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Assessment of Health Status in Children and Healthcare Needs in the Day Care Centers

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KMID : 0892720090130020220
ÇÑ°æÀÚ ( Han Kyung-Ja ) - ¼­¿ï´ëÇб³ °£È£´ëÇÐ

±èÁö¼ö ( Kim Ji-Soo ) - »óÁö´ëÇб³ °£È£Çаú
Ãֹ̿µ ( Choi Mi-Young ) - Çѱ¹º¸°Ç»ê¾÷ÁøÈï¿ø

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 ¥± 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.
KeyWords

child, health assessment, physical examination, health status, child day care centers
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