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KMID : 0358119870130010043
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Journal of the Korean Public Health Association
1987 Volume.13 No. 1 p.43 ~ p.59
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A STUDY OF PARENTS BEHAVIOR ON THEIR CHILDREN´S DIARRHEAL DISEASES
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李善子/Rhee, Seon Ja
金正根/裵祥秀/趙素英/朴明潤/金東煥/Kim, Jong Kun/Bae, Sang Soo/Cho, So Young/Park, Michael M./Kim, Dong Whan
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Abstract
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A questionnaire survey was conducted to find out parents´ behavior on their children´s diarrhea for the 548 households in Bongcheon-Dong, Seoul and 290 households in ChoonsungGun, Kangwon province in July 1985.
The results of the study are summarized as follows:
1. General Characteristics of the Respondents
a. Age distribution of the respondents was 57.6% in age group of 20-29, and 35.3% in age group of 30-39 years old.
b. In education, 35.3.`% of the total was middle school education and 24.50/0 of them finished high school and 24.6% in primary school.
c. In marital status, 97.5°% of the total answered that they are in marriage now. d. An average number of childrens was 2.1 persons.
e. The monthly income of the family revealed that 54.2% of the total belongs to 200300 thousands wons.
2. Knowledge on definitions of the diarrheal diseases shows that 95.Oc% of the total were correct answers.
3. For the question on "What age is the most dangerous to diarrhea diseases?" Of the total, 31.0% answered that it is age group of less than one year and 45.1% answered that it is between one to five years old children.
4. For the question on "What season is the most dangerous to diarrhea diseases?" Of the total, 83.7% answered that it is summer.
5. For the question on "What is the cause of diarrhea?" Of the total, 61.5%% answered that it is due to contaminated food, 25.8% said that it is because of unsanitary personal hygiene, 19.2% answered that it is because of too much food intake.
6. For the question on "What kind of action will you take when someone is sick with diarrhea?" Of the total, 87.6% in Seoul, and 89.0% in Choonsung said that they will visit to hospital or medical clinics.
7. Of the total, 40.5% of Seoul and 26.9% from Choonsung answered that "diarrhea can be preventable."
8. Perceptions for severity of diarrhea show that 5.3% of Seoul and 6.9% in Choonsung said "one can die of diarrhea." And 21.2% of Seoul and 15.1% of Choonsung answered, "one can be dangerous due to dehydration status of diarrhea." But remainders 54.9% of Seoul and 57.9% of Choonsung perceived that `´diarrhea is not serious to health."
9. For the signs and symptoms; "one become looks like weak" was 36.7% in Seoul and 33.5 % in Choonsung; "one can looks like dehydration state" was 14.9% in Seoul and 17.7% in Choonsung; "there will be no change of health status because of diarrhea" was 41.6% in Seoul and 41.4% in Choonsung.
10. For the question on "What kind of food do you serve for diarrhea patient (baby)?" Of the total 49.8% in Seoul and 57.6% in Choonsung answered that they serve food which can helpful for digestion; they will serve the same food as usual was 11.5% in Seoul and 17.9% in Choonsung; they will serve drinks or beverage only was 21.0% in Seoul and 4.1 9o in Choonsung; they will serve nothing was 3.8% in Seoul and 4.1% in Choonsung.
11. The proper food for diarrhea was mentioned that; rice gruel was 31.2% in Seoul and 45.9% in Choonsung; all kinds of drinks was 19.3% in Seoul and 18.4% in Choonsung; don´t know well was 49.7% in Seoul and 35.99,o in Choonsung.
12. Kinds of home remedies were 15 items in total; they are bark- tea with sugar and salt -3.1% in Seoul and 5.8% in Choonsung; cider; milk etcs -0.4% in Seoul, 0.6% in Choonsung; persimmon -2.4% in Seoul, 0.3% in Choonsung; they also mentioned that egg yolk, rice gruel, hot and sower food have to be avoid, make warm of body, cold, application on head when there is fever, finger puncture, make vomiting ects; herb drug´ -2.2% in Seoul and 7.6% in Choonsung; never tried any kinds of traditional method 67.7%; in Seoul and 75.2% in Choonsung.
13. Utilized medical institutions when there was a diarrhea patient was mentioned that 37.2 % in Seoul and 50.0;0 in Choonsung visited hospitals or health centers; 29.9% in Seoul and 21.0% in Choonsung used drug stores.
14. Duration from onset of diarrhea to beginning of treatment was that; at the immediate day -44.5% in Seoul and 30. 3% in Choonsung; next day -26.6% in Seoul and 42.2% in
Choonsung.
15. For the question on knowledge on oral rehydration therapy "Yes. I know about it" was
43.4ib in Seoul and 30.3% in Choonsung. 16. Of the total 85.0% in Seoul and 75 ado in Choonsung answered that they always wash their hands before they start to cooking.
17. Toilet: flushing system with water -42.30/% in Seoul and 1.3`o in Choonsung; peptic tank -21.4% in Seoul, 12.1%10 in Choonsung; pile system -36.3% in Seoul, 36.6,°0 in Choonsung.
18, Drinking, water: running water -08.2% in Seoul 6.0% in Choonsung: piped´´ water -1.1 °o in Seoul -t-l.8%10 in Choonsung; pump -0.7% in Seoul 1t1.0% in Choonsung; spring -8.3 c0 in Choonsung.
~, Storage of drinking water; in refrigerator -60.0% in Seoul, 28.6`% in Choonsung,
20. Boiling practice of drinking water; always boiled -88.5,0 in Seoul, 22.8% in Choonsung.
As a conclusion, majority of the respondents have correct knowledge on diarrhea in terms of signs and symptoms, definitions and seeking treatment methods or utilizing medical institutions. But their perception on severity of diarrhea or dangerousness to health due to diarrhea was not correct. Also knowledge on ORT was low and they seem to have limited knowledge on ORT. Comparision data shows that there are discrepancy between desire of utilizing hospitals as a treatment facilities for diarrhea and an actual practice because it was 87.6% in Seoul and 80.0%Q in Choonsung about desire(need) expressed but it became 37.2% in Seoul and 50.0f% in Choonsung about actual utilization of hospitals when there was a diarrhea patient. Sanitary conditions in Choonsung have to be improved and boiling of drinking water was very low (22.8`0) in Choonsung.
Recommendations can be made based on the above mentioned problems; There: is a need to strengthening health education on children´s diarrhea on emphasis with threatening of diarrhea, ORT, safety drinking water, and how to improve sanitary conditions.
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