid arthritis, neonates born to HIVpositive mothers, preterm infants, and cocain-exposed preterm neonates. Types of massage were back massage in 18 studies, hand massage in 3 studies, and whole body massage in 6 studies. Length of massage was below 5 minutes in 9 studies, 6-10 minutes in 8 studies, 11.20 minutes in 8 studies, above 21---30 minutes in 1 study. Frequency of massage was only 1 time in 17 studies, 2-5 times in 3 studies, 6--10 times in 2 study, and above 11 times 5 studies.

Massage produced positive subjective and objective effects. Positive subjective effects were anxiety relief, mood enhancement, relaxation, pain relief, and sleep promotion. Positive objective effects on body systems were cadiovascular system: blood pressure, heart rate, change of arrythmia; integumentary system: local skin flow, skin temperature, galvanic skin response, allergic state;

immune system: S-IgA, T lymphocyte, NK cell, cortisol, epinephrine(norepinephrine), blood glucose, leucocyte(lymphocyte, neutrophil); respiratory system: respiration rate, mixed venous oxygen saturation, peak air flow; muscular system: muscle tension; growth and development: body weight, Brazeltone score, and agitation, behaviors and pupil size.

As recommendations for the future research, it is necessary to develop massage nursing intervention according to age, sociocultural background, the nature of illness and purpose of massage, to identify the instruments to measure effects of massage, and to replicate study to establish the effect of massage nursing intervention.
KeyWords

children, massage, research review
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