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한국모자보건학회> 한국모자보건학회지> 초산모의 자녀 양육 관련 온라인 커뮤니티 참여와 아동 건강증진행위의 관계: 양육효능감의 매개효과

KCI등재

초산모의 자녀 양육 관련 온라인 커뮤니티 참여와 아동 건강증진행위의 관계: 양육효능감의 매개효과

The Relationship Between Participating in Online Parenting Communities and Health-Promoting Behaviors for Children Among First-Time Mothers: The Mediating Effect of Parental Efficacy

우민영 ( Minyoung Woo ) , 채선미 ( Sun-mi Chae )
  • : 한국모자보건학회
  • : 한국모자보건학회지 26권3호
  • : 연속간행물
  • : 2022년 07월
  • : 183-193(11pages)
한국모자보건학회지

DOI


목차

서 론
대상 및 방법
결 과
고 찰
결 론
이해관계(CONFLICT OF INTEREST)
감사의 글 및 알림(ACKNOWLEDGMENTS)
REFERENCES

키워드 보기


초록 보기

Purpose: To examine the mediating effects of parental efficacy on the relationship between participating in online parenting communities and health-promoting behaviors for children among first-time mothers with infants and toddlers.
Methods: The participants were 174 first-time mothers who used online parenting communities. Data were collected through self-report online questionnaires. Descriptive statistics, independent t-test, 1- way analysis of variance, Pearson correlation coefficient and multiple linear regression analysis were performed. The significance of the mediating effect was verified using the Sobel test and PROCESS macro.
Results: Significant predictors for health-promoting behaviors for children among first-time mothers were maternal age, maternity leave, monthly income, weekly use of online communities, daily use of online communities, satisfaction with online communities, and parental efficacy, which explained 51.0% of maternal health-promoting behaviors for children. Parental efficacy partially mediated the relationship between mothers’ satisfaction with using online communities and their health-promoting behaviors for children.
Conclusion: Interventions to enhance satisfaction with online parenting communities and parental efficacy should be developed to promote the health of infants and toddlers. Therefore, it is necessary to consider the needs of mothers for child rearing and health care, and develop online parenting communities that can provide qualitative health information and enable safe online interactions between mothers.

UCI(KEPA)

간행물정보

  • : 의약학분야  > 예방의학및보건학
  • : KCI등재
  • :
  • : 계간
  • : 1226-4652
  • : 2384-440X
  • : 학술지
  • : 연속간행물
  • : 1997-2022
  • : 572


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26권3호(2022년 07월) 수록논문
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KCI등재

1임신이나 수유 중 엄마가 섭취한 음식과 자녀의 알레르기질환 발생이나 예방 효과

저자 : 김자경 ( Ja Kyoung Kim )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 121-131 (11 pages)

다운로드

(기관인증 필요)

초록보기

The increasing prevalence of allergic diseases in the past decades has been caused by environmental rather than genetic factors. Recent research has focused on the relationship between the mother's environmental exposure, especially during pregnancy, and allergic outcomes in the offspring. Intervention studies to prevent allergic diseases have also been conducted. Environmental factors, such as diet induce changes in the mother's intestinal flora, and the signals generated have a permanent effect on the fetal immune development through an epigenetic mechanism, which may be involved in disease development. This review outlines whether dietary patterns in mothers are related to allergic diseases, and it summarizes whether supplementation with micronutrients, such as omega-3 unsaturated fatty acids, vitamin D, and folic acid can prevent allergic diseases. Studies have found that a westernized diet is associated with an increase in the prevalence of allergic diseases; however, intervention studies conducted with micronutrients or probiotics do not provide clear results regarding its preventive effect. A mother's diet during pregnancy or lactation may affect the health of the child. Well-designed intervention studies are warranted to attempt to prevent allergic diseases. Consequently, good dietary patterns based on high-quality evidence are recommended for pregnant and lactating mothers.

