한국 아동의 대소변 가리기 성취 시기 및 순서

Abstract

Objectives: The purpose of this study was to identify the ages and sequential order of 28 specific toilet training skills acquisition of young Korean children and the gender difference in the acquisition of toilet training skills. Methods: The participants in this study were 1052 mothers of young children from the seven nation wide lesions, aged 1 to 4 years old, who were recruited from the outpatient clinics of hospitals, community health centers, or day care centers considering the even distribution of samples by the age intervals. The toilet training status (TTS) questionnaire composed of 28 items explaining the specific toilet training skills were obtained by the maternal report. Descriptive statistics, t-test, ANOVA and Pearson correlation coefficients were used to analyze the data. Results: Toilet training skills were achieved earlier in girls and children with siblings, having highly-educated mothers, and those attending child care facilities. However, there was no differences in toilet training status by the presence of chronic illness, mother's job, the family types. bowel movement (BM) control at nighttime (median ages: 27 months), bowel movement control at daytime (32 months), urin control at day-time (32 months) and urin control at nighttime (33 months) were achieved by order. The duration of acquiring the total toilet training skills on average was 12.5months. The mean ages of acquiring toilet training readiness skills were 27~31 months. Girl's toilet training is achieved slightly earlier than boys, significantly with regard to children's fine motor skills to wear or pull up/down pants or diapers. Conclusions: Using the above findings, health care professionals who work with children and their families need to develop the education program or specific protocol for providing the evidence-based information on the ages and sequential order of toilet training skills of Korean children and help the caregivers guide appropriate and positive toilet training with their children.