Studies on promoting social adaptability of children with chronic diseases

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To find nursing strategies for promoting social adaptability of children with chronic diseases, the following studies were conducted.(1) Studied self-care behaviors, stress, social support, independence, school life, family life, and illness control among children aged from 10 to 18 with diabetes, cancer, kidney disease, heart disease, asthma, and epilepsy who needed regular checkups at the outpatient units. Analysis was done each and among diseases to find factors related to social adaptability of children. Social adaptability was evaluated in terms of self-care behaviors, school life, negative feelings, independence, and illness control.(2) To compare social support and stress of chronically ill children with healthy children, healthy children aged from 10 to 18 were studied.(3) About children with diabetes, educational methods to increase independence were developed based on the results of (1). In addition, a questionnaire to assess self-care behaviors was created and evaluated on validity and reliability. For promoting social adaptability of children with chronic diseases, it was suggested that nurses and diabetic children needed to evaluate self-care behaviors using the questionnaire together for making solutions and to continue education at the clinic visits.(4) By using 30 item questionnaire of IDDM self-care behaviors, changes of self-care behaviors of children with diabetes and its relationships with health promoting behaviors.(5) Self-care behaviors, stress, and social support of children with chronic kidney disease were compared in outpatient and inpatient units. In addition, knowledge and perceptions about self-care of children with chronic kidney disease and their mothers were studied for educational methods before and after discharge.