KCI등재

2통일의학적 관점에서 본 모자보건의 현재와 미래

저자 : 김지영 ( Ji Young Kim ) , 최은샘 ( Eun Saem Choi ) , 안기훈 ( Ki Hoon Ahn )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 132-139 (8 pages)

다운로드

(기관인증 필요)

초록보기

As North Korea's healthcare sector loses functionality under the collapsing socialist system, the gap in medical care between North and South Korea is widening. As a result, we expect that the social safety network will disintegrate in the medical field after unification, and in view of this, our study analyzes the infants and mothers who are likely to be most affected at this time to establish a direction for the promotion of unification in the future. Maternal health in North and South Korea was analyzed by the prevalence of anemia, maternal mortality ratio, prenatal and postpartum visits, and child health was analyzed by chronic malnutrition, vaccination penetration rate, and infant mortality rate to evaluate North Korea's poor nutritional conditions and medical system. The introduction of the legal system related to maternal and child health in North and South Korea includes prenatal and postpartum management and labor. Under this legal system, North Korea includes accessibility to hospitals and children's nutrition management issues, and South Korea includes subfertility treatment and postpartum care centers. As a countermeasure to the low birth rate problem emerging in both countries, the governments are providing work leave and economic support. In order to make effective use of the maternal health indicators from a unified scientific perspective, they should be calculated and codeveloped by both North and South Korea, and a multifaceted approach is needed through the setting of additional indicators such as the perinatal mortality rate.

KCI등재

3북한 어린이 건강과 모자보건 전문가들의 역할

저자 : 최성우 ( Seong-woo Choi )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 140-145 (6 pages)

다운로드

(기관인증 필요)

초록보기

According to the World Health Organization (WHO), the health indicators and nutritional status of North Korean children have improved steadily since 2010. However, malnutrition remains a serious condition, with 19.1% of children stunted. in addition, although the nutritional status of North Korean refugee children has gradually improved since they settled in South Korea, a rapid increase in obesity rates has put them under a double burden of malnutrition and obesity. For the health of North Korean children who are at risk because of the recent rapid increase in coronavirus disease 2019 cases in North Korea, maternal and child health experts should work together to request immediate humanitarian assistance from the international community and the South Korean government. Furthermore, it is necessary to develop a maternal and child health program in preparation for the resumption of inter-Korean exchanges and cooperation in the future.

KCI등재

4난임·우울증상담센터 대상자 특성에 근거한 서비스 체계 고찰 및 개선방안 - 임산부 및 양육모 중심으로

저자 : 김장래 ( Jangrae Kim ) , 추경진 ( Kyungjin Chu ) , 전승주 ( Seung Joo Chon ) , 조서은 ( Seo-eun Cho ) , 이택후 ( Taek Hoo Lee ) , 이승재 ( Seung Jae Lee ) , 태철민 ( Chul Min Tae ) , 임준영 ( Jun Young Lim ) , 양정보 ( Jung Bo Yang ) , 최안나 ( Anna Choi )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 146-163 (18 pages)

다운로드

(기관인증 필요)

초록보기

Purpose: This study examined the current status of counseling services provided by the Korea Counseling Center for Fertility and Depression, analyzing the characteristics of peripartum women and baby-rearing mothers and establishing guidelines for providing psychological support, and suggesting measures for improving the system.
Methods: Data on 3,660 peripartum women & their spouses and baby-rearing mothers counseled through the service over the last 4 years were collected and a demographic analysis was conducted. By analyzing the clinical information of 216 peripartum women and 219 baby-rearing mothers who have registered with the Center and received routine counseling services, factors affecting depression were identified. Finally, a paired sample t-test was conducted to verify the effect of counseling services.
Results: An overall 20.4% of pregnant women & their spouses were screened for high risk for depression, of whom 27.3% received registered counseling services; further, 26.2% of baby-rearing parents were at high-risk group for depression, of whom 25% received registered counseling services. Results of a logistic regression analysis suggested that, for peripartum women, level of education and conflicts with partner and family were the crucial factors predicting moderate or severe depression. For baby-rearing mothers, obstetric history of spontaneous abortion was the crucial predicting factor.
Conclusion: For the early detection and prevention of peripartum depression, screening tests that start from early pregnancy should be routinely administered. Further, continuous management―covering the periods before and after childbirth―should be provided by establishing organic ties between domestic projects.

KCI등재

5임신 중 영양제 복용의 효과

저자 : 정진하 ( Jinha Chung )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 164-170 (7 pages)

다운로드

(기관인증 필요)

초록보기

Quality nutrition is vital for fetal growth and maternal health, because the nutritional status of the fetus is directly affected by the mother's nutritional intake. A lack of certain nutrients can lead to unfavorable consequences for both the fetus and mother. The intake of nutritional supplements is increasing worldwide. Korea has been experiencing population aging and low birth rate and has shown an increasing interest in nutritional supplements for pregnant women. This review discusses the 5 critical nutrients for pregnant women as determined by the Ministry of Food and Drug Safety in 2021, namely folic acid, iron, omega-3, vitamin D, and calcium. This review determined the upper safety limits of these nutritional supplements for pregnant women based on previous researches. Obstetricians and other physicians should be consulted regarding the nutritional supplements recommended for pregnant women.

KCI등재

6고위험 임산부의 조산위험 사정도구 개발 과정: 1단계 예비도구 개발

저자 : 김증임 ( Jeung-im Kim )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 171-182 (12 pages)

다운로드

(기관인증 필요)

초록보기

Purpose: To pool preliminary items based on nine domains as the first phase of developing a preterm birth risk assessment scale (PBRAS).
Methods: Item generation was performed using deductive methods, such as literature review and related scales, and inductive methods through in-depth interviews with 11 preterm birth (PTB) women, and experts validated the content. The experts were clinical nurses who worked in delivery rooms, and professors who taught on the subject of women's health nursing. Preliminary survey for 32-item was conducted among 27 women with PTB.
Results: After item generation and pooling for the PBRAS, a total of 84 items were developed. A 32- item questionnaire was integrated with rigorous review by experts. Internal consistency of the 32-item PBRAS had a Cronbach alpha of 0.90. The PBRAS was significantly correlated with pregnancy stress (r= 0.77, p<0.001), somatic awareness scale (r=0.72, p<0.001), and risk scoring for PTB (r=0.44, p<0.001).
Conclusion: The 32-item PBRAS has content validity, but exploratory and confirmatory factor analyses for the 2nd phase of scale development needs to be performed.

KCI등재

7초산모의 자녀 양육 관련 온라인 커뮤니티 참여와 아동 건강증진행위의 관계: 양육효능감의 매개효과

저자 : 우민영 ( Minyoung Woo ) , 채선미 ( Sun-mi Chae )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 183-193 (11 pages)

다운로드

(기관인증 필요)

초록보기

Purpose: To examine the mediating effects of parental efficacy on the relationship between participating in online parenting communities and health-promoting behaviors for children among first-time mothers with infants and toddlers.
Methods: The participants were 174 first-time mothers who used online parenting communities. Data were collected through self-report online questionnaires. Descriptive statistics, independent t-test, 1- way analysis of variance, Pearson correlation coefficient and multiple linear regression analysis were performed. The significance of the mediating effect was verified using the Sobel test and PROCESS macro.
Results: Significant predictors for health-promoting behaviors for children among first-time mothers were maternal age, maternity leave, monthly income, weekly use of online communities, daily use of online communities, satisfaction with online communities, and parental efficacy, which explained 51.0% of maternal health-promoting behaviors for children. Parental efficacy partially mediated the relationship between mothers' satisfaction with using online communities and their health-promoting behaviors for children.
Conclusion: Interventions to enhance satisfaction with online parenting communities and parental efficacy should be developed to promote the health of infants and toddlers. Therefore, it is necessary to consider the needs of mothers for child rearing and health care, and develop online parenting communities that can provide qualitative health information and enable safe online interactions between mothers.

KCI등재

8척수성 근위축증 아동 부모의 자녀 양육 경험

저자 : 김효진 ( Hyo Jin Kim ) , 채선미 ( Sun-mi Chae )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 194-203 (10 pages)

다운로드

(기관인증 필요)

초록보기

Purpose: This study aims to describe the experiences of parenting children with spinal muscular atrophy.
Methods: Participants consisted of 11 parents of children diagnosed with spinal muscular atrophy, more than 6 months prior to the study. Data were collected through one-on-one interviews and between 1 and 3 interviews were conducted per participant, between August and November 2021. Braun and Clarke's thematic analysis was used to analyze collected data.
Results: This study described that the experience of parenting children with spinal muscular atrophy was based on four major themes: “a difficult journey from diagnosis to acceptance,” “changed life while parenting children,” “comfort even in the difficult parenting,” and “preparing for child's future happiness.”
Conclusion: There is a need to provide comprehensive information about child rearing problems experienced by parents of children with spinal muscular atrophy. It is also necessary to develop supportive healthcare and social-welfare interventions to support the needs of children and families with spinal muscular atrophy.

1
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KCI등재

1임신이나 수유 중 엄마가 섭취한 음식과 자녀의 알레르기질환 발생이나 예방 효과

저자 : 김자경 ( Ja Kyoung Kim )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 121-131 (11 pages)

다운로드

(기관인증 필요)

초록보기

The increasing prevalence of allergic diseases in the past decades has been caused by environmental rather than genetic factors. Recent research has focused on the relationship between the mother's environmental exposure, especially during pregnancy, and allergic outcomes in the offspring. Intervention studies to prevent allergic diseases have also been conducted. Environmental factors, such as diet induce changes in the mother's intestinal flora, and the signals generated have a permanent effect on the fetal immune development through an epigenetic mechanism, which may be involved in disease development. This review outlines whether dietary patterns in mothers are related to allergic diseases, and it summarizes whether supplementation with micronutrients, such as omega-3 unsaturated fatty acids, vitamin D, and folic acid can prevent allergic diseases. Studies have found that a westernized diet is associated with an increase in the prevalence of allergic diseases; however, intervention studies conducted with micronutrients or probiotics do not provide clear results regarding its preventive effect. A mother's diet during pregnancy or lactation may affect the health of the child. Well-designed intervention studies are warranted to attempt to prevent allergic diseases. Consequently, good dietary patterns based on high-quality evidence are recommended for pregnant and lactating mothers.

KCI등재

2통일의학적 관점에서 본 모자보건의 현재와 미래

저자 : 김지영 ( Ji Young Kim ) , 최은샘 ( Eun Saem Choi ) , 안기훈 ( Ki Hoon Ahn )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 132-139 (8 pages)

다운로드

(기관인증 필요)

초록보기

As North Korea's healthcare sector loses functionality under the collapsing socialist system, the gap in medical care between North and South Korea is widening. As a result, we expect that the social safety network will disintegrate in the medical field after unification, and in view of this, our study analyzes the infants and mothers who are likely to be most affected at this time to establish a direction for the promotion of unification in the future. Maternal health in North and South Korea was analyzed by the prevalence of anemia, maternal mortality ratio, prenatal and postpartum visits, and child health was analyzed by chronic malnutrition, vaccination penetration rate, and infant mortality rate to evaluate North Korea's poor nutritional conditions and medical system. The introduction of the legal system related to maternal and child health in North and South Korea includes prenatal and postpartum management and labor. Under this legal system, North Korea includes accessibility to hospitals and children's nutrition management issues, and South Korea includes subfertility treatment and postpartum care centers. As a countermeasure to the low birth rate problem emerging in both countries, the governments are providing work leave and economic support. In order to make effective use of the maternal health indicators from a unified scientific perspective, they should be calculated and codeveloped by both North and South Korea, and a multifaceted approach is needed through the setting of additional indicators such as the perinatal mortality rate.

KCI등재

3북한 어린이 건강과 모자보건 전문가들의 역할

저자 : 최성우 ( Seong-woo Choi )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 140-145 (6 pages)

다운로드

(기관인증 필요)

초록보기

According to the World Health Organization (WHO), the health indicators and nutritional status of North Korean children have improved steadily since 2010. However, malnutrition remains a serious condition, with 19.1% of children stunted. in addition, although the nutritional status of North Korean refugee children has gradually improved since they settled in South Korea, a rapid increase in obesity rates has put them under a double burden of malnutrition and obesity. For the health of North Korean children who are at risk because of the recent rapid increase in coronavirus disease 2019 cases in North Korea, maternal and child health experts should work together to request immediate humanitarian assistance from the international community and the South Korean government. Furthermore, it is necessary to develop a maternal and child health program in preparation for the resumption of inter-Korean exchanges and cooperation in the future.

KCI등재

4난임·우울증상담센터 대상자 특성에 근거한 서비스 체계 고찰 및 개선방안 - 임산부 및 양육모 중심으로

저자 : 김장래 ( Jangrae Kim ) , 추경진 ( Kyungjin Chu ) , 전승주 ( Seung Joo Chon ) , 조서은 ( Seo-eun Cho ) , 이택후 ( Taek Hoo Lee ) , 이승재 ( Seung Jae Lee ) , 태철민 ( Chul Min Tae ) , 임준영 ( Jun Young Lim ) , 양정보 ( Jung Bo Yang ) , 최안나 ( Anna Choi )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 146-163 (18 pages)

다운로드

(기관인증 필요)

초록보기

Purpose: This study examined the current status of counseling services provided by the Korea Counseling Center for Fertility and Depression, analyzing the characteristics of peripartum women and baby-rearing mothers and establishing guidelines for providing psychological support, and suggesting measures for improving the system.
Methods: Data on 3,660 peripartum women & their spouses and baby-rearing mothers counseled through the service over the last 4 years were collected and a demographic analysis was conducted. By analyzing the clinical information of 216 peripartum women and 219 baby-rearing mothers who have registered with the Center and received routine counseling services, factors affecting depression were identified. Finally, a paired sample t-test was conducted to verify the effect of counseling services.
Results: An overall 20.4% of pregnant women & their spouses were screened for high risk for depression, of whom 27.3% received registered counseling services; further, 26.2% of baby-rearing parents were at high-risk group for depression, of whom 25% received registered counseling services. Results of a logistic regression analysis suggested that, for peripartum women, level of education and conflicts with partner and family were the crucial factors predicting moderate or severe depression. For baby-rearing mothers, obstetric history of spontaneous abortion was the crucial predicting factor.
Conclusion: For the early detection and prevention of peripartum depression, screening tests that start from early pregnancy should be routinely administered. Further, continuous management―covering the periods before and after childbirth―should be provided by establishing organic ties between domestic projects.

KCI등재

5임신 중 영양제 복용의 효과

저자 : 정진하 ( Jinha Chung )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 164-170 (7 pages)

다운로드

(기관인증 필요)

초록보기

Quality nutrition is vital for fetal growth and maternal health, because the nutritional status of the fetus is directly affected by the mother's nutritional intake. A lack of certain nutrients can lead to unfavorable consequences for both the fetus and mother. The intake of nutritional supplements is increasing worldwide. Korea has been experiencing population aging and low birth rate and has shown an increasing interest in nutritional supplements for pregnant women. This review discusses the 5 critical nutrients for pregnant women as determined by the Ministry of Food and Drug Safety in 2021, namely folic acid, iron, omega-3, vitamin D, and calcium. This review determined the upper safety limits of these nutritional supplements for pregnant women based on previous researches. Obstetricians and other physicians should be consulted regarding the nutritional supplements recommended for pregnant women.

KCI등재

6고위험 임산부의 조산위험 사정도구 개발 과정: 1단계 예비도구 개발

저자 : 김증임 ( Jeung-im Kim )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 171-182 (12 pages)

다운로드

(기관인증 필요)

초록보기

Purpose: To pool preliminary items based on nine domains as the first phase of developing a preterm birth risk assessment scale (PBRAS).
Methods: Item generation was performed using deductive methods, such as literature review and related scales, and inductive methods through in-depth interviews with 11 preterm birth (PTB) women, and experts validated the content. The experts were clinical nurses who worked in delivery rooms, and professors who taught on the subject of women's health nursing. Preliminary survey for 32-item was conducted among 27 women with PTB.
Results: After item generation and pooling for the PBRAS, a total of 84 items were developed. A 32- item questionnaire was integrated with rigorous review by experts. Internal consistency of the 32-item PBRAS had a Cronbach alpha of 0.90. The PBRAS was significantly correlated with pregnancy stress (r= 0.77, p<0.001), somatic awareness scale (r=0.72, p<0.001), and risk scoring for PTB (r=0.44, p<0.001).
Conclusion: The 32-item PBRAS has content validity, but exploratory and confirmatory factor analyses for the 2nd phase of scale development needs to be performed.

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7초산모의 자녀 양육 관련 온라인 커뮤니티 참여와 아동 건강증진행위의 관계: 양육효능감의 매개효과

저자 : 우민영 ( Minyoung Woo ) , 채선미 ( Sun-mi Chae )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 183-193 (11 pages)

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Purpose: To examine the mediating effects of parental efficacy on the relationship between participating in online parenting communities and health-promoting behaviors for children among first-time mothers with infants and toddlers.
Methods: The participants were 174 first-time mothers who used online parenting communities. Data were collected through self-report online questionnaires. Descriptive statistics, independent t-test, 1- way analysis of variance, Pearson correlation coefficient and multiple linear regression analysis were performed. The significance of the mediating effect was verified using the Sobel test and PROCESS macro.
Results: Significant predictors for health-promoting behaviors for children among first-time mothers were maternal age, maternity leave, monthly income, weekly use of online communities, daily use of online communities, satisfaction with online communities, and parental efficacy, which explained 51.0% of maternal health-promoting behaviors for children. Parental efficacy partially mediated the relationship between mothers' satisfaction with using online communities and their health-promoting behaviors for children.
Conclusion: Interventions to enhance satisfaction with online parenting communities and parental efficacy should be developed to promote the health of infants and toddlers. Therefore, it is necessary to consider the needs of mothers for child rearing and health care, and develop online parenting communities that can provide qualitative health information and enable safe online interactions between mothers.

KCI등재

8척수성 근위축증 아동 부모의 자녀 양육 경험

저자 : 김효진 ( Hyo Jin Kim ) , 채선미 ( Sun-mi Chae )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 194-203 (10 pages)

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Purpose: This study aims to describe the experiences of parenting children with spinal muscular atrophy.
Methods: Participants consisted of 11 parents of children diagnosed with spinal muscular atrophy, more than 6 months prior to the study. Data were collected through one-on-one interviews and between 1 and 3 interviews were conducted per participant, between August and November 2021. Braun and Clarke's thematic analysis was used to analyze collected data.
Results: This study described that the experience of parenting children with spinal muscular atrophy was based on four major themes: “a difficult journey from diagnosis to acceptance,” “changed life while parenting children,” “comfort even in the difficult parenting,” and “preparing for child's future happiness.”
Conclusion: There is a need to provide comprehensive information about child rearing problems experienced by parents of children with spinal muscular atrophy. It is also necessary to develop supportive healthcare and social-welfare interventions to support the needs of children and families with spinal muscular atrophy.

